Female Factor Anovulation is the cause of infertility in 40% of women. Ovulation can be monitored by -

  • Basal Body Temperature Chart (BBT): Daily recording of a woman's basal body temperature is useful to determine whether she is ovulating or not.It indicates ovulation, if the temperature record is biphasic, i.e., a low phase and high phase, with about a 0.6° F difference.
  • Follicular Study: Ultrasound is a diagnostic procedure . Vaginal probeduring ultrasound exam allows the physician to monitor the ovulation process in the ovary during the patient's menstrual cycle. Ultrasound may also detect ovarian endometriosis and fibroids.
  • Progesterone Level: Occasionally the BBT does not give an accurate picture of occurrence of ovulation. On that occasion, a blood test to evaluate the serum progesterone level is used.

Polycystic Ovarian Syndrome(PCOS): PCOS is caused due to genetic defect of hormonal imbalance. With low levels of Follicle Stimulating Hormone (FSH), the follicles doesn’t develop properly and the eggs also not mature. An imbalance of Luteinizing Hormone (LH) causes over production of estrogen, abnormal thickening of the uterine lining and heavy and/or irregular periods. High levels of LH can trigger over production of male hormones in women including testosterone, which causes acne and facial hair in women. Elevated estrogen levels associated with PCOS may create an increased risk of uterine cancer and diabetes.

Ovulatory dysfunction results from congenital defects, hormonal deficiencies and/or the ageing process. Common forms of ovulatory dysfunction include:

  • Some women don’t have menstrual periods while others menstruate but don’t ovulate. Women with Primary amenorrhea never had a period & women with secoundry amneohhea have irregular periods that stopped prematurely.
  • With anovulation, eggs aren’t released from the follicles.
  • Luteal Phase defects occur when a woman has a menstrual cycle and is ovulating, but the cycle is too short for the uterine lining to thicken properly.

Premature Ovarian Failure: Menopause usually occurs after several decades of menstrual cycles and natural depletion of the ovarian reserve. Premature ovarian failure or early menopause can be caused by

  • Exposure to certain chemicals
  • Chemotherapy and radiation for cancer treatment, genital tuberculosis and endometriosis.
  • Certain genetic disorders can trigger premature ovarian failure
  • Autoimmune diseases such as Lupus or Rheumatoid arthritis.

Fibroids & Polyps:Usually they are found inside the uterus, and affect implantation of the fertilized embryo. Symptoms of fibroids – heavy bleeding, pain and abdominal pressure.


Tissue lining the inner surface of uterus (Endometrium) grows and thickens during a menstrual cycle to receive a fertilized egg (implantation).But without a pregnancy, the lining sheds and is discharged with blood during a menstrual period. Endometriosis occurs when this tissue grows outside the uterus and the shedding process deposits blood and tissue in the abdomen. As a result, scar tissue can form in the fallopian tubes, adhere to the ovaries and cause misalignment of the organs, preventing natural conception. Although some women have no discomfort even with severe endometriosis, others experience abnormal menstrual bleeding and pain, tenderness in the abdomen and pelvis, and painful intercourse.

Mother Hood Fertility video
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  • I am enjoying my Motherhood due to Motherhood Fertility Centre
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