Female Infertility Treatment
Infertility in Females
Several factors can contribute to female infertility, including age, anovulation, tubal issues, and cervical-uterine conditions. Infertility in women is more common than many realize, with 1 in 8 couples experiencing difficulty conceiving.
At Precision IVF, you are not alone our specialists are here to support you with advanced female infertility treatment options and personalized care.
Women under the age of 35 who have been trying to get pregnant for a year, and women over the age of 35 who have been attempting to conceive for 6 months without success, are recommended to consult specialists. Women with more than two consecutive miscarriages could be experiencing fertility problems and should seek evaluation.
Common Causes of Female Infertility
While there are a multitude of diagnoses, we will outline the most commonly seen causes of female infertility:
1. Tubal Factor:
Open (patent) and functioning fallopian tubes are necessary for pregnancy to occur. Tubal disease is a disorder in which the fallopian tubes are blocked or damaged. This is usually caused by a history of previous pelvic infections, prior pelvic-abdominal surgery, or endometriosis.
While there are a multitude of diagnoses, we will outline the most commonly seen causes of female infertility:
The test typically performed to assess tubal patency is a hysterosalpingogram (HSG), which is an X-ray image of the pelvis. A thin tube-like instrument is passed into the cervix, and X-ray dye is injected into the uterus. As the dye enters the uterus and fallopian tubes, an assessment is made of their structure and function.
2. Cervico-Uterine Issues
The cervix is located in the lower part of the uterus. Conditions affecting the cervix can impact fertility, although they are rarely the sole cause of infertility.
The following conditions can contribute to cervical factors:
- Abnormal Pap smear(s)
- Prior cervical biopsies
- Cervical surgery (cone biopsy)
- Freezing or laser treatment of the cervix
Cervical problems are generally treated with antibiotics, fertility medications, or intrauterine insemination (IUI).
3. Uterine Conditions
The uterus (womb) is where the fertilized egg implants and develops. Uterine abnormalities can account for 20% of female infertility and include:
- Uterine scar tissue from previous surgery or miscarriage (Asherman’s Syndrome)
- Polyps (benign growth of the endometrial lining)
- Uterine fibroids
- Abnormally shaped uterine cavity
Problems within the uterus may interfere with embryo implantation or increase the risk of miscarriage.
Tests typically performed to assess the uterine cavity include:
- Hysterosalpingogram (HSG)
- Saline infusion sonogram (SIS or SHG)
In SIS, a thin tube is passed into the cervix and saline is injected into the uterus under ultrasound guidance. This is often the preferred test for evaluating uterine abnormalities.
Surgery may be required to further evaluate and correct uterine cavity issues. Our specialists are highly experienced in treating uterine factors contributing to infertility.
4. Irregular or No Ovulation
Problems with ovulation are a common cause of infertility in women, accounting for approximately 30 percent of cases.
To conceive, a woman must ovulate—release an egg from the ovary into the fallopian tube. Ovulation is linked to the menstrual cycle, which typically occurs every 28–35 days.
Women who experience periods more than every 35 days may be ovulating infrequently or not at all.
Common causes of ovulatory disorders include:
- Polycystic Ovary Syndrome (PCOS)
- Thyroid hormone imbalance
- High prolactin levels
- Higher body weight
Ovulation can be tracked through menstrual charting, ovulation predictor kits (OPKs), and blood hormone (progesterone) testing.
5. Hormonal Imbalances
Hormonal disorders play a major role in female infertility. PCOS is the most common ovulatory disorder, accounting for 85% of diagnosed ovulatory issues.
Female athletes, such as marathon runners and gymnasts, may experience hypothalamic amenorrhea, which can disrupt ovulation.
Women with elevated prolactin levels may also experience irregular ovulation, making conception more difficult.
With proper diagnosis and infertility treatment in women, many hormonal conditions can be effectively managed.
6. Age and Female Fertility
Age is a significant factor in fertility. As a woman approaches her mid-30s, fertility begins to decline, with a more rapid decline after age 40.
This decline occurs because:
- The number of eggs decreases
- Egg quality diminishes
- Risk of chromosomal abnormalities increases
Women in their late 30s and 40s are considered to be of advanced maternal age. While conception is still possible, it may require medical assistance through advanced female infertility treatment options.
