Factors contributing to infertility may be classified as:

Male factor

Inadequate sperm quantity, function or motility; this includes couples who are unable to have intercourse due to injuries or other reasons. A semen analysis is the first diagnostic tool used in determining whether a male factor is present. Typically, a second analysis is performed if the first one is abnormal. A referral to a andrologist (i.e urologist with specialty training in male infertility and sexual health) is often recommended for an examination to rule out any surgically correctable cause or in rare circumstances (less than 2% chance) a testicular tumor. Read More »

Ovulation disorders

Disturbances in the production and release of eggs. These can range from the overt (amenorrhea or lack or periods) to the subtle (less frequent or longer than usual menses). Read More »

Diminishing ovarian reserve can occur with increasing age or sooner than expected and is a type of ovulatory dysfunction. Read More »

Pelvic factor

Pelvic factors include uterine abnormalities, uterine scarring, fibroid tumors, blocked fallopian tubes, endometriosis and/or pelvic adhesions from prior surgeries or pelvic infections. Read more »

Unexplained infertility

Defined as open tubes, normal sperm, and regular ovulatory menstrual cycles, unexplained infertility, is frustrating as there is no obvious abnormality. This diagnosis affects up to 30% of couples who walk in the door, and many of these patients may have had no problems getting pregnant in the past. treatment is empiric, focusing on maximizing the fecundity of a given menstrual cycle. Read more »

Medical history

A history of certain illnesses or conditions can interfere with conception. If you have experienced any of these problems that can contribute to infertility, you may need assistance to overcome their effects. Read more »


One of the leading causes of infertility, endometriosis can also cause pelvic pain that, for many women and people with uteruses, is severe and possibly debilitating. In this condition, tissue similar to the lining of the uterus is found elsewhere in the body. Read more »

Polycystic ovarian syndrome (PCOS)

Often underdiagnosed, PCOS affects an estimated 4-6% of women and people with ovaries of childbearing age and is one of the most common hormonal endocrine imbalance disorders among them . As a result, ovulation may not occur or occurs irregularly, leading to irregular menstruation and an inability to get pregnant. Read more »