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Understanding the most common fertility diagnoses

Not knowing why pregnancy isn’t happening can feel overwhelming.

You don’t need to figure this out alone. Here you can explore the most common causes of fertility challenges — and what they may mean for you.

Introduction to infertility: Understanding the challenges

Modern fertility decline

Biologically, the optimal age for childbearing is between 20 and 30. However, modern social shifts mean that many couples now start families between the ages of 30 and 40.

A woman is born with a finite supply of eggs (oocytes), which naturally decrease in both quantity and quality over time. By age 35, only about 10% of the ovarian reserve remains. As the remaining eggs age, alterations in the cellular division process (meiosis) become more common, leading to chromosomal anomalies. By age 40, the monthly natural fertility rate drops below 5% per cycle, and up to 85% of embryos may carry chromosomal abnormalities. In these cases, advanced treatments such as Preimplantation Genetic Testing (PGT) can be used to screen embryos and ensure only healthy ones are transferred.

Male fertility is facing its own modern crisis. Research indicates that average sperm concentrations worldwide dropped by nearly 50% between 1940 and 1990, and this downward trend continues at a rate of roughly 1% annually, particularly in industrialized nations.

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What may be behind fertility challenges?

Find the diagnosis that may fit your situation

Fertility challenges can have many causes — sometimes more than one. Below you’ll find the most common diagnoses and situations we can help with.

Which of these sounds most like your situation?

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  • Endometriosis – A common inflammatory disease that affects approximately 10% of women in the reproductive age.
  • Ovarian factor – Irregular or absent ovulation may show up as delayed or irregular periods and can make conception more difficult.
  • PMOS – The most common hormonal disorder in women of reproductive age and can affect ovulation and fertility.
  • Uterine and tubal factor – Changes in the uterus or blocked fallopian tubes may make it harder for pregnancy to begin or develop normally.
  • Infertility – Difficulty becoming pregnant after trying for a certain period of time.
  • Secondary infertility – Difficulty becoming pregnant again after already having had a child.
  • Recurrent miscarriages – The loss of two or more preganancies.
  • Autoimmune disorders – Some autoimmune disorders may affect fertility and pregnancy.
  • Low ovarian reserve - The ovaries contain fewer eggs than expected for a person’s age.  
  • Implantation failure – Two or more cycles of IVF have been done without achieving pregnancy.

How we can help?

Ovumia offers quick access to top specialists with more than 30 years of experience and above-average success rates in fertility treatments. You don’t need a referral and you won’t have to wait months for your first consultation at a fertility clinic–  we are here to help you on your path to parenthood  

At Ovumia, you can expect:

  • Quick access without referral
  • Experienced fertility specialists with the most recent knowledge on infertility issues and fertility treatments
  • Clear guidance on next steps
  • Personalised treatment path
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Not sure what applies to you?

That’s completely normal.

Many people come to their first appointment without a clear diagnosis. Our specialists will help you understand your situation and recommend the right next step.