7. Endometriosis
Endometriosis is a common condition affecting women of reproductive age. It occurs when tissue similar to the uterine lining grows outside the uterus and sheds into the abdominal cavity.
This can lead to inflammation, scar tissue formation, and disruption of:
- Ovulation
- Tubal function
- Embryo quality 
With proper care and treatment, many women with endometriosis can successfully conceive.
8. Recurrent Miscarriages
Miscarriage is one of the most emotionally challenging experiences for women. Approximately 2 out of 10 pregnancies may result in miscarriage.
Women are considered to have recurrent pregnancy loss if they experience two or more consecutive miscarriages. About 1% of women experience three or more losses.
In about 50% of cases, the underlying cause can be identified.
Common causes include:
- Genetic or chromosomal abnormalities
- Age-related factors
- Uterine abnormalities
- Incompetent cervix
- Hormonal disorders
- Autoimmune conditions
- Blood clotting disorders
Treatment options vary and may include medications, surgery, IVF, or genetic testing.
Although some couples can conceive, maintaining pregnancy may be the challenge. Consulting a fertility specialist is essential to identify and treat the underlying cause.
How We Diagnose Female Infertility
Dr. Sushila Arya and the infertility team at Precision IVF approach the female infertility diagnosis with a personalized approach. We use advanced fertility testing and full evaluations to determine the factors impacting fertility and design a treatment plan specific to you.
Medical History Review: Dr. Sushila Arya starts by discussing your medical history, menstruation pattern, past pregnancies, symptoms, and lifestyle factors to understand your fertility well.
Physical Examination: Our team will conduct a thorough physical examination to detect hormonal imbalances, reproductive problems, or other health issues that could impact fertility.
Ovulation Testing: Ovulation testing can be done to see whether there are problems with the release of eggs and can assist in diagnosing other problems of ovulation that may affect conception.
Hormone Testing: For ovarian function testing, we utilize hormone testing to assess important fertility hormones involved in egg quality and reproductive health, as well as ovulation.
Pelvic Ultrasound: During a pelvic ultrasound, our infertility specialists can examine the pelvis and determine if there are any problems with the uterus and the ovaries that might cause infertility.
Hysterosalpingogram(HSG): An HSG is a procedure that involves using contrast dye and X-ray imaging to assess the uterus and to check if the fallopian tubes are open and healthy.
Saline Infusion Sonography(SIS): SIS is a combination of ultrasound and sterile saline, which results in a detailed view of the uterine cavity and is used to distinguish any structural abnormality.
Ovarian Reserve Testing: An ovarian reserve test is used to help determine the quality of the egg reserve and the likelihood of fertility, so our experts can suggest the best treatment strategy.
Creating Your Personalized Treatment Plan: Once you are done with the fertility testing, Dr. Sushila Arya will analyze the test results, communicate with you what your diagnosis is, and provide you with the best possible treatment plan for your situation.
Female Infertility Treatment Options
There are several treatments for infertility in women, depending on the diagnosis and severity. These include:
In Vitro Fertilization (IVF)
In Vitro Fertilization (IVF) is an advanced and highly effective fertility treatment used to address a wide range of infertility conditions. In this process, eggs are retrieved from the ovaries and fertilized with sperm in a laboratory. The resulting embryo is then transferred into the uterus to achieve pregnancy. IVF may be recommended for:
- Blocked fallopian tubes.
- Severe male infertility.
- Endometriosis.
- Failed IUI cycles.
- Age-related infertility.
Intrauterine insemination (IUI)
Intrauterine insemination (IUI) is a minimally invasive fertility treatment that involves placing specially prepared sperm directly into the uterus during ovulation. This increases the chances of fertilization by helping sperm reach the egg more efficiently. IUI is often recommended for:
- Mild male infertility.
- Unexplained infertility.
- Ovulation disorders.
- Cervical mucus issues.
Egg freezing (Fertility Preservation)
Fertility preservation or egg freezing is the process of preserving healthy eggs for future use. The surgeon removes the eggs, freezes them, and stores them until the time is right for the woman to try for a pregnancy. The procedure of egg freezing may be suggested if:
- Unmarried female people who want to postpone pregnancy.
- Age-related fertility preservation.
- Female patients receiving medical therapy, which could have an impact on fertility.
- Those wanting to maintain their future reproductive potential. 
