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Infertility In Your 20s: Everything You Need To Know


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If you’re in your 20s and having trouble conceiving naturally, rest assured, you’re not in it alone. Fertility rates are at an all-time low, and many couples are choosing to have children later in life. 

Although there are several ways to improve your fertility, it’s important to focus on improving your overall health and well-being first. It’s also essential to exercise moderately, as vigorous physical activities can disrupt your menstrual cycle.

It is well known that younger women are more fertile than older women and have a better chance of becoming pregnant. As per reports published by the NHS: Women aged between 19 to 26 have 92% chances of conceiving after 1 year and around 98% after 2 years. They’re also healthier and their bodies are better equipped to handle the demanding phase of pregnancy. Younger women also have more energy to chase toddlers or space out their births. Regardless of the cause of your infertility, there’s hope. 

Early intervention is essential for women in their 20s who’ve been trying unsuccessfully for at least one year. If you’ve tried without success for six months, you should consult a fertility specialist. Early treatment will boost your fertility and increase your chances of conceiving. So, if you’re in your 20s and don’t know what to expect, visit a fertility specialist today.

To know more about infertility in your early 20s, continue reading this article. 

Infertility In Your 20s: Things That One Needs To Know

Although it is less common to experience infertility in your 20s, it still does occur. A specialist at the fertility center will help you figure out the best course of action for you and your partner. Fertility problems in your 20s can be due to any number of factors, including your age, the male partner’s health, and a variety of environmental factors. 

Young women are often less understanding of the cause of their infertility than older women, who may be better prepared to deal with egg quality and ovarian reserve issues. Couples in their 20s are not mentally ready to accept the fact that they may not be able to have children. Fortunately, there are treatments for fertility issues like IVF in your 20s. 

Fertility in your 20s can be a stressful and isolating experience, particularly for couples who are already trying to conceive. However, this is an age-old milestone in the process of parenthood, so it’s important to educate yourself about the different factors that can affect your fertility. If you’re worried, seek medical advice from a fertility specialist to help you navigate this stage.

Is the Late ’20s the Fertility Peak?

The late ’20s is traditionally considered the ‘Fertility Peak’ for women. However, there are many factors to consider, including overall health. A woman is born with a finite number of eggs and at every menstrual cycle, she releases one egg.

A woman’s fertility peaks at this age. After twelve months of trying to conceive, a woman has an 87% chance of getting pregnant. However, as a woman gets older, the frequency of chromosomal abnormalities increases exponentially. By the time a woman reaches her late 30s, she still has a 20% chance of conceiving but more chances of IVF failures

Young women in their 20s are often considered to be at the ‘Fertility Peak’. This is because this is the ideal age to begin trying to conceive. Even though being fertile at this age is still not guaranteed, it does come with its advantages and disadvantages. 

Modern medicine has improved the chances of women having children later than in the past. Women have become increasingly fertile in their early 20s, but after the age of 35, the fertility rate declines, which also leads to IVF failures. Women’s fertility does start to decline, but it does so much later than men’s.

What Are the Reasons That Can Cause Infertility in Women?

  • Polycystic ovarian syndrome ( PCOS)

PCOS is the most common cause of infertility in women. The symptoms of PCOS include an irregular cycle and small cysts on the ovaries. This can lead to irregular periods or even periods that don’t happen at all. The condition affects ten percent of women of childbearing age, though fewer than half of them have been diagnosed with it.

  • Age above 30

Another cause of infertility in women is waiting too long to conceive. While waiting until you’re 30 is a common reason for fertility issues, it’s also a major contributor to infertility. Twenty percent of women wait until they’re 35 to have their first child. Age is a significant factor in fertility problems, and one-third of couples with women over the age of 35 struggle to get pregnant.

  • Endometriosis

Endometriosis is another common reason for female infertility. Endometriosis is a disorder where tissues of the uterus grow outside of it. This tissue builds up and breaks down during the menstrual cycle, preventing an egg from being released and transferring to the uterus. Endometriosis can also lead to scar tissue that affects fertility.

What Are The Causes of Male Infertility?

  • Genetic conditions

Genetic conditions are among the leading causes of male infertility. This problem is either hereditary or new. Most of the time, it causes a man to have no or very few sperm. Some men may have Y chromosome microdeletions or Klinefelter syndrome. Genetic abnormalities are also responsible for the failure of the sperm tube. 

  • Medical conditions

Male infertility is also caused by a number of different medical conditions. Sometimes, the immune system will mistakenly attack the sperm cells as a foreign virus, and the resulting damage may destroy the sperm. Hormonal imbalances may also play a role in infertility, particularly in men who work in an environment with high temperatures. 

Another cause of male infertility is a sexually transmitted disease, such as HIV. If the symptoms of this disease are severe enough, treatment may be necessary. Taking care of the infection can also result in reversible infertility. It is important to understand the root causes of male fertility problems before choosing the treatment for it. Once you understand what the causes are, you will be better equipped to decide how to deal with them.

How STDs Can Lead to Infertility in Your 20s?

