Summary

• Can be due to ovulatory dysfunction, tubal or other anatomical disorders, endometriosis, or unknown causes.
• Workup requires evaluation of reproductive anatomy and physiology; even in the absence of diagnosis, a couple is considered to be subfertile after 2 years of regular unprotected sexual intercourse without pregnancy.
• Timing and type of treatment are diagnosis-dependent, but may include medical therapy, surgical therapy or IVF.
• Prognosis is dependent on patient age, infertility diagnosis, and treatment plan.