Infertility is defined as the inability to conceive with regular intercourse for up to a year if the person is under 35, or for six months after turning 35. A physician, Victoria Fisyuk, an obstetrician-gynecologist at the Center for Reproductive Health, shared with socialbites.ca insights about diseases and factors that contribute to infertility.
According to the clinician, one potential cause is ovarian dysfunction. For diagnosis, hormonal testing is performed to rule out tubal blockage or uterine disorders that could hinder conception.
Fisyuk noted that ovarian function can be influenced by other systems in the body. Conditions such as thyroid disease, diabetes, obesity, and various genetic disorders can impact fertility.
He added that a deficiency in vitamins or trace elements, exposure to harmful chemicals, unhealthy lifestyle choices, and radiation exposure can also affect reproductive health.
Chronic stress and long-term depression may directly impair fertility. Stress hormones can suppress ovulation and egg production. In many cases, management based on the examination findings is effective, but if a root cause exists, it must be identified and addressed.
The doctor also mentioned that developmental anomalies of the genital organs can lead to infertility. Early evaluation by a gynecologist and a reproductive medicine specialist is important to identify the exact cause.
During a gynecologist’s visit, inquiries typically cover menstrual patterns, prior pregnancies, past illnesses, and surgical history. Sometimes, doctors also ask about first-degree relatives to assess potential hereditary factors.
Fisyuk emphasized the value of attending appointments as a couple because male factors can play a significant role in infertility. A comprehensive approach often involves both partners in testing and treatment planning. When considering lifestyle and environmental exposures, it helps to review daily routines, nutrition, sleep, and habits that might affect reproductive health.
In practice, couples are advised to discuss their medical histories openly and explore screening for infectious diseases as part of a broader fertility assessment. Questions commonly arise about how often routine screenings for sexually transmitted infections are recommended and what tests are appropriate for both partners. The aim is to create a clear picture of fertility potential and to outline practical steps toward conception. [Citation: Center for Reproductive Health]