Poor receptivity of the cervix (the opening to the womb) or cervical issues can also result in infertility in a woman. Fibroids distorting the endometrial cavity can also result in infertility by preventing implantation.
Problems in the endometrial cavity, like endometrial polyp or adhesions, can result in a problem of implantation. Now let us go down to the uterine cavity that I call the ‘soil’. There could also be a problem in transporting the zygote (fertilized egg) back to the uterus, and this may be due to a tube that is not patent or open. If the tube is damaged, then there is a problem in transporting the egg and the sperm. If a woman fails to ovulate or releases immature or abnormal eggs, then there is a problem. Now, having explained that, let us start with the problem of the woman. Then the zygote (fertilised egg) is formed and after a few days in the tubes, the zygote travels down to the uterine cavity where implantation occurs. So, the sperm and the egg meet in the fallopian tube and that’s where fertilisation takes place. The egg is released by the ovary and is taken up in the tube. Sperm is deposited in the vagina and travels through the uterine cavity to the fallopian tubes. The man produces spermatozoa, the woman produces the egg. Taking the female factor, for example, before the causes can be understood, we must look at what happens during conception. The causes can be male-only, female-only or both. Regular, unprotected intercourse is when the couple meets at least two to three times a week, without condoms.
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