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Unexplained Fertility

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Definition of unexplained infertility

Infertility cases in which the standard infertility testing has not found a cause for the failure to conceive. Unexplained infertility is also referred to as idiopathic infertility. Another way to explain it is the "doctors can't figure it out" group.


What is standard infertility testing?

Unexplained Infertility Treatment India,Cost Unexplained Infertility Treatment Mumbai India,Unexplained Infertility, Unexplained Infertility Treatment, Unexplained Infertility TreatmentThe definition of what "standard testing" consists of is not agreed upon by all experts. Medical studies have reported that 0-26% of infertile couples have unexplained infertility. The most commonly reported figures are between 10-20% of infertile couples. However, those percentages are from studies in which all the women had laparoscopy surgery to investigate the pelvic cavity for pelvic scarring and endometriosis. Laparoscopy surgery is no longer done as part of the routine fertility workup. Therefore, we are not finding all of the causes of infertility that we used to - leaving more couples in the unexplained category.

  • The current rate of unexplained infertility is probably about 50% for couples with a female partner under age 35 and about 80% by age 40 (see discussion below about female age issues).
  • In reality, there are probably hundreds of "causes" of infertility. What this means is that there are a lot of things that have to happen perfectly in order to conceive and have a baby.
A couple is usually referred for investigation of subfertility after trying unsuccessfully to conceive for a year. Although many may despair of ever conceiving, the chance of successful spontaneous conception during the subsequent year is about 50%. However, the chance is reduced if the woman has never been pregnant (primary subfertility) or is aged over 30, or the duration of subfertility is longer than three years.

Diagnosis of unexplained subfertility

Unexplained subfertility is a diagnosis of exclusion. Up to 25% of patients who present for investigation in a reproductive medicine clinic are diagnosed with unexplained fertility. The diagnosis is usually made after investigations show normal semen parameters, ovulatory concentrations of serum progesterone in the mid-luteal phase, tubal patency, and a normal uterine cavity.


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