Fertility Problems

Fertility Problems

Trying for a baby is generally an exciting time, and most couples do conceive a pregnancy naturally within 12 months of trying. No one ever thinks they are ever going to have difficulty achieving what usually happens naturally.

You may not be aware that up to 1in 6 couples who are trying to achieve a pregnancy nothing unfortunately happens.

Infertility is defined as the inability to conceive after 12 months of unprotected intercourse, or the inability to carry pregnancies to a live birth. If you have been trying for 12 months or longer, or if you are over 35 years of age and have been trying for over 6 months ….then it is recommended you and your partner be investigated for any problems that could be impacting on your chances of conceiving.

What are the possible causes of infertility?

  • 30% of infertility is due to female factors alone
  • 30% of infertility is due to male factors alone
  • 30% of infertility is due to both female and male factors
  • The remaining 10% of infertility is of an unexplained nature

What Are The Possible Female Causes?

  • Ovulatory problems, such asa condition known as Polycystic Ovary Syndrome(PCOS) where the egg is released infrequently. Have a look at my website www.howtogetpregnantwithpcos.com
  • Endometriosis; A condition where the lining of the uterus (endometrium) becomes implanted outside the uterus in areas on the fallopian tube, the ovaries, bowel, or tissue lining the pelvis
  • Uterine Fibroids: These are non-cancerous growths made up of muscle and fibrous tissue that form inside the uterus. It depends on their size and location in the uterus as to whether they can impact on a woman’s fertility.
  • Your Body Mass: Studies have now proven that being overweight or underweight can impact on a woman’s chances of conceiving. A Body mass index BMI of between 19 and 25 is considered the ideal weight
  • Blocked or damaged fallopian tubes: When the fallopian tubes are blocked egg and sperm will not meet and therefore fertilisation cannot occur.
  • Declining Female Age:Age does have an effect on female fertility. Women are born with all the eggs they will ever produce. As we age our eggs decline in number, especially after the age of 38 years. By the time a woman is 40 years old her fertility is a quarter of when she was 30. The miscarriage rate increases with age as well.

What Are The Possible Male Causes?

  • Low or no Sperm production:
  • Sperm being obstructed from ejaculation; eg Vasectomy, or blocked Vas Deferens
  • Poor Sperm Motility: sperm that don’t swim very well will therefore have a reduced likelihood of reaching and fertilising an egg in their partner.
  • DNA Damage in the Sperm called oxidative stress resulting from factors such as injury, infection or smoking
  • Presence of anti-sperm antibodies

A semen-analysis test allows us to look at the numbers of sperm, how the move, what their appearance is like, whether possible infection is present, and whether there are anti-sperm antibodies. This simple test can be organised by booking into our laboratory.

No one wants to have any of the above possible infertility issues, and No one really wants to go through any fertility treatment

But..if you need to..it is important to get the best expert help! …that is also friendly, understanding and caring.

If you would like to make an appointment to see me please ring my rooms.

Maroubra rooms: ph 02-93495111, or St George Private Hospital: ph 02-95537555

PS: I have formulated a fertility questionnaire to help you assess your fertility history. Please make sure to download this form and bring to me or take to your doctor.


Fertility Tips
Great tips on how to increase your fertility to get pregnant

Fertility Investigations
Learn about the fertility tests I recommend for you and your partner

Fertility Treatments
Find out what treatments are available with Dr Raewyn Teirney