What are the reasons why women do not get pregnant?

Nov 27, 2024 Source: Cainiu Health
Disease description:

I watched TV and learned that some women experience infertility. I would like to ask, what are the causes of female infertility?

Doctor's answer (1)
Dr. Zhang Lu

There are various causes of female infertility, which can be broadly categorized into the following aspects:

1. Ovulation problems: Ovulatory disorders are a common cause of female infertility, such as failure of egg formation, absence of ovulation, or irregular ovulation.

2. Luteal phase defect: The corpus luteum is a vital organ responsible for progesterone secretion in women, and its dysfunction can impair fertility.

3. Hormonal imbalances: Conditions such as polycystic ovary syndrome (PCOS), thyroid dysfunction, and hyperprolactinemia can disrupt normal ovulation.

4. Immunological factors: The body's immune system may attack sperm or embryos, leading to immunological infertility.

5. Fallopian tube problems: Blockage, fluid accumulation (hydrosalpinx), or adhesions in the fallopian tubes can prevent the egg and sperm from meeting.

6. Lifestyle and environmental factors: Long-term smoking, alcohol consumption, excessive weight loss or obesity, and exposure to harmful chemicals can all affect fertility.

7. Genetic factors: Certain genetic disorders or chromosomal abnormalities may lead to infertility.

8. Age-related factors: As women age, ovarian function gradually declines, and both the quantity and quality of eggs decrease, increasing the risk of infertility.

9. Uterine issues: Uterine abnormalities, such as congenital malformations, uterine fibroids, or endometriosis, may interfere with embryo implantation.