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The Root Causes of Infertility in Women

Causes of Infertility in Women

An inability to have children can be a long, emotional journey for most females, but finding out why it happens can give you the strength to search for solutions that work. Here at SCI IVF Hospital, we promise all-around care and assistance.

In this blog post, we will discuss some common medical factors pointed out by Dr Shivani Sachdev Gour, the best fertility doctor in Delhi, affecting female fertility such as Polycystic Ovary Syndrome (PCOS), and endometriosis among others alongside their impacts as well as the treatment options available.

  1. Polycystic Ovary Syndrome (PCOS)

PCOS is a hormonal disorder that affects approximately 10% of women in reproductive age group. It is marked by irregular menstrual cycles, high levels of male hormones called androgens, and enlarged ovaries having small collections of fluid sacs or follicles known as cysts. Women with this condition may experience difficulty getting pregnant due to failure to ovulate regularly.

Effects on Fertility:

  • Infrequent ovulation or anovulation
  • Hormonal imbalances interfering with reproduction


  • Lifestyle Changes: Losing weight if overweight can help manage symptoms and improve chances of conception through healthy eating habits and regular exercise.
  • Medication: Metformin improves insulin resistance; Clomiphene stimulates egg release while Letrozole promotes ovulation induction.

Assisted Reproductive Technologies (ART)

In vitro fertilization (IVF) may be recommended when other interventions fail especially in severe cases where there are many cysts or eggs produced during one cycle which could lead to life-threatening complications like ovarian hyperstimulation syndrome (OHSS).

  1. Endometriosis

The endometrium is the lining inside the uterus where an embryo implants itself if fertilized. But sometimes similar tissue grows outside causing pain called endometriosis which also results in infertility among affected individuals who account for about 10% of women worldwide.

Effects on Fertility:

  • Abnormal pelvic structure
  • Inflammation and scarring
  • Failure of embryo implantation


  • Medications: Pain relievers and hormonal therapy can be used to manage symptoms but do not necessarily enhance fertility directly.
  • Surgery: Laparoscopy removes endometrial growths thereby increasing chances of conception.
  • ART: IVF is a viable option for many women with this condition as it bypasses some challenges posed by endometriosis during natural conception.
  1. Thyroid Disorders

The thyroid gland regulates metabolism by secreting hormones that control energy usage within body cells but when these levels are abnormal either too high(hyperthyroidism) or low(hypothyroidism), they interfere with the normal menstrual cycle thus affecting ovulation.

Effects on Fertility:

Hormonal imbalances lead to failure to release eggs from the ovary in each menstrual period. 


Hypothyroidism may require thyroid hormone replacement therapy whereas hyperthyroidism needs antithyroid drugs to bring back balance in system functions through proper regulation of thyroxine production by the respective glands involved. 


Regular checkups on thyroid function tests ensure that appropriate hormonal levels are maintained for successful pregnancy achievement.


Finding the causes of infertility is the first step towards finding a cure. SCI IVF Hospital, the leading female fertility center in Delhi, guides you through all stages of your fertility journey offering individualized care till you become a parent. Book an appointment today if there’s any worry about the inability to conceive because here starts your way into parenthood.

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