Conditions That Affect Fertility

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There are many reasons why a couple may have difficulty in conceiving a child. Disease, drugs, heredity, lifestyle habits or even exposure to certain toxins can

affect fertility. Reasons for diminished reproductive capacity include:
Endometriosis — This condition affects a woman's pelvic cavity, where tissue fragments from the innermost lining of the uterus (the endometrium) grow and

function outside the uterus. They are one of the causes of painful menstruation and infertility. These displaced pieces of tissue are not shed vaginally with

normal menstrual blood but instead accumulate inside the pelvis on the surface of pelvic organs. If they cause scar tissue on the ovaries or at the ends of the

fallopian tubes, the scar tissue can block the tubes and prevent the egg and sperm from meeting inside the tubes for fertilization. In some instances,

endometriosis can be surgically removed. Drugs can reduce discomfort related to endometriosis but are less successful at improving fertility.

Reproductive tract infections — A leading cause of infertility in both men and women is sexually transmitted diseases (STDs) — particularly chlamydia and

gonorrhea. If untreated — and many infected women have no symptoms — scarring or damage of the fallopian tubes may cause infertility. In men, an STD can

lead to scarring and blockage of the ejaculatory ducts and other reproductive structures, thereby causing infertility.

Pelvic inflammatory disease (PID) — This infection of a woman's upper reproductive system involves the fallopian tubes, uterus and ovaries. The most common

cause of PID is an STD, but it may also occur after complications from an abortion, dilatation and curettage (D&C) surgery, childbirth or even use an

intrauterine device (IUD). A single episode of PID is associated with approximately a 15 percent risk of infertility. A second episode doubles infertility risk to

about 30 percent. For three or more episodes, the risk rises to more than 50 percent.

Female hormonal imbalances — If your female hormones fail to transmit their chemical signals at precisely the right time, ovulation may be irregular,

infrequent or fail to occur. Periods will likely be erratic and unpredictable. Female hormonal imbalances can often be treated with fertility drugs.


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