A grounded overview of the most common factors behind difficulty conceiving.
PCOS, hypothalamic suppression, thyroid disorders, hyperprolactinemia, and premature ovarian insufficiency.
Prior pelvic infection, endometriosis, adhesions from prior surgery, and hydrosalpinx.
Fibroids, polyps, adhesions, adenomyosis, and dysmorphic uterus — many require 3D imaging to diagnose accurately.
Abnormal sperm count, motility, morphology, or DNA fragmentation; varicocele; obstructions; and hormonal issues.
Egg quantity and quality decline with age — the largest single fertility variable for women.
Weight, sleep, alcohol, smoking, chronic stress, and environmental exposures can all matter.
About 15–30% of couples have no clear cause on standard testing. Advanced workup including 3D ultrasound often uncovers contributing factors.
