3 most common causes of female infertility

If you’re TTC, it’s best to do preconception tests first as you may need treatment for these conditions.

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When you and your spouse make the decision to try to conceive (TTC), it comes with a fair amount of uncertainty ― especially if one of you has a health condition that could impact your ability to have a baby.

Gleneagles Hospital consultant ob-gyn and SmartParents expert, Dr Christopher Chong explains that doing a preconception consultation before trying for a baby can allay your fears.

Doing preconception tests will also ensure that you don’t waste time over unsuccessful attempts, energy, or lose the motivation to keep trying

When your gynae conducts preconception tests, they will identify any medical conditions or problems they will need to rectify, Dr Chong notes. Your doctor will also be assessing your family history for any hereditary diseases.

Doing preconception tests will also ensure that you don’t waste time over unsuccessful attempts, energy, or lose the motivation to keep trying

Tests include a pelvic ultrasound to detect abnormal growths such as fibroids and ovarian cysts. A Pap smear will also be done to assess your cervical health. Dr Chong lists the three most common causes of female infertility:

Endometriosis

WHAT This condition causes the tissue on your uterus lining — called endometrium — to grow outside the uterus. Even though these tissues are displaced from the womb, it continues to function as it normally would, which means that it will thicken, break down and bleed every menstrual cycle. Tissues from the diseased area are usually surgically removed to ensure an accurate diagnosis. Dr Chong estimates that endometriosis accounts for about 20 per cent of all cases of infertility in Singapore.
WARNING SIGNS Pelvic pain and cramps may begin before your period and last several days into your period. Some sufferers also report experiencing lower back and abdominal pain, along with excessive bleeding, during periods. Feeling pain during intercourse, bowel movements and urination are also symptoms of endometriosis.
TREATMENT If your doctor detects any growths in your uterus and if you’re experiencing any painful symptoms, surgery will have to be carried out to treat the issue. After surgery, injections and medication will be given to disrupt your menstrual patterns while your body heals.