The document discusses five hormonal aspects of infertility, highlighting that 22% of women face challenges in getting pregnant due to factors like anovulation, tubal damage, and endometriosis. Key hormonal issues include ovarian insufficiency, luteal phase deficiency, polycystic ovarian syndrome (PCOS), thyroid deficiency, and stress, all of which can impact fertility. Monthly hormone level changes are also noted as indicators of potential infertility issues.

1. HORMONES
& FERTILITY
5 Hormonal
Aspects of
Infertility

2. CDC reports 22% of women
have trouble getting pregnant

3. Causes include:
- 21% anovulation
- 14% tubal damage
- 6% endometriosis

4. Overall, 28%
of cases were
unexplained

5. | www.zrtlab.com
There are 5 key hormonal
aspects to infertility

6. 1. Ovarian insufficiency – as follicles
fall, estrogen is still produced but
ovulation does not occur

7. 2. Luteal phase deficiency – ovulation
may occur but progesterone levels
are insufficient to sustain pregnancy

8. 3. PCOS – polycystic ovarian syndrome
most common endocrine disorder
in women of reproductive age

9. 4. Thyroid deficiency – also
implicated as a cause of infertility

10. 5. Stress – High or low cortisol levels
can affect the ability to conceive

11. Women with
infertility also
tend to
experience
monthly
hormone
changes,
such as . . .

12. - High FSH level on Day 3 – follicular
phase – reflects ovarian insufficiency

13. - Low estradiol & progesterone on
Day 21 could indicate low egg reserve

14. - High estradiol & low progesterone in
luteal phase indicates non-ovulation

15. - High testosterone + DHEA-S with
high LH relative to FSH points to PCOS

16. Learn more by viewing an educational
webinar on Fertility & Hormones
Delivered by Dr. Alison McAllister