Infertility is a disease that affects the human reproductive system. The data indicate that between 10% -15% of couples between the ages of 18-45 become infertile. Spouses are classified as infertile, if they have not succeeded in achieving pregnancy, after a year of regular sexual intercourse without the use of contraceptive methods. It is expected that, after using the modern and technological treatments available today, most couples will be able to reach pregnancy and childbearing.

Medical examination: In the following cases, it is preferable not to wait for a year, and to go to a specialist doctor sooner, or after six months of trying to conceive:

1. Irregular menstruation.
2. Doubt checking me out is not healthy.
3. Suspicion of disease, infection, or surgery in the uterus, in the fallopian tubes or ovaries.

D. The woman’s age is over 35 years old

Pregnancy begins with the successful meeting of an egg that arrives at the tubal and a sperm (sperm) that has been ejaculated into the vagina and moves through the uterus and up to the tubal. After the sperm has successfully infiltrated and fertilized the egg, the embryo moves to the uterus, and after it has successfully implanted with the endometrium, pregnancy develops. Any obstruction to this complex process may lead to infertility.

In 40% of infertility cases, the woman is responsible, and in 40% of cases it is the man, and in the remaining 20% ​​the cause is unknown. In 20% -30% of husbands there are several causes of infertility, and in general there is a group of reasons that come from the man and the woman.

Common causes of infertility in women are: obstruction of horns (35%), extermination disturbances (25% -35%), unclear (20%) and others. A blockage near the ovary is usually caused by an infection outside the ovary, due to inflammation, pelvic surgery, or endometriosis . In contrast, it is believed that the most common cause of obstruction near the uterus is a mucous plug inside the tubal. A woman’s age greatly contributes to infertility and ovulation disorders. There is a significant decrease in the chances of pregnancy after the age of 35, which worsens sharply after the age of 38-40. In addition, the risk of an inherited chromosomal disorder in the egg and the fetus increases dramatically with age.

The cause of male infertility is often caused by an unclear disorder, it may be hereditary, with or without environmental causes, in the production of sperm  or a sharp decrease in their number, their ability to move and properly. It can also be caused by impotence, a disturbance in the ability to ejaculate sperm or the practice of a proper sex, or as a result of blockage in the ducts that lead to the sperm – all factors that may lead to sterility as well. Stress and anxiety may contribute to infertility in both spouses, as stress can increase even more when the cause of infertility is not clear

Both spouses should be examined together. In addition to the family history and medical examination, the initial examination includes a sperm test (concentration, movement and image of the sperm), tests to assess ovulation (temperature monitoring, ovulation self-examination, or hormonal and ultrasound examinations), examination of the uterus and horns (hysterography or tomography). By ultrasound with a contrast medium injection, additional tests are performed when needed, such as cervical mucus, or more invasive examinations such as looking at the abdominal cavity (laparoscopy)