INFERTILITY: Female

INFERTILITY: Female Infertility Failure to conceive following > 1 year of Unprotected sexual intercourse Fibroids/polyps Asherman's syndrome Congenital anomalies Adenomyosis Unfavourable cervical mucous Cervical stenosis Pelvic inflammatory disease Endometriosis Adhesions Previous tubal pregnancy Congenital Anomalies Weight loss/malnutrition Excessive exercise Stress/psychosis Systemic diseaseUnexplained (15%)Male (35%)Female (50%)Fallopian TubeHSG or SHG or laparoscopy Uterus HSG or SHG or hysteroscopy Ovary Ovulation confirmation: mid-luteal serum progesterone Ovarian reserve: Day 3 FSH +/- Estradiol Normal FSH Decreased FSH Increased FSH Hypothyroidism Hyperprolactinemia Tumors (e.g. Prolactinoma) Polycystic ovarian syndrome Obesity Premature ovarian failure Premenopausal changes Turner's syndromeHypopituitarismHypothalamic