The connection between endometriosis and fertility can be said to be a strong one. But the exact cause of infertility or inability to conceive due to endometriosis is still unknown. It is estimated that for women with endometriosis who are trying to conceive, the chance of pregnancy each month, or the fecundity is about 2% to 10%, compared to 15% to 20% in the general population.
Studies have shown that infertility is caused by women in 40-50% cases and caused by men in 30/40% cases; this means that although women are more susceptible to infertility, there is a large possibility that the man is infertile. Now one may ask as a woman, why do I need to know about male infertility? Well it’s simple, as a couple if you are unable to conceive then it is important to know that either of you could be the contributing factor, in which case one needs to identify what the problem is and then look for solutions, instead of just thinking the problem is definitely with the woman and aimlessly making multiple trips to your gynecologist.
In women with polycystic ovarian syndrome, insulin resistance is the leading cause of weight gain. Insulin resistance occurs when the pancreas produces insulin yet some cells in the body do not respond to it. As a result, to maintain normal blood sugar levels, the pancreas produces more insulin. This causes an increase in the production of the male hormone, androgen. Acne increased facial and body hair, and weight gain are all linked to this condition
PCOS causes increased levels of male hormones (androgens) in women. PCOS has negative impacts on fertility. This is because women with PCOS do not ovulate regularly or normally. Ovaries overproduce estrogen which in turn affects ovulation. The main difference between polycystic and normal ovaries is that even though the polycystic ovaries contain many small antral follicles with eggs in them, the follicles do not develop and mature properly, so there is irregular and sometimes no ovulation.
According to studies 1 in every 10 women is infertile and 1 out of every 6 couples suffer from infertility. This goes to show that infertility is a much bigger problem than discussed openly. As for the probability of infertility in either partners, research shows that in one-third of the couples the female is infertile, in one-third of the couples the male in infertile and in the remaining one-third both partners are infertile or some external factor is to blame.