Infertility
Infertility means not conceiving after a year of regular unprotected sex, or after six months when the woman is over 35. It is thought to affect about one in six couples worldwide, and later marriage and changing patterns of childbearing have made it more frequent.
Key points
- Hormonal problems, including thyroid dysfunction and polycystic ovary syndrome, can disturb ovulation and stop a fertilised egg from implanting.
- If progesterone stays low after ovulation, the womb lining may not support a pregnancy; a progestogen can be used in assisted conception and early pregnancy support.
- Assessment usually covers both partners with hormone blood tests, ovarian imaging and a sperm test.
Causes and signs
Ovulation can be disrupted by hormonal conditions such as polycystic ovary syndrome or thyroid dysfunction. Luteal phase deficiency is another pattern: progesterone after ovulation is too low to prepare and maintain the uterine lining. Irregular periods are one sign that assessment is needed sooner.
Treatment and support
Treatment is matched to the cause. Ovulation problems may be treated with clomifene; Clomid tablets contain it. When progesterone support is needed, dydrogesterone is used; Duphaston tablets contain it. These options are used in fertility treatment, which may include assisted conception. Pharmacy partners in India ship to Malaysia in discreet packaging.
When to see a doctor
Seek help after 12 months of trying, or after 6 months if the woman is over 35. See a doctor sooner if periods are irregular, or if there has been pelvic infection, endometriosis or miscarriage.
Further reading
FAQ
What is infertility?
Infertility means not conceiving after a year of regular unprotected sex, or after six months when the woman is over 35. It is thought to affect about one in six couples worldwide.
What causes infertility?
Hormonal problems, including thyroid dysfunction and polycystic ovary syndrome, can disturb ovulation and stop a fertilised egg from implanting. Luteal phase deficiency is another pattern: progesterone after ovulation is too low to prepare and maintain the uterine lining.
When should I see a doctor about infertility?
Seek help after 12 months of trying, or after 6 months if the woman is over 35. See a doctor sooner if periods are irregular, or if there has been pelvic infection, endometriosis or miscarriage.
Which treatments for infertility are available here?
The medicines listed for infertility are made with clomifene and dydrogesterone, for example Clomid and Duphaston. Each product page shows its strengths and forms.
Do you send medicines for infertility to Malaysia?
Yes. Our pharmacy partners send orders from India to Malaysia in plain, discreet packaging. Express Tracked Courier takes up to 1 week; Standard Airmail can take up to 3 weeks.
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