Causes of Female Infertility - Differential Diagnosis Algorithm Uterus - HSG or SHG or hysteroscopy: • Fibroids/polyps • Asherman's syndrome • Congenital anomalies • Adenomyosis • Unfavourable cervical mucous • Cervical stenosis Fallopian Tube - HSG or SHG or laparoscopy: • Pelvic inflammatory disease • Endometriosis • Adhesions • Previous tubal pregnancy • Congenital Anomalies Normal FSH: • Polycystic ovarian syndrome • Obesity Increased FSH: • Premature ovarian failure • Premenopausal changes • Turner's syndrome Decreased FSH - Hypothalamic: • Weight loss/malnutrition • Excessive exercise • Stress/psychosis • Systemic disease Decreased FSH - Hypopituitarism: • Hypothyroidism • Hyperprolactinemia • Tumors (e.g. Prolactinoma) #Female #Infertility #Differential #Diagnosis #Algorithm #Causes #Obstetrics #OBGyn
