Shape1

In Saudi Arabia, family is at the heart of life. For many women, becoming a mother is one of the most meaningful and personal journeys they will ever take. When that journey takes longer than expected, it can be emotionally and physically overwhelming.

Female infertility is more common than many realise, affecting more than 20% of women. But thanks to advances in diagnostics and reproductive medicine, many of these challenges can now be identified and treated effectively.

At Child Fertility, we bring world-leading expertise to Saudi Arabia, led by Professor Tim Child, a globally recognised fertility specialist, and a team of clinicians trained at Oxford University. Using the most sophisticated reproductive technologies available, our team works to uncover the underlying cause of fertility difficulties and develop an individual treatment plan.

What is female fertility?

Female fertility is the body’s natural ability to conceive and support a healthy pregnancy. For pregnancy to occur, a series of events need to happen in perfect harmony:

  • A healthy, mature egg must be released from the ovaries.
  • The fallopian tubes must allow the egg to travel and meet healthy sperm.
  • The fertilised egg must successfully implant in the uterus.

A disruption at any stage can affect fertility. With precise diagnostics and targeted interventions, many of these challenges can be overcome.

Recognising the signs of infertility

Some women experience few or no obvious symptoms. However, potential warning signs may include:

  • Irregular or absent menstrual cycles.
  • Painful or heavy periods.
  • Pelvic pain.
  • Difficulty conceiving after 12 months, or after 6 months if over 35.

What causes female infertility?

Female infertility can arise from a range of underlying conditions, many of which can be effectively managed or treated with appropriate care.

Our clinic uses advanced fertility assessments to identify these factors early and design a bespoke treatment strategy tailored to each patient.

Polycystic Ovary Syndrome (PCOS)

A common hormonal condition that affects how the ovaries work.

Endometriosis

Where tissue similar to the womb lining grows outside the uterus.

 

Adenomyosis

Where the womb lining grows into the muscle wall of the uterus. 

Fallopian tube damage or blockage

Scarring or blockages can prevent an egg and sperm from meeting.

 

Fibroids

A structural concern, that may interfere with implantation.

Low ovarian reserve

Fewer egg follicles in ovaries than expected for age, affecting egg production.

 

Ovulation disorders Irregular or absent ovulation making conception difficult. Thin endometrium

A thin lining of the womb can affect implantation.

 

 

Risk factors affecting female fertility

In addition to medical conditions, several other factors can influence a woman’s fertility, including:

  • Age – On average there is a decline in female fertility starting in the mid-thirties, with lower fertility especially after the age of 35.
  • Weight – Being either underweight or overweight can negatively affect fertility, as it disrupts ovulation and hormone balance.
  • Lifestyle factors – Smoking, recreational drugs, and certain medications can reduce fertility levels.

Our clinic offers advanced fertility assessments to identify these factors early and create a personalised treatment plan.

When should you see a fertility specialist?

When to consider fertility investigations depends on your age and individual circumstances:

  • Under 35: most doctors recommend trying to get pregnant naturally for at least a year before testing or treatment.
  • Between 35 and 40: discuss your concerns with us  after six months of trying.
  • Over 40, it is often advisable to begin investigations straight away.

It can be advisable to begin testing or treatment earlier if you or your partner has known fertility problems, or if you have a history of irregular or painful periods, pelvic inflammatory disease, repeated miscarriages, cancer treatment, or endometriosis.

Frequently Asked Questions

  • What is the most common cause of female infertility?

The most common cause of female infertility is ovulation disorders, where the ovaries do not release eggs regularly. Conditions such as Polycystic Ovary Syndrome (PCOS) are a leading contributor. Other common causes include fallopian tube blockages, endometriosis, and age-related decline in egg quality.

  • How do I know if I am infertile?

Infertility is not always immediately obvious, as some women experience no clear symptoms. However, signs such as irregular or absent periods, painful menstruation, or difficulty conceiving after a year of trying (or six months if over 35) may indicate an underlying issue. A fertility assessment is the most reliable way to understand your reproductive health.

  • When should I see a fertility specialist?

It is recommended to consult a fertility specialist if you have been trying to conceive for 12 months without success, or after six months if you are over 35. You may also benefit from earlier consultation if you have irregular periods, known reproductive conditions, or a history of miscarriage or pelvic infections.

  • Can fertility problems be treated?

Yes, many fertility challenges can be effectively managed or treated. Advances in reproductive medicine allow specialists to identify underlying causes and recommend personalised treatments, ranging from lifestyle adjustments and medication to assisted reproductive techniques such as IVF. Early diagnosis often improves outcomes.

  • What age does fertility decline?

Female fertility naturally begins to decline in the early 30s, with a more noticeable decrease after the age of 35. This is due to both a reduction in the number of eggs and changes in egg quality. While many women conceive later in life, understanding this timeline can help guide timely decisions about fertility care.