Female Infertility Caused by Disorders of the Ovulation Process

A marriage is considered infertile in which, despite regular sexual activity for a year without the use of any contraceptives, pregnancy does not occur, provided that the spouses are of childbearing age. The time required for pregnancy increases with age; for women over 35 years of age, consultations with an obstetrician-gynecologist for examination and treatment should begin after 6 months of unsuccessful attempts at natural conception.However, diagnosis may be initiated earlier in women with irregular menstrual cycles or known risk factors for infertility, such as endometriosis, a history of pelvic inflammatory disease or malformations of the reproductive tract.