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What Are the Main Types of Infertility and Their Causes?

Written by

Arva Health Team

28 Nov 2024

Chart comparing common infertility types
Chart comparing common infertility types
Chart comparing common infertility types

Understanding infertility is crucial for millions of couples worldwide who face challenges in their journey to parenthood. In the United States alone, approximately 15% of couples experience difficulty conceiving a child, making it a significant medical condition affecting reproductive health.

Understanding Infertility Basics

Infertility occurs when conception isn't achieved after regular unprotected sexual activity for a specific period. The Practice Committee of the American Society for Reproductive Medicine defines this period as one year for women under 35, and six months for those over age 35. Various factors affect fertility in both partners, making it essential to understand its complexities.

At Arva, we offer comprehensive fertility testing, including convenient home testing options. Our experts guide you through understanding your fertility status and recommend personalized next steps.

Types of Infertility and Their Impact


Primary Infertility

Primary infertility refers to couples who have never achieved pregnancy despite trying for at least one year without using contraception. This condition affects approximately 1 in 8 couples in the United States, often due to various reproductive organs issues or hormonal imbalances.


Secondary Infertility

Secondary infertility occurs when couples who have previously conceived face difficulties achieving subsequent pregnancies. This form affects about 10% of all couples with children, presenting unique emotional challenges.


Unexplained Infertility

In about 20-30% of cases, couples face unexplained infertility, where standard fertility testing reveals no apparent cause for conception difficulties. This diagnosis often requires comprehensive evaluation of multiple factors.

Female Infertility

Female infertility involves complex interactions between various reproductive organs and systems. Several key factors contribute to fertility problems in women:


Ovulatory Disorders

The menstrual cycle plays a crucial role in fertility. Disruptions can occur due to:

  • Hormonal imbalances affecting the pituitary gland

  • PCOS affecting regular ovulation

  • Thyroid disorders impacting hormone production


Structural Issues

Physical problems with reproductive organs can significantly impact fertility:

  • Blocked or damaged fallopian tubes preventing fertilized egg transport

  • Uterine fibroids affecting implantation

  • Endometriosis causing inflammation

  • Pelvic inflammatory disease leading to scarring


Age-Related Factors

Female fertility naturally declines with age, particularly after age 35, due to:

  • Reduced egg quality

  • Decreased ovarian reserve

  • Higher risk of chromosomal abnormalities

Arva's Take: Our fertility experts provide specialized consultations for women experiencing ovulation issues. We offer comprehensive hormone testing and personalized treatment plans, including egg freezing options for those considering fertility preservation.

Male Infertility

Male fertility issues account for about 40% of infertility cases. Understanding male fertility requires examining several aspects:


Hormonal Imbalances

The pituitary gland plays a crucial role in male fertility by regulating:

  • Testosterone production

  • Sperm development

  • Sexual function

Learn how hormone imbalances can impact fertility and explore effective solutions to restore balance for a healthier reproductive system.


Physical Factors

Various conditions can affect male fertility:

  • Erectile dysfunction impacting sexual performance

  • Varicocele affecting sperm production

  • Structural abnormalities in reproductive organs


Lifestyle Impact

Several factors can significantly affect male fertility:

  • Drinking alcohol excessively

  • Smoking and drug use

  • Exposure to environmental toxins

  • Obesity and poor nutrition

Environmental and Lifestyle Risk Factors

Various external factors can affect fertility in both partners:


Environmental Exposures

  • Industrial chemicals

  • Heavy metals

  • Radiation exposure

  • Pesticides and herbicides


Lifestyle Choices

  • Stress levels

  • Sleep quality

  • Exercise habits

  • Dietary patterns

Advanced Treatment Options

Modern fertility treatments offer hope for many couples:


Hormonal Treatments

  • Medications targeting the pituitary gland

  • Ovulation induction therapy

  • Hormone replacement protocols


Surgical Solutions

Advanced surgical procedures include:

  • Laparoscopic surgery for endometriosis

  • Microsurgical sperm extraction

  • Tubal surgery for blockages


Innovative Technologies

Cutting-edge treatments include:

  • Preimplantation genetic testing

  • Time-lapse embryo monitoring

  • Advanced sperm selection techniques

Holistic Approaches to Fertility


Natural Enhancement Methods

  • Acupuncture and traditional medicine

  • Nutritional supplementation

  • Stress reduction techniques

  • Fertility awareness methods


Supportive Care

  • Psychological counseling

  • Support groups

  • Couples therapy

  • Fertility coaching

Prevention Strategies

Proactive steps to maintain fertility include:


Medical Management

  • Regular health screenings

  • Prompt treatment of infections

  • Management of chronic conditions

  • Vaccination against relevant diseases


Lifestyle Optimization

  • Maintaining healthy body weight

  • Regular moderate exercise

  • Balanced nutrition

  • Adequate sleep

We connect you with top fertility specialists who can guide you through various treatment options. Our team provides ongoing support and counseling throughout your fertility journey.

At Arva, we believe in empowering you with knowledge. Our fertility experts provide personalized consultations to help you choose the most appropriate treatment path. We offer both virtual and in-person consultations to make expert guidance accessible to everyone.

FAQs

What are the main types of infertility?

The three primary types are primary infertility, secondary infertility, and unexplained infertility, each requiring different diagnostic and treatment approaches.

What factors most commonly cause male infertility?

Male infertility typically stems from sperm disorders, hormonal imbalances, or structural issues affecting the reproductive system.

How successful are infertility treatments?

Success rates vary by treatment type and individual factors, but overall, about 85-90% of couples achieve pregnancy with appropriate medical intervention.

What role does age play in fertility?

Fertility naturally declines with age, particularly after age 35 in women, while male fertility gradually decreases after age 40.

When should couples seek fertility treatment?

Couples under 35 should seek evaluation after one year of trying to conceive, while those over 35 should consult a specialist after six months.

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Pioneering fertility care, reimagined for India—on your terms.

This site is for informational purposes only and not a substitute for medical advice, diagnosis, or treatment. If you're looking for medical advice, we suggest talking with a qualified physician.

55, 4th A Main, 5th Block, Koramangala, Bangalore, 560095

© 2024 Arva Health

Pioneering fertility care, reimagined for India—on your terms.

This site is for informational purposes only and not a substitute for medical advice, diagnosis, or treatment. If you're looking for medical advice, we suggest talking with a qualified physician.

55, 4th A Main, 5th Block, Koramangala, Bangalore, 560095

© 2024 Arva Health

Pioneering fertility care, reimagined for India—on your terms.

This site is for informational purposes only and not a substitute for medical advice, diagnosis, or treatment. If you're looking for medical advice, we suggest talking with a qualified physician.

55, 4th A Main, 5th Block, Koramangala, Bangalore, 560095

© 2024 Arva Health