Infertility has been recognized as a major public health problem worldwide by the World Health Organization (WHO). It is a complex illness with significant psychological, social and economic implications and should therefore be treated with responsibility and seriousness.


By infertility, we describe the lack of pregnancy after 12 months of frequent free sexual intercourse in women under 36 and after 6 months in women over 38 years of age.

Causes of infertility

Infertility in a couple may be due to problems in the female or male reproductive system or both. In some cases, despite the extensive investigation, the causes of infertility are undetermined (unexplained infertility). However, what should not be forgotten is that the most important and determining factor of infertility is the woman’s age.

The basic philosophy in inferility is the following:

The investigation of infertility should be systematic, carried out by experts in medically assisted reproduction and always guided by the clinical characteristics and medical data of each couple.

Taking every detail of personal and family history of the couple is crucial.

Of course investigation should be carried out earlier in the following cases:

  • >36 years old

  • Cycle disturbances

  • History of Pelvic Inflammatory Disease

  • Anatomical gynecological problems suchs as endometriosis

  • Medical personal problems such as diabetes

  • Serious male problems such as cryptorchidism

Basic exams