Infertility Defects in Female partner

 

Tips to  explore in a subfertile couple and how to elicit personal history keeping her dignity or personal respect??

The usual causes of female subfertility are 1) Anovulation (mostly PCOS & high BMI > 30 ); 2 Minimal endometriosis 3) Tubal block 4) Pelvic adhesive disease 6) Myomas. 7) Delayed marriage 8) Delayed child bearing -àDelayed pregancy -à deferring the pregnancy-many husband / wife seek  job security, own flat even after marriage  9) Couples stays  employed in separate places and meet occasionally, 10) Infrequent coitus, excess stress and anxiety. Timing of coitus is important. Multiple times sex is needed to achieve pregnancy around the time of  ovulation. (Conception window-fertile window is often not known to many couple 11) Promiscuity and more polygamy and rising prevalence of STI is another  cause of concern. 12) Smoking, environmental pollution, addictions, 13)Night shift duty of any one / day shift of another ,Life style changes are important modifiable factors which lead to subfertility. 14)  due to delayed child bearing there is   rising prevalence of metabolic diseases, particularly PCOS and allied anovulatory disease, Endometriosis, Pelvic adhesive diseases, environmental pollutants causing damage to oocytes and presence of endocrine disruptors causing defective cell signaling and Diminished Ovarian reserve and unfortunately  POF by early 4^th decade of life.

 

What are the usual causes of female subfertility? However, in order of prevalence the following are the common causes of female subfertility: - Anovulation (PCOS), Early endometriosis, Unexplained infertility.  Ovarian insufficiency and Immunological infertility is an uncommon cause.