Female Infertility| Age, Mechanical And Other Factors

Etiology

  • Genetic d/o
  • Older maternal age; risk slowly increases from early 20s, sharp rise > 35 - qualitative oocyte problems
  • Uterine factors affecting implantation: fibroids, scarring, anatomic variations→ bicornate, etc.
  • Fallopian tube problems: scarring from past STIs, TOAs, hx ectopics
  • Hx trauma, radiation, surgery affecting pelvic organs
  • Idiopathic in up to 20%