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Female infertility of unknown cause

Infertility is a term doctors use if a woman hasn’t been able to get pregnant after at least one year of trying. If a woman keeps having miscarriages, it is also called infertility. Female infertility can result from physical problems, hormone problems, and lifestyle or environmental factors.

Most cases of infertility in women result from problems with producing eggs. One problem is premature ovarian failure, in which the ovaries stop functioning before natural menopause. In another, polycystic ovary syndrome (PCOS), the ovaries may not release an egg regularly or may not release a healthy egg.

About a third of the time, infertility is because of a problem with the woman. One third of the time, it is a problem with the man. Sometimes no cause can be found.

If you suspect you are infertile, see your doctor. There are tests that may tell if you have fertility problems. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technologies. Happily, two-thirds of couples treated for infertility are able to have babies.

National Women's Health Information Center

Source: MedlinePlus

What are the symptoms?

Within all the people who go to their doctor with female infertility of unknown cause, 92% report having infertility, 15% report having unpredictable menstruation, and 6% report having long menstrual periods. The symptoms that are highly suggestive of female infertility of unknown cause are infertility, unpredictable menstruation, long menstrual periods, scanty menstrual flow, and unwanted hair, although you may still have female infertility of unknown cause without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with female infertility of unknown cause often receive radiographic imaging procedure, hematologic tests, ultrasonography, pelvis exam, other non-or therapeutic procedures; female organs, examination of breast, standard pregnancy test and chlamydia test .

Common Medications

The most commonly prescribed drugs for patients with female infertility of unknown cause include clomiphene (clomid), human chorionic gonadotropin (hcg), progesterone, leuprolide (lupron), estradiol, cefoxitin, desogestrel / ethinyl estradiol, urofollitropin (bravelle), menotropins (hmg), letrozole (femara), alpha 1-antitrypsin, ganirelix and alendronate-cholecalciferol .

Who is at risk?

Groups of people at highest risk for female infertility of unknown cause include age 30-44 years sex == female. On the other hand, age 75+ years, sex == male, age 60-74 years, age 5-14 years, age 1-4 years, and age < 1 years almost never get female infertility of unknown cause.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
1.2x
30-44 years
4.1x
45-59 years
0.1x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
0.4x
Hispanic
0.6x
White
1.3x
Other
1.2x
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