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Infertility is defined as trying to get pregnant with frequent, unprotected sex for at least a year with no success.
Infertility results from female factors about one-third of the time and both female and male factors about one-third of the time. The cause is either unknown or a combination of male and female factors in the remaining cases.
Female infertility causes can be difficult to diagnose. There are many treatments, depending on the infertility cause. Many infertile couples will go on to conceive a child without treatment.
The main symptom of infertility is the inability to get pregnant. A menstrual cycle that's too long (35 days or more), too short (less than 21 days), irregular or absent can mean that you're not ovulating. There might be no other signs or symptoms.
When to seek help can depend on your age:
Your doctor might also want to begin testing or treatment right away if you or your partner has known fertility problems, or if you have a history of irregular or painful periods, pelvic inflammatory disease, repeated miscarriages, cancer treatment, or endometriosis.
For pregnancy to occur, every step of the human reproduction process has to happen correctly. The steps in this process are:
In women, a number of factors can disrupt this process at any step. Female infertility is caused by one or more of the factors below.
Psychological, or mental health, issues can be involved in PE and may include:
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