Female Factors of Infertility in a Couple

The problem of infertility is relevant to the whole world, that explaned both by prevalence (at least 50 million couples on planet are diagnosed) and enormous medical, ecoomic, social psychological significance. Another important aspect heterogeneity its causes – about 40% infertile marriages caused female factor, 35% male, 20% a combination male factors 5% have no identified factor. In 2019, American Collegue Obstetricians Gynecologists updated guidelines for timing scope examinations couples. particular, if woman 35–40 years old, examination elimination probable factor should be started after 6 months non-pregnancy, in case age older than 40 immediately couple’s accost. expected tactics not used patient has oligo- or amenorrhea, known uterine fallopian tube abnormalities, grade III IV severity endometriosis, couple factors. Ovulation disorders as include hypothalamic syndrome, polycystic ovary premature ovarian failure hyperprolactinemia, which differ content gonadotropic hormones hormones. adhesion process pelvic organs, restricts transport sperm fertilized egg through tubes, consequence endometriosis inflammatory diseases mainly sexually transmitted pathogens. Endometriosis, addition formation adhesions cavity, characteristic stage disease, also due elevated concentrations prostaglandins proinflammatory cytokines, failed endometrial reciprocity. Among uterus abnormalities violation fertility membrane, leiomyoma with submucosal localization node synechiae. As part comprehensive patients infertility, it necessary take into account study thyroid function.