What causes infertility in couples?

Infertility can be caused by male factors (40%), female factors (40%), or a combination of both (20%). Common causes include ovulation disorders, low sperm count, blocked fallopian tubes, endometriosis, and age-related factors.

When should couples seek fertility treatment?

Couples under 35 should seek evaluation after 12 months of trying to conceive. Couples where the woman is over 35 should seek help after 6 months. Those with known medical conditions affecting fertility should consult a specialist immediately.

What fertility treatments are available?

Treatment options range from ovulation induction and IUI to advanced treatments like IVF with ICSI, genetic testing, and specialized protocols. The right treatment depends on the specific diagnosis and individual needs.

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Couples Building Families

Name: Top Reasons Couples Experience Infertility
Creator: Advanced Fertility Center of Texas
Published: 2025-01-01

YOUR FERTILITY PARTNER

Compassionate Support for Your Fertility Journey

Personalized care for couples at every step.

Trying to grow your family can be exciting; however, when it does not happen as expected, it can feel overwhelming. At Advanced Fertility Center of Texas (AFCT), we understand that infertility affects couples physically, emotionally, and financially. That's why we offer treatments and compassionate support for every step of your journey. Whether you're just beginning your fertility journey, seeking help for the first time, or have experienced unsuccessful treatments, our AFCT team is here to create a personalized plan for both partners.

UNDERSTANDING INFERTILITY

Why Couples Struggle to Conceive

Infertility affects 1 in 8 couples, and it's almost equally caused by male factors, female factors, or a combination of both. Sometimes the reason is obvious, but in many cases, it remains unexplained until a thorough couple's fertility test and evaluation are performed.

FERTILITY HEALTH GUIDANCE

When Should Couples Seek Fertility Help?

You should consider scheduling an appointment if:

Trying to conceive for 12 months (or 6 months if you're over age 35)
Experienced two or more miscarriages
Reproductive health issues such as PCOS, endometriosis, fibroids, or low sperm count
Prior failed fertility treatments
Concerned about age-related fertility decline or a family history of early menopause
Planning a family but want a fertility checkup before trying

UNDERSTANDING INFERTILITY

Top Reasons Couples Experience Infertility

Doctor consulting with female patient about fertility

Female Fertility Factors

Ovulation problems (e.g., PCOS, hormonal imbalance)
Low ovarian reserve or age-related decline
Endometriosis affects egg quality or implantation
Uterine issues (fibroids, polyps, scarring)
Blocked fallopian tubes or pelvic adhesions
Genetic or chromosomal factors affecting egg health
Unexplained infertility, even when tests appear normal

Doctor consulting with male patient about fertility

Male Fertility Factors

Low sperm count (oligospermia)
Poor sperm motility (asthenospermia)
Abnormal sperm shape (morphology issues)
Obstructive issues (vasectomy, blocked ducts)
Hormonal imbalances affecting sperm production
Previous infections or inflammation affecting semen quality
Environmental or lifestyle factors impacting sperm health

Did you know? About 40% of infertility cases are due to female factors, 40% male factors, and 20% are unexplained or combined.

UNDERSTANDING FERTILITY FACTORS

Fertility Decline by Age

Age matters for both partners.

Female fertility drops sharply after 35 due to egg quality decline.
Male fertility also declines gradually, affecting sperm quality and DNA integrity.

PATIENT TESTIMONIAL

What Our Patients Say

AFCT Patient

Success Story

After two years of trying, AFCT gave us hope—and now we're holding our beautiful baby girl. They made us feel cared for every step of the way.

AFCT Patient

COORDINATED CARE

Comprehensive Fertility Evaluation for Couples

At AFCT, we believe both partners should be evaluated together because understanding the why helps us create the how for your path to pregnancy. Our comprehensive fertility testing for couples offers a complete picture to guide the AFCT team in creating the most effective, personalized care plan for your journey to parenthood.

Same-day, Coordinated Testing, No need for multiple appointments. Our team offers same-day evaluations for both partners to save time and give you answers faster through common fertility evaluation procedures designed for efficiency and accuracy.

Meet Your Fertility Specialist

Discuss your history, previous treatments (if any), and family-building goals.
Your doctor explains the recommended tests and what they tell us about your fertility health.

Comprehensive Testing for Both Partners

For Women

Hormone testing & ovarian reserve (AMH, FSH, estradiol)
Ultrasounds for ovarian health & uterine lining
HSG or hysteroscopy to assess fallopian tubes & uterine cavity

For Men

Semen analysis & sperm function testing
Male microbiome testing for infections or inflammation
Hormonal evaluation & genetic screening (if needed)

Results & Your Personalized Plan

Fast turnaround—most results are ready within 7–14 days
Your doctor will review your results with you in detail
You will receive a clear diagnosis and a step-by-step treatment plan tailored to your goals

FERTILITY TREATMENT

Your Next Step After Evaluation

Once we've identified the cause of infertility, your doctor will create a personalized treatment plan. This may include simple options like ovulation induction or IUI, or more advanced treatments like IVF with ICSI, genetic testing, or specialized protocols for complex cases.

Ready to Plan Your Family?

Whether you're considering gender selection for medical reasons or family balancing, AFCT offers the latest IVF and genetic testing technologies to help you achieve your goals with confidence.

Proudly serving Memorial City, Spring The Woodland, College Station, and surrounding communities in Houston Texas.

Start Your Journey Today

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