Fertility challenges

Exploring the causes of infertility is the first step in understanding your fertility journey

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>10 million

According to a Centers for Disease Control and Prevention survey, 10.4 million women aged 15 to 49 faced fertility problems from 2015 to 2019.

Common causes of infertility in women

  • Polycystic ovary syndrome (PCOS)—a condition resulting from disruption in ovarian function in which the ovaries produce higher than normal amounts of male hormones
  • Uterine fibroids—noncancerous growths that can form in and around the uterine wall and affect the physical characteristics of the uterus
  • Endometriosis—occurs when tissue that normally lines the inside of the uterus is found in other places, like the fallopian tubes, and can cause scarring and blockages

The #1 cause of fertility challenges for women is polycystic ovary syndrome (PCOS).

Common causes of infertility in men

  • Sperm disorders affecting sperm motility and viability
  • Infection, such as gonorrhea or HIV
  • Injury from surgery or trauma, which may cause bodily changes or blockages
  • Extended exposure to toxins, such as benzenes, toluene, xylene, pesticides, herbicides, organic solvents, painting materials, lead, or heavy metals
  • Hormone imbalances, such as disorders affecting the testicles themselves or the hypothalamus, pituitary, thyroid, or adrenal glands

The #1 cause of male
infertility is a disorder in sperm production.

Regardless of gender, infertility can
also be caused by lifestyle factors, such as:

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Drug use
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Alcohol use
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Tobacco use
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Body weight below or above average

Infertility is rarely simple. Often, it can take
more than 6 months to conceive. Consider a
fertility evaluation if:

Less than 35 years icon

You are younger than 35 years of age and did not conceive after 1 year of trying

Greater than or equal to 35 years icon

You are 35 years of age or older and did not conceive after 6 months of trying

If you are not ready to start a family yet, here are a few things to keep in mind while planning ahead:

  • Hormone levels change as people age, and that change may affect fertility.
  • Consider the egg count. In general, egg count decreases with age. Each woman is born with about 1 million eggs, and about 25,000 remain by age 37.
  • Egg freezing may also be an option. Learn more about egg freezing here.

About 20% of women in the US now have their first child after age 35.

Download these tips to help you choose a clinic that
meets your fertility needs

Finding a fertility clinic
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You just read about fertility planning—now, let’s talk about what to expect at your first infertility consultation

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