Infertility is defined as the inability to conceive after a year of unprotected intercourse. This means that after a year of trying, a couple is unable to conceive. Infertility is generally defined as the inability to conceive after 6 months for women aged 35 and older. Nobody is to blame for infertility, just as no one is to blame for diabetes or leukaemia. In general, one-third of infertility cases can be attributed to male factors and one-third to female factors. For the remaining one-third of infertile couples, infertility is caused by a combination of problems in both partners or is unexplained in approximately 20% of cases. An ovulation disorder is the most common cause of female infertility. Female infertility can also be caused by blocked fallopian tubes, which can occur when a woman has pelvic inflammatory disease or endometriosis (a sometimes painful condition causing adhesions and cysts). Miscarriages are frequently associated with congenital anomalies (birth defects) involving the structure of the uterus and uterine fibroids.
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