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La fécondation in vitro (FIV) est le processus qui consiste à stimuler les ovaires pour qu'ils produisent des ovules, à les prélever, à les féconder avec du sperme en laboratoire et à transférer un embryon sain dans l'utérus.
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If you're concerned about fertility, consult with a reproductive endocrinologist who can recommend the appropriate testing based on your individual situation.
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What are the common causes of infertility in women and men?
Infertility affects approximately 1 in 8 couples, and in over 40% of cases, both partners contribute to the issue. Identifying the cause is the first step toward effective treatment.
Common Causes of Infertility in Women
Category
1) Ovulatory Disorders
- Polycystic Ovary Syndrome (PCOS) - Hypothalamic dysfunction - Premature ovarian insufficiency - Thyroid disorders
2) Tubal Factors
- Blocked or damaged fallopian tubes due to pelvic inflammatory disease (PID), endometriosis, or prior ectopic pregnancy
3) Uterine Abnormalities
- Fibroids, polyps, adhesions (Asherman’s Syndrome), congenital anomalies (e.g., septate uterus)
4) Endometriosis
- Ectopic endometrial tissue can distort pelvic anatomy and impair ovulation or implantation
5) Age-related Decline
- Fertility begins to decline around age 32 and sharply after age 37 due to decreased egg quality and quantity
6) Lifestyle Factors
- Smoking, obesity, excessive alcohol, poor nutrition, and chronic stress
7) Unexplained Infertility
- No clear cause identified despite a full diagnostic workup (10–20% of cases)
Common Causes of Infertility in Men
1) Sperm Abnormalities
- Low count (oligospermia), poor motility (asthenospermia), or abnormal morphology (teratospermia)
2) Hormonal Imbalances
- Low testosterone, pituitary dysfunction, or thyroid disease
3) Varicocele
- Enlarged veins in the scrotum that impair sperm production
4) Obstructive Issues
- Blockages in the vas deferens or ejaculatory ducts (e.g., from infection or surgery)
5) Genetic Disorders
- Klinefelter syndrome, Y-chromosome microdeletions, cystic fibrosis mutations
6) Lifestyle/Environmental
- Heat exposure, smoking, alcohol, anabolic steroids, radiation, environmental toxins
7) Sexual Dysfunction
- Erectile dysfunction, premature ejaculation, or retrograde ejaculation
When to Seek Help
• If you’re under 35 and have been trying to conceive for 12 months
• If you’re over 35 and have been trying for 6 months
• Sooner if you have known risk factors like irregular cycles, past pelvic infections, or history of undescended testes
At Reproductive Centers of America, we perform a thorough diagnostic evaluation for both partners to determine the cause—and build a personalized path to parenthood.
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The likelihood of having twins or higher-order multiples depends on several factors, including age, genetics, and whether fertility treatments are used.
⚠️ Note: At Reproductive Centers of America, we follow ASRM and CDC guidelines to minimize the risks associated with multiple gestations. While twins may seem desirable, they carry significantly higher risks for both mother and babies, including preterm birth, gestational diabetes, preeclampsia, and neonatal complications.
FactorIncreases Chance of Multiples:
✔️Advanced maternal age (35+)
✔️Family history of twins
✔️ (especially on the mother’s side)African descent
✔️Fertility medications
✔️IVF with multiple embryo transfer
We tailor all fertility treatments to your individual goals while prioritizing safety—for both you and your future child(ren).
While no home remedy or over-the-counter (OTC) product can replace professional fertility care, some lifestyle modifications and supplements may support reproductive health in both men and women. Here are some practical, evidence-based options:
1. Lifestyle and Nutrition Adjustments
• Maintain a healthy weight: Both obesity and being underweight can disrupt ovulation and sperm quality.
• Eat a fertility-friendly diet: Emphasize leafy greens, whole grains, lean proteins, omega-3 fatty acids (from fish or flaxseed), and antioxidant-rich fruits.
• Limit processed foods and sugars: High-glycemic diets can negatively affect insulin and hormone balance.
• Stay hydrated: Proper hydration supports cervical mucus and general metabolic health.
2. Over-the-Counter Supplements: Most are widely available, but should be taken under the supervision of a healthcare provider:
For Women
• Prenatal vitamins: Especially those containing 400–800 mcg folic acid.
• CoQ10: May improve egg quality, particularly in women over 35.
• Myo-inositol + D-chiro inositol: Often used in PCOS to regulate cycles and improve ovulatory function.
• Vitamin D: Deficiency has been linked to poorer reproductive outcomes.
• Omega-3 fatty acids: May help regulate hormones and reduce inflammation.
For Men
• Zinc and Selenium: Key for sperm motility and integrity.
• L-Carnitine: May improve sperm function.
• CoQ10: Supports mitochondrial health in sperm.
• Vitamin C and E: Antioxidants that may protect sperm from oxidative damage.
3. Behavioral and Environmental Factors
• Avoid smoking, excessive alcohol, and recreational drugs: These impair hormonal balance and gamete quality.
• Limit heat exposure to testes: Avoid hot tubs, tight underwear, and prolonged laptop use on the lap.
• Manage stress: High stress levels can suppress reproductive hormones—mindfulness, therapy, and moderate exercise may help.
4. Herbal Supplements (Use with caution): Some traditional herbs are used for fertility, but evidence is limited, and they may interfere with medications:
• Vitex (Chaste Tree Berry): Believed to regulate prolactin and support ovulation.
• Maca Root: Often marketed for libido and energy.
• Ashwagandha: May support hormonal balance in both sexes.
⚠️ Caution: Natural does not mean safe. Always discuss any supplement or home remedy with a reproductive specialist, particularly when undergoing treatment like IVF or IUI.
While these approaches may support reproductive health, they aren't guaranteed solutions. If you've been trying to conceive for 12 months (or 6 months if over 35), it's recommended to consult with a healthcare provider or reproductive specialist for personalized guidance and to rule out medical conditions affecting fertility.
It's important to understand that:
If you have concerns about age-related fertility, a reproductive endocrinologist can provide personalized guidance based on your specific situation.
Infertility can have genetic components in some cases, but the relationship between genetics and fertility is complex. Here's what you should know:
Fertility is influenced by many non-genetic factors including:
Consider consulting with a reproductive specialist if:
A fertility specialist can help assess your individual situation and recommend appropriate testing or treatment options.
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