Best sexologist Dr Vijay Dahiphale. Infertility Infertility is when a couple fail to conceive (get pregnant) despite having regular unprotected sex. Although one in seven couples has difficulty conceiving, the number of couples who are actually infertile is relatively low.Best sexologist Try for ONE YEAR: About 85% of couples will conceive naturally within one year if they have regular unprotected sex. Of 100 couples trying to conceive naturally: 20 will conceive within one month, 70 will conceive within six months, 85 will conceive within one year, 90 will conceive within eighteen months, and 95 will conceive within two years. Therefore, you will only be diagnosed as infertile if you have not managed to have a baby after two years of trying.Best sexologist Primary Infertility: If you have never conceived a child, it is known as primary infertility. Secondary infertility: When you have had one or more babies in the past, but you are having difficulty conceiving again, it is called secondary infertility Some women get pregnant very quickly but, for others, it can take longer. Although there is not a cut off point to say when a couple is infertile, it is best to see your doctor if you have not conceived after one year of trying. Late Marriage? If you are a woman over the age of 35, or you are already aware that you may have fertility problems, then you should see your doctor sooner. They may be able to check for common causes, and suggest treatments that could help. If fertility problems are diagnosed, there are many different treatments and procedures which may be available to you.Best sexologist Married for over 3 years, but still……..For couples who have been trying to conceive for more than three years, the chance of a pregnancy occurring within the next year is 25%, or less. The couple must seek the medical advise, without any further delay. Causes Infertility can be caused by many different factors and, in 30% of couples, a cause cannot be identified. Infertility in women Ovulation disorders Infertility is most commonly caused by problems with ovulation (the monthly release of an egg). Some of these problems stop women releasing eggs at all, and some cause an egg to be released during some cycles, but not others. Ovulation problems can occur as a result of a number of conditions that are outlined below. Premature ovarian failure - when your ovaries stop working before the age of 40. Polycystic ovary syndrome (PCOS) - a condition which makes it more difficult for the ovaries to produce an egg. Thyroid problems - both an overactive and an underactive thyroid can prevent ovulation. Chronic conditions - if you have a debilitating condition, such as cancer, or AIDS, it can prevent your ovaries from releasing eggs.Best sexologist Womb and fallopian tubes The fallopian tubes transport an egg from the ovary to the womb, where the fertilised egg (egg meeting the sperm is ‘fertilized egg’) will grow. If the womb, or fallopian tubes, become damaged, or stop working, then it may be very difficult to conceive naturally. This can occur following a number of procedures, or conditions, as outlined below. Pelvic surgery - this can sometimes cause damage and scarring to the fallopian tubes. Cervical surgery - this can sometimes cause scarring, or shorten the cervix (neck of the womb). Sub-mucosal fibroids - are benign (non cancerous) tumours that develop in the muscle underneath the inner lining of the womb, and may prevent implantation. Endometriosis - this is a condition where cells, normally found in the womb lining, start growing on other organs. This can cause adhesions in the pelvis and limit the movement of the fimbria (tiny fronds at the end of the fallopian tubes) which direct the egg into the tube. Previous sterilisation – A few women might have undergone tubectomy operation or family planning operation in the past with a decision of not having anymore pregnancies. This operation involves blocking the fallopian tubes to make it impossible for an egg to travel to the womb. For some reason, if this lady wants to have babies now, then the gynecologist will do “reversal of tubectomy” surgery. But it will not necessarily mean that you will become fertile again.Best sexologist Best sexologist