Infertility is defined as the inability to conceive naturally after 12 months (1 year) of regular, unprotected intercourse. Couples aged above 35 should seek medical advice if they have yet to conceive after 6 months of regular, unprotected intercourse.

An estimated one in six couples have trouble conceiving naturally. This may cause a lot of anxiety, depression, stress and confusion among couples, affecting the relationship or marriage over time.

Both spouses may feel afraid or guilty, fearing that they are at fault.

Science shows that one third of infertility is caused by a male factor and one third by the female factor. One third more is a combination of both male and female factors, while the remaining is unknown reasons.


  • Smoking and alcohol consumption
  • Blocked sperm ducts
  • Erectile or sexual problems
  • Antibodies that attack sperm
  • Undescended testicles
  • Hormonal imbalance
  • Long-term use of anaerobic steroids or certain medications
  • Previous surgeries at the testicles, scrotum, prostate or abdomen
  • Abnormal sperm (low number of sperms, abnormally shaped sperms, low number of motile/active sperm, no sperm) caused by smoking, alcohol consumption, overweight/obese, family history, medical conditions, certain medications, cancer treatment, high stress levels, prolonged activities such as cycling, horse riding, use of electronic devices on lap


  • Age
  • Smoking and alcohol consumption
  • Prolonged stress
  • Poor diet
  • Over or underweight
  • Sexually transmitted infections
  • Excessive exercise
  • Ovulation problems caused by polycystic ovarian syndrome (PCOS) or hormonal imbalance
  • Damaged fallopian tubes caused by pelvic infections, endometriosis or pelvic surgeries
  • Cervical problems
  • Abnormally shaped uterine

The first step towards achieving pregnancy is to determine the source of the problem. Correct identification of the problem will help doctors recommend the treatment best suited to your body and needs.

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