1. DO YOU HAVE
IRREGULAR
CYCLES?
DO YOU GET
SEVERE
CRAMPS?
POSSIBLE
ENDOMETRIOSIS
5% of infertility cases are due
to this condition (2).
See your doctor.
ARE YOU
OVULATING?
POSSIBLE
LUTEAL PHASE DEFECT
due to low progesterone. Sometimes
due to PCOS (4). See your doctor.
DO YOU HAVE A
LOW BBT?POSSIBLE
HYPOTHYROIDISM
which can cause fertility issues.
See your doctor.
POSSIBLE
MISTIMED SEX
Use the Fertility Awareness Method
to identify the times you’re
most likely to conceive.
POSSIBLE
INSUFFICIENT LH AND FSH
Your pituitary gland may not be producing
luteinising hormone or follicule stimulating
hormone (1). See your doctor.
POSSIBLE
PCOS
70% of incidents of anovulation are due
to this hereditary condition (1). See your
doctor.
PERIOD
TRACKING
CERVICAL
FLUID
BASAL BODY
TEMPERATURE
(BBT)
DO YOU HAVE
LITTLE TO NO
CERVICAL FLUID?
BBT below 97.2°F
during your follicular
(pre-ovulatory) phase.
DO YOU HAVE A
SHORT LUTEAL PHASE?
A post-ovulatory phase
of less than 10 days.
A mid-cycle BBT
shift indicates
ovulation.
CAUSES OF IMPAIRED FERTILITY
What your body may be telling you
It can take 2-3 cycles off the
Pill to return to normal.
Wait it out!
ARE YOU
TAKING
CLOMID?
Since you’re ovulating, Clomid
may not help. It may reduce
cervical fluid (3). See your doctor.
DO YOU HAVE A
HIGH BBT?
BBT frequently
above 98.6°F.
POSSIBLE
HYPERTHYROIDISM
58% of hyperthyroid patients experience
oligomenorrhea (infrequent menstruation)
or amenorrhea (6). See your doctor.
DO YOU HAVE A
LOW BMI?
DO YOU HAVE
THICK CERVICAL
FLUID WHEN
FERTILE?
NO
YES
ARE YOU
DEHYDRATED?
POSSIBLE
HOSTILE CERVICAL FLUID
Thick & sticky cervical fluid during the
fertile window can hinder sperm. There are
many potential causes (3). See your doctor.
ONE OF
MANY OTHER CAUSES
3% of all cases of infertility are
due to cervical fluid issues (2).
See your doctor.
DRINK WATER
Dehydration can result in less
fertile-quality cervical fluid (3).
YES
YES
YES
NO
YES
YES
YES
YES
DO YOU
MENSTRUATE?
YES
NO NO
It can take 2-3 cycles off the
Pill to return to normal.
Wait it out!
YES
ARE YOU RECENTLY
OFF HORMONAL
BIRTH CONTROL?
ARE YOU RECENTLY
OFF HORMONAL
BIRTH CONTROL?
POSSIBLE
SECONDARY AMENORRHEA
Excessive exercise, low BMI, PCOS and
other conditions can cause a cessation
of menstruation (5). See your doctor.
NO
YES
YES
YES
NONO
DO YOU HAVE
HEAVY MENSTRUAL
BLEEDING?
YES
NO
SOURCES: Mayo Clinic, The Women’s Health Council, British Medical Group, Toni Weschler. Full sources on blog.kindara.com
DO YOU HAVE A
HIGH BMI? YES
POSSIBLE
ANDROGEN EXCESS
which causes low preogesterone
and estrogen (6). See your doctor.