These declines reflect the natural aging process and emphasize the need for rapid evaluation and treatment, especially in woman over 35 years of age. The causes of infertility are divided into categories. The failure of healthy gametes to come into close physical proximity, thus preventing fertilization. The inability of the fertilized egg to successfully attach to the uterine lining. The inability to carry a pregnancy to term.
Infertility is a complex disease and is often due to numerous factors.
A woman who suspects she is infertile, must have a thorough examination by a specialist. The first office visit will consist of a history and physical. The physician will ask questions regarding frequency of intercourse, regularity of periods, general health, etc. It is very important that the male partner be evaluated during the initial work up. A history of genital infections, trauma, or environmental exposure to toxins, can reduce male fertility.