Patient Resources

Why Infertility Happens & What You Can Do

If you are wondering why fertility happens or whether you or your partner is infertile, know that you are not alone. There can be a combination of factors that prevent pregnancy but fortunately, they are many effective therapies that can improve your chances. Many infertility cases can be treated with artificial insemination or assisted reproductive methods.

Infrequent Ovulation

One of the most common causes of female infertility is infrequent ovulation or the release of a mature egg from the ovary. It can be the result of hormonal problems or conditions like polycystic ovarian syndrome, in which a woman produces excess male hormones and does not ovulate regularly. A woman’s levels of follicle-stimulating hormone and luteinizing hormone need to be within certain parameters for ovulation to occur regularly.

Fallopian Tube Blockage

Fallopian tube blockage is typically a result of scarring, from a pelvic infection or surgeries such as appendectomy or removal of ovarian cysts. Some women are also prone to developing growths called fibroids or polyps in the uterus, blocking the fallopian tubes or leading to infertility and miscarriages.

Ovulation Disorders

Ovulation disorders affect the release of eggs from the ovaries. Hyperprolactinemia is a condition in which a woman has too much prolactin, the hormone that stimulates breast milk production, which may interfere with ovulation. Too much thyroid hormone or too little can also affect the menstrual cycle or cause infertility. Too much exercise, eating disorders, or tumors may be underlying causes.

If you are struggling with infertility, you may be wondering what you can do. Your next steps can include the following:

See a Specialist

See a fertility specialist if you have been trying to get pregnant for a year, or 6 months if you are a woman over the age of 35. The team at NCCRM specializes in fertility testing, diagnosis, and treatment of infertility conditions. Your specialist will help decide what is best for you.


Your doctor may suggest surgery if you have problems like endometriosis, polyps, fibroids, uterine congenital malformation, or blocked/damaged fallopian tubes.


Fertility pills help you make more follicle-stimulating hormone. You may take medication to prepare for your treatments, and your doctor may prescribe hormone-regulating medication to help your ovaries release eggs.

Intrauterine Insemination (IUI)

Intrauterine Insemination is sometimes recommended for the treatment of infertility unrelated to obstructed or damaged tubes, mild to moderately severe male factor infertility, unexplained fertility, and infertility due to immunologic causes or cervical mucus abnormalities.

In Vitro Fertilization (IVF)

During In Vitro Fertilization (IVF), medications are often used to help stimulate the development and release of a woman’s eggs. The eggs and sperm are then collected and placed together in a laboratory dish to fertilize.


Infertility can be daunting, but knowing the possible causes and what steps you can take next are helpful in bringing you peace of mind. The North Carolina Center for Reproductive Medicine (NCCRM) is the premier center for reproductive health in North Carolina and the East Coast. We’re experts in IVF, Tubal Ligation Reversal, Male Infertility, Intrauterine Insemination (IUI), Gestation Surrogacy, Family Balancing and more. Contact us today!

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