Sexually transmitted diseases (STDs) are among the leading causes of infertility. Some of these diseases affect both sexes equally, but women tend to be more susceptible than men. Chlamydia, for example, can cause infertility in women if the infection occurs in the fallopian tubes. Inflammation of the fallopian tubes may result in scarring, which prevents a fertilized egg from reaching the uterus.

Many women are unaware that STIs can cause fertility issues in their 20s. Although condoms can prevent some of these infections, there are some risks associated with them. The best way to protect yourself is to understand the symptoms of common infections. Knowing what symptoms to look for can help you prevent future complications and the spread of STDs to others.

Untreated gonorrhea and chlamydia can have devastating effects on fertility later in life. While most young people are aware that STIs can cause infertility, they are not aware of the risks that they pose. Among them, the vast majority are unaware that tubal factor infertility can be caused by inflammation and scarring. Ultimately, this lack of knowledge might hinder the prevention of fertility problems by reducing risk-taking and increasing testing rates.

How to Deal With Infertility in Your 20s?

Infertility can have a devastating effect on a couple, so remember to seek help if you’re suffering. While fertility issues in your 20s can be an isolating experience, there are ways to deal with this difficult phase of life. Fertility treatment works better for couples who are younger. Infertility treatments for women in their 20s can also be more effective as compared to the prognosis of older women. 

If you’ve been trying for a year or more without success, you should consider seeing a fertility expert. If you’ve tried everything, you may want to opt for an investigation to determine if you’re at risk of infertility. If you’re still not conceiving, it’s probably not a good idea to put any additional pressure on yourself or your partner.

While you’re dealing with infertility in your 20s, remember that a female baby is born with a lifetime supply of eggs in its ovaries. Most women have hundreds of thousands of eggs stored in their ovaries by their mid-twenties. You can increase chances of pregnancy if you have a regular menstrual cycle. If there’s issues in the cycle then you can always consult a doctor for the same.

Doctors can perform fertility tests and recommend treatments for your specific case. Some treatment options for infertility include drugs that stimulate egg production or a fertility procedure called in vitro fertilization. IVF treatment involves inserting the sperm into your uterus and implanting the egg. Some women opt for egg freezing during their prime reproductive years. The frozen egg may stay frozen for several years.

Tips That Can Enhance Your Reproductive System: 

  1. Maintain a healthy body mass index(BMI). The BMI should range between 20 to 23.
  2. The percentage of fat in women should be approximately 20% and never be too less.
  3. Maintain a proper diet along with a proper exercise regime.
  4. Stay away from junk food as much as you can.
  5. Avoid crash diets and try to get wholesome food. This will help your body get the requisite amount of macro as well as micronutrients.
  6. Make sure to get an adequate amount of sleep, which should ideally be around 7 to 8 hours per day.
  7. Try not to take too  much stress as that can directly affect your fertility rate.
  8. Consult a doctor and start taking prenatal vitamins and minerals when trying to conceive.

Treatment for Infertility in Your 20s

If you’re in your early 20s and having trouble conceiving, you may be wondering what treatment options are available for infertility. There are several treatments available. Your doctor should explain the options to you and help you choose the best option for your condition. Because the field of infertility is constantly evolving, doctors are always looking to offer new and exciting treatments. 

  • Intrauterine insemination and in vitro fertilization (IVF) 

While there’s no single proven treatment for infertility, there are several methods that work well for some couples. Intrauterine insemination and in vitro fertilization (IVF) are all common treatments. However, it is important to understand that the effectiveness of these methods depends on your specific case. 

Using donor eggs and semen is another way to conceive. Donor eggs are a viable option for women with infertility in their 20s. While donor semen is a viable option, egg donors must undergo several medical procedures in preparation for the procedure. Donor eggs are often from young adult women who are recruited by fertility clinics. They undergo the necessary medical procedures in the same fertility program as the recipient. 

  • Surgical procedures

You can also consider surgical procedures. Some doctors may recommend a tubal ligation or vasectomy to restore fertility. The success rate depends on whether or not the procedure was successful and also on how long ago the woman had the procedure. Some doctors recommend non-medical alternatives like adoption.

Fertility treatments can help women who suffer from Polycystic Ovarian Disease (PCOD). The goal of this treatment is to restore hormonal balance in the woman’s body during her early 20s. This is the ideal time to conceive because she doesn’t have to rush to undergo IVF treatment

Also read : https://pregajunction.com/blog/why-is-infertility-soaring-among-women-under-30/


If you are in your 20s and not able to conceive even after having unprotected intercourse for a year, it is best to get tested for fertility. Nowadays, infertility in the 20s has become quite common due to problems like STDs, gynaecological conditions, stress, and  unhealthy lifestyles. However, there are various treatment plans available that can help you to conceive naturally. Make sure you consult with your obstetrician-gynaecologist to know more about infertility in your 20s and get the right treatment at the right time.

Pooja N Swamy (M.Sc Biomedical Sciences)
Pooja Holds Master's Degree in Biomedical Sciences from Vellore Institute of Technology. She believes in strong research and clear understanding over the subject. Always determined and focussed with a thirst to learn new things. Hardworking, flexible and grounded to align with the goals.


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