Which is the leading cause of infertility in women?

Ovulatory disorders are indeed recognized as a leading cause of infertility in women. This category encompasses a variety of conditions that disrupt the normal hormonal signaling necessary for ovulation, including polycystic ovary syndrome (PCOS), hypothalamic amenorrhea, and secondary amenorrhea. These conditions lead to irregular or absent ovulation, making it difficult for a woman to conceive.

When evaluating infertility, it's essential to understand that an effective ovulatory process requires proper function of the hypothalamus, pituitary gland, and ovaries. Any disruption in this hormonal axis can prevent the release of a mature egg, which is crucial for conception. Assessing ovulatory function is therefore a primary focus in infertility evaluations.

While uterine fibroids, tubal factors, and age-related factors also play significant roles in female infertility, they are generally considered secondary to issues related to ovulation in terms of prevalence. Fibroids can cause complications but do not affect all women, and tubal factors often arise due to previous infections or surgeries. Age-related factors contribute significantly to fertility decline as well, particularly after the age of 35, but they do not specifically relate to ovulatory function. Understanding the nuances of these disorders helps healthcare providers effectively diagnose and manage infertility