Obstacles to Pregnancy
As a woman gets older, the quantity and quality of her eggs decline. This process starts around age 35 and rapidly increases after age 40. For a woman in her 20s-early 30s, there is a 25-30% chance of getting pregnant in one menstrual cycle. By the time a woman is 40, that chance drops to less than 10% per cycle. A man makes sperm throughout his life although there are problems that can affect sperm production and quality regardless of age.
Problems with Sperm
Suboptimal sperm counts can be attributed to various health or lifestyle factors. Even if the sperm count is normal, the sperm may not function properly or may not be fastidious enough to make it through a woman’s reproductive tract to fertilize the egg. There can also be problems with the blood vessels within the testicles or the tubes that carry sperm from the testicles.
Problems with Ovulation
About 25% of infertile women have problems with ovulation. Ovulatory dysfunction is often due to hormonal imbalances causing the inability to produce a fully matured egg or failure to ovulate or release an egg from the ovary.
Problems with Fertilization
A blockage in the reproductive tract of the man or woman may prevent fertilization.
Problems with Implantation
An embryo may not be able to implant in the uterus because of problems with the uterine lining or shape of the uterus.
• Smoking, alcohol and drugs can decrease the quality and quantity of eggs and sperm.
• Weight problems can affect hormone levels thereby impairing ovulation.
• Medications, supplements and herbal remedies can affect fertility. Be sure to inform your health care provider of any medications or other substances you take.
• Chemical exposure can affect hormone levels.
• Sexually transmitted diseases can cause scarring of the reproductive tract.
• Excessive exercise can cause irregular menstrual cycles and a poor ovulatory pattern.
• Testicular heat can cause decreased sperm production.