Knowledge | Signs and Causes of Infertility in Both Partners



Knowledge | Signs and Causes of Infertility in Both Partners


Infertility is the inability to become pregnant after six months to one year of regular sex without contraception. It does not mean that a couple can never have children. With professional care, about 50% of couples with infertility eventually conceive naturally or through medical treatment.


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Possible Signs of Female Infertility

The primary sign is difficulty becoming pregnant. Other symptoms may be subtle, but certain changes can suggest a fertility problem, including:


Abnormal periods: Unusually heavy or light bleeding.

Irregular cycles: Cycle length varies from month to month.

Absent periods: Menstruation never begins or suddenly stops.

Painful periods: Back pain, pelvic pain, and abdominal cramping during menstruation.

Some cases are associated with hormonal imbalance and may involve:


Skin changes, such as acne

Changes in sex drive

Increased hair growth on the upper lip, chest, or chin

Hair loss or thinning hair

Weight gain

Other possible symptoms include breast milk production when not breastfeeding and pain during sex.


Causes of Female Infertility

A leading cause is failure to ovulate, commonly due to polycystic ovary syndrome (PCOS). Other possible causes include:


Fallopian tube problems, including blockage caused by infection or endometriosis.

Smoking.

Being overweight or underweight.

Age: Female fertility declines with age, especially after 35, and the chance of pregnancy is very low after 45.


Possible Signs of Male Infertility

Male infertility often has no obvious symptoms until a couple tries to conceive. Possible symptoms include:


Changes in hair growth

Changes in sex drive

Testicular pain, lumps, or swelling

Problems with erection or ejaculation

Small, firm testicles


Causes of Male Infertility

Common causes involve sperm, including:


Low sperm count or no sperm in the semen.

Poor sperm motility.

Abnormal sperm morphology.

Blocked vas deferens.

Other causes may include testicular injury and exposure to harmful chemicals or medicines. Smoking, heavy alcohol use, and age over 40 may also reduce male fertility.


When Should You See a Doctor?

People under 35 should consult a doctor after one year of trying to conceive without success; women 35 and older should seek evaluation after 6 months. Testing may include blood, urine, and imaging studies, while men may have a semen analysis to assess sperm health.


Early diagnosis and treatment may improve the chances of pregnancy, so couples are encouraged to seek professional care promptly.


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