Struggling to get pregnant can be one of the most emotionally challenging experiences in a woman’s life. If you’ve been trying to conceive without success, you are far from alone. An estimated 1 in 8 couples in the United States face infertility, and female factors account for roughly 40–50 percent of those cases. At Neway Fertility in NYC, we work closely with women and couples to uncover the underlying causes of infertility and provide personalized, compassionate guidance toward parenthood.
Understanding why pregnancy isn’t happening is the first step in finding solutions. Female infertility can stem from a wide range of factors — some temporary and treatable, some structural, and others hormonal. The good news is that with today’s advanced fertility science, many of these conditions can be managed or overcome.
Below, we explore the most common causes of female infertility and how they are diagnosed and treated.
1. Ovulation Disorders
Healthy ovulation is essential for conception. If a woman is not ovulating regularly, conception becomes difficult or impossible. Ovulation disorders are one of the most common causes of infertility, accounting for about 25 percent of all cases.
Common causes include:
- Polycystic Ovary Syndrome (PCOS)
- Thyroid imbalance (hypothyroidism or hyperthyroidism)
- Premature ovarian insufficiency (POI)
- High prolactin levels
- Extreme weight gain or loss
- Chronic stress or intense exercise
These conditions can disrupt hormone signaling, making ovulation irregular or stopping it altogether. Fortunately, many ovulation disorders respond well to medication, hormonal regulation, or lifestyle adjustments.
2. Age-Related Fertility Decline
Age remains one of the most significant factors in female fertility. Women are born with all the eggs they will ever have, and both egg quantity and quality decline naturally over time.
Key facts:
- Fertility begins to decline more noticeably after age 32
- More rapid decline occurs after age 35
- By age 40, natural conception rates drop significantly
Age-related infertility often involves diminished ovarian reserve, where egg supply becomes too low or egg quality is compromised. At Neway Fertility, we offer advanced options such as IVF, mini-IVF, egg freezing, and donor eggs to help overcome age-related challenges.
3. Fallopian Tube Blockages
Healthy fallopian tubes are essential for pregnancy. If they are blocked or damaged, sperm cannot meet the egg, and embryos cannot reach the uterus.
Common causes include:
- Prior pelvic infections
- Endometriosis
- Scar tissue from surgery
- Sexually transmitted infections (especially untreated chlamydia or gonorrhea)
Tubal factor infertility accounts for approximately 25–30 percent of female infertility cases. Depending on the degree of blockage, treatments may include minimally invasive surgery or IVF to bypass the fallopian tubes entirely.
4. Endometriosis
Endometriosis affects 1 in 10 women, and many do not realize they have it until they undergo fertility testing. The condition occurs when endometrial-like tissue grows outside the uterus, causing pain, inflammation, and scar tissue.
Endometriosis can interfere with fertility by affecting:
- Egg quality
- Ovulation
- Fallopian tube function
- Uterine receptivity
At Neway Fertility, we work with leading endometriosis specialists when necessary and offer fertility treatments specifically tailored to patients with this condition.
5. Uterine Abnormalities
Structural issues within the uterus can prevent embryos from implanting successfully.
Common factors include:
- Fibroids
- Polyps
- Uterine septum
- Scar tissue (Asherman’s syndrome)
These conditions may cause heavy periods, pain, or no symptoms at all. Many uterine abnormalities can be corrected with minimally invasive surgery, improving the chances of successful pregnancy.
6. Autoimmune or Hormonal Imbalances
Sometimes the immune system or endocrine system interferes with fertility.
Examples include:
- Autoimmune disorders that attack reproductive tissues
- Uncontrolled diabetes
- Adrenal gland disorders
- Luteal phase defects
Comprehensive testing helps identify these issues so they can be treated or managed appropriately.
Getting Answers at Neway Fertility
The journey toward parenthood is deeply personal. At Neway Fertility, we believe every patient deserves a thorough evaluation, clear answers, and a compassionate team supporting them every step of the way.
Our approach includes:
- Comprehensive fertility testing
- Personalized treatment plans
- Holistic and minimally medicated IVF options
- Emotional support throughout your journey
Whether your infertility is caused by ovulation issues, endometriosis, age, tubal factors, or something else entirely, we use the latest science and individualized care to give you the best possible chance of success.
Take the First Step Toward Answers
If you have been trying to conceive for 6–12 months without success, it’s time to schedule a consultation. Contact Neway Fertility in NYC today. We are here to help you understand what’s standing in your way — and to guide you toward the path to parenthood with expertise, compassion, and hope.
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