Donor Egg IVF
Donor Egg IVF is an IVF technique in which the eggs of a healthy donor are utilized to help a couple conceive. The eggs donated are in the lab and fertilized, and the embryo is inserted into the uterus. For women of childbearing age who are unable to provide their own eggs, donor egg IVF might be considered for:
- Diminished ovarian reserve.
- Premature ovarian insufficiency.
- Age-related infertility.
- Where the quality of eggs in past IVF attempts has been poor.
PRP Therapy for Fertility
Platelet-Rich Plasma (PRP) Therapy is an innovative fertility treatment that uses growth factors from a patient's own blood to support reproductive health. In specific patients, PRP can help improve the function of the patient's own ovary and/or increase the receptivity of the patient's endometrial lining. PRP therapy can be used for:
- Diminished ovarian reserve.
- Poor ovarian response.
- Thin endometrial lining.
- Women want other alternatives to fertility treatment. 
When to See a Fertility Specialist
You should consult a fertility specialist if:
- You have been trying to conceive for over a year (under 35)
- You have been trying for 6 months (over 35)
- You have irregular cycles or ovulation issues
- You have experienced recurrent miscarriages
Early diagnosis improves the success of female infertility treatment.
Why Choose Our Female Infertility Clinic
Our female infertility clinic is dedicated to providing comprehensive, compassionate, and personalized care for women facing fertility challenges. We understand that every patient’s journey is unique, which is why our approach focuses on accurate diagnosis and tailored female infertility treatment plans. We provide:
- Experienced fertility specialists with expertise in diagnosing and treating infertility in women
- Advanced reproductive technology, including IVF and IUI treatments
- Customized treatment plans based on your individual fertility health and goals
- Compassionate, patient-centered care with guidance at every step
Signs and Symptoms of Female Infertility
Depending on the underlying cause, the signs and symptoms of female infertility can differ. Some women might not have symptoms that are visibly obvious, while others might experience symptoms that will look like a fertility problem.
The following are common signs and symptoms of female infertility:
- Failure to conceive within the first 12 months of frequent unprotected sexual activity (6 months for women over age 35).
- Irregular menstrual cycles.
- Amenorrhea – lack of menstruation.
- Heavy menstrual bleeding.
- Severe menstrual cramps.
- Discomfort or pain on intercourse.
- Recurrent pregnancy loss (RPL) or miscarriages.
- Unexplained pelvic pain.
- Changes in hormones, including acne, growth of excess facial or body hair, abnormal weight gain, or hair loss.
Dr. Sushila Arya and the team at Precision IVF can help you determine the root cause of your problem and discuss various treatment options to achieve your goal of becoming pregnant.
Book your Consultation with Precision IVF
Take the first step toward overcoming infertility with expert care at Precision IVF. Our experienced fertility specialists provide personalized evaluation and advanced treatment options tailored to your unique needs. Whether you are just starting your journey or exploring fertility treatments, we are here to guide you every step of the way. Schedule your consultation today and get the support, answers, and care you need to move forward with confidence.
Frequently Asked Questions
1. What is female infertility?
Female infertility refers to a woman’s inability to conceive after 12 months of regular, unprotected intercourse (or 6 months for women over 35). It can be caused by ovulation disorders, age, or reproductive health issues.
2. Can female infertility be treated?
Yes. Female infertility can often be treated through fertility medications, IUI, IVF, egg freezing, donor egg IVF, PRP therapy, or surgical procedures, depending on the underlying cause and individual fertility goals.
3. What are the chances of getting pregnant after infertility treatment?
The chances of pregnancy vary based on factors such as age, egg quality, reproductive health, the cause of infertility, and the treatment approach. A personalized fertility treatment plan can help improve the likelihood of a successful pregnancy.
4. What factors can increase the risk of female infertility?
Common risk factors include advanced maternal age, PCOS, endometriosis, hormonal disorders, blocked fallopian tubes, uterine abnormalities, pelvic infections, smoking, obesity, and certain medical conditions.
5. Can female infertility be prevented?
While not all causes of infertility can be prevented, maintaining a healthy weight, avoiding smoking, limiting alcohol intake, managing chronic health conditions, and seeking timely medical care may help support fertility.
6. How long should I try to conceive before seeking help?
Women under 35 should consider a fertility evaluation after 12 months of trying to conceive. Women aged 35 and older should seek guidance from an infertility specialist after 6 months of unsuccessful attempts.
