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Birla Fertility & IVF
Birla Fertility & IVF

What is Primary Infertility and Its Treatments

  • Published on November 30, 2023
What is Primary Infertility and Its Treatments

Many couples have to navigate the difficult and emotionally taxing path of primary infertility. It describes the incapacity to become pregnant or have a healthy pregnancy following a year of consistent, unprotected sexual activity. In this article, we dig into the complexities of primary infertility in this in-depth investigation, looking at its causes, the emotional toll it can take, and the range of treatment choices accessible to people facing this difficult journey to achieve parenthood.

Understanding Primary Infertility

After a year of intensive attempts to conceive, a couple is diagnosed with primary infertility when they still have trouble becoming pregnant. It can impact people at any age, and there are a variety of complex elements that can contribute, including both male and female factors.

Causes of Primary Infertility

Following are a few factors that can cause primary infertility:

  • Ovulatory Disorders: Fertility may be hampered by irregular or nonexistent ovulation.
  • Tubal Problems: The process of fertilisation may be hampered by obstructions or injury to the fallopian tubes.
  • Uterine Abnormalities: Implantation may be hampered by structural problems in the uterus.
  • Male Factor Infertility: This can be caused by problems with sperm motility, count, or morphology.
  • Age-related Factors: As people age, their fertility can decrease for both men and women.

Emotional Aspect of Primary Infertility

Managing primary infertility presents both a physical and emotional difficulty. The emotional toll can be severe, impacting relationships, mental health, and general well-being.

Emotional Challenges

  • Feelings of Failure:When faced with a tough time becoming pregnant, people may struggle with feelings of inadequacy or failure.
  • Stress and Anxiety: Having a kid can cause a great deal of worry and anxiety, especially if there have been no successful attempts to have one.
  • Strain on Relationships:The stress of infertility can test mutual support and communication in partnerships.

Seeking Emotional Assistance:

  • Counselling and Therapy: Professional counselling or therapy can offer a secure environment for individuals and couples to manage the emotional intricacies associated with primary infertility.
  • Support Groups: Making connections with people going through comparable struggles in a supportive environment helps foster a feeling of understanding and camaraderie.
  • Open Communication: Honest and transparent communication with partners is essential to preserving a robust support network.

Treatments For Primary Infertility

The field of reproductive medicine has made significant progress in providing a range of treatment options that target the underlying reasons for primary infertility.

  1. Ovulation Induction: Letrozole and clomiphene citrate are two medications that help women who have irregular or nonexistent menstrual periods trigger ovulation. This treatment is essential to monitor in order to prevent repeated pregnancies and evaluate the effectiveness of medicines.
  2. Intrauterine insemination (IUI): This is usually recommended for couples experiencing mild male factor infertility or unexplained infertility. This treatment maximises the chances of fertilisation, where sperm are implanted directly into the uterus within the woman’s fertile window.
  3. In vitro fertilisation (IVF): The process involves combining eggs and sperm outside the body and transferring the resulting embryos into the uterus. It is a more sophisticated approach and suggested to treat a variety of infertility problems, such as tubal problems, severe male factor infertility, and infertility that is not explained.
  4. Surgery: It could be advised to undergo surgical procedures to treat uterine anomalies or to fix fallopian tubes. Surgical intervention is typically advised when anatomical problems are shown to be the main cause of infertility.
  5. Assisted Reproduction Technique (ART): Pre-implantation genetic testing (PGT) and intracytoplasmic sperm injection (ICSI) are two cutting-edge methods used in assisted reproductive technology (ART) to increase the likelihood of conception. ART is appropriate in cases of severe infertility due to male factors, genetic issues, or recurrent IVF failures.

Lifestyle Modifications

Certain lifestyle changes and alternative methods can help make fertility treatments more successful overall in addition to medical interventions.

Making Healthier Lifestyle Decisions:

  • Exercise and Nutrition: Both a healthy diet and regular exercise improve general well-being and can have a good effect on fertility.
  • Avoiding Harmful Substances: Reducing exposure to environmental contaminants, abstaining from smoking, and limiting alcohol intake are all essential for maximising fertility.

Body-Mind Practices:

  • Yoga and meditation are examples of mind-body techniques that can support a good mindset and assist in managing stress while trying for a child.
  • Acupuncture: Acupuncture has been shown to help some people feel less stressed and have better reproductive outcomes.


Primary infertility is a difficult and sensitive path that calls for an all-encompassing and caring strategy. On this road, people and couples are empowered by comprehending the causes, addressing the emotional impact, and investigating the variety of therapy alternatives. Resilience, optimism, and the possibility of a successful pregnancy are achievable for individuals dealing with primary infertility when medical measures are combined with lifestyle changes and emotional support. If you are diagnosed with primary infertility and you trying for a healthy pregnancy, consult our fertility expert today. You can either call us directly by dialling the above-given number, or you can book an appointment by filling in the details in the appointment form, our coordinator will call you back shortly to understand your query and will connect you with the best fertility expert at Birla Fertility & IVF.

Frequently Asekd Questions (FAQs)

  • How is Primary Infertility Diagnosed?

A thorough assessment of both couples is required for the diagnosis, including their medical histories, physical examinations, and fertility testing including semen analysis and ovulation monitoring.

  • Can Age Affect Primary Infertility?

Indeed, age is a significant factor. Age-related declines in both male and female fertility make conception more difficult, particularly for women over 35.

  • How Long Should Couples Try Before Seeking Help for Primary Infertility?

It’s best for a couple to get expert assistance if they have been actively trying to conceive for a year without success. After six months, couples over 35 may want to consider consulting.

  • Is Primary Infertility More Common in Women or Men?

Both partners may have a role in the causes. Approximately one-third of cases are ascribed to factors specific to women, one-third to factors specific to men, and a third to a combination of unidentified causes.

  • Can Lifestyle Choices Affect Primary Infertility?

Yes, a person’s diet, exercise routine, smoking habit, and alcohol intake might affect their ability to conceive. Adopting a healthy lifestyle may contribute to improved chances of conception.

Written by:
Dr. Nandini Jain

Dr. Nandini Jain

Dr. Nandini Jain is an infertility specialist with over 8 years of experience. With expertise in male and female factor infertility, she's also a published researcher and actively engages in medical conferences on a range of fertility related subjects.
Rewari, Haryana

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