In women, infertility can be classified into various types based on its underlying causes and contributing factors. Here are some common types of infertility:
- Primary Infertility: This refers to the inability to conceive after at least one year of regular unprotected intercourse without ever having conceived before.
- Secondary Infertility: Secondary infertility occurs when a woman who has previously conceived and carried a pregnancy to term is unable to conceive again.
- Anovulatory Infertility: Anovulatory infertility results from irregular or absent ovulation. This can be caused by hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid disorders, or other factors.
- Tubal Infertility: Tubal infertility is caused by blockages or damage to the fallopian tubes, which can prevent the egg from meeting the sperm or hinder the passage of the fertilized egg into the uterus. Conditions such as pelvic inflammatory disease (PID) and endometriosis can lead to tubal infertility.
- Uterine Infertility: Uterine infertility is due to abnormalities or conditions affecting the uterus that interfere with implantation or pregnancy, such as uterine fibroids, polyps, or congenital uterine anomalies.
- Cervical Infertility: Cervical infertility results from issues with the cervix that impede the passage of sperm into the uterus. This can include cervical stenosis or the presence of hostile cervical mucus.
- Age-related Infertility: Fertility declines with age due to a decrease in the quantity and quality of eggs. Advanced maternal age (typically over 35) is associated with decreased fertility and an increased risk of miscarriage and chromosomal abnormalities in offspring.
- Unexplained Infertility: In some cases, despite thorough evaluation, the cause of infertility remains unidentified. This is termed unexplained infertility.
- Endometriosis-Associated Infertility: Endometriosis, a condition in which tissue similar to the lining of the uterus grows outside the uterus, can cause infertility due to inflammation, scarring, and distortion of pelvic anatomy.
- Lifestyle-related Infertility: Certain lifestyle factors such as smoking, excessive alcohol consumption, obesity, poor nutrition, and extreme exercise can negatively impact fertility.
Understanding the specific type of infertility is crucial for determining appropriate treatment options and interventions to help achieve pregnancy. A thorough evaluation by a fertility specialist can help identify the underlying cause of infertility and guide personalized treatment strategies.
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