Ovulation problems
The egg does not release properly each month, so there is nothing to fertilise.
- PCOS
- Thyroid issues
- High prolactin
Infertility Unit
Causes of Female Infertility
Female infertility has many causes - structural, hormonal, or lifestyle-related - and identifying the root cause is key to effective treatment.
At Dr. Rama Sofat Hospital, we evaluate each patient comprehensively to find the right pathway forward, whatever the cause.
The Causes
Blocked tubes
The fallopian tubes are the egg's path. If blocked by infection or scarring, fertilisation cannot happen.
- PID
- TB
- Old surgery
Uterus or cervix issues
Structural problems like fibroids, polyps, or scar tissue can stop the embryo from implanting.
- Fibroids
- Polyps
- Scar tissue
Endometriosis
Uterine-like tissue grows outside the uterus, causing inflammation and distorting the reproductive organs. Often missed.
- Inflammation
- Cysts
- Adhesions
Hormonal imbalance
Hormones like FSH, LH, estrogen and progesterone must be in balance. Any disruption can prevent ovulation or implantation.
- FSH and LH
- Estrogen
- Progesterone
Age
Egg quality and quantity naturally decline over time.
20–25% chance per cycle in 20s and 30s
~5% chance per cycle in early 40s
Lifestyle factors
Daily habits affect hormones and egg quality, but many are reversible with the right support.
- Smoking
- Alcohol
- High stress
- Weight
Unexplained infertility
In 10–15% of couples, all tests come back normal. Treatment is guided by age and history, often starting with IUI then IVF.
- IUI first
- Then IVF or ICSI
Recurrent miscarriage
When two or more pregnancies are lost before 24 weeks. Conception happens, but the pregnancy cannot continue. Treatable with targeted care.
- Genetics
- Autoimmune
- Hormonal
Not sure what's causing your difficulty conceiving?
Our fertility specialists run a complete evaluation and map a clear treatment path - whether you're just starting out or have been trying for years. Led by Dr. Rama Sofat, Dr. Amit Sofat and Dr. Ruchika Sofat — Dr. Rama Sofat Hospital, Ludhiana.