Unexplained Infertility – What You Should Know About It

As a couple, you decide to see an expert at a fertility or IVF clinic in Delhi or your local town/city when your effort to conceive a child is not fruitful for you. At the clinic, the expert interacts with you to know your sexual and lifestyle habits and conducts physical examinations of both of you if required. 


After that, the doctor recommends a few tests/screenings like ovulation reserve testing and semen analysis to both of you. The doctor terms your fertility problems as unexplained infertility if your test reports are within normal ranges. Keep reading the post to know all associated points of unexplained infertility.   


What is unexplained infertility?

As per the American Society for Reproductive Medicine (ASRM), five to 10 percent of couples trying to become parents have unexplained infertility, which means there is no clear cause of their infertility. Doctors recommend IVF treatment if couples do not conceive a child after having all the requisite fertility tests/screenings. The reports of your fertility assessments, in the case of unexplained infertility, reveal:


  • No damage or blockage in the fallopian tubes 
  • No structural issues with your uterus or no uterine abnormalities 
  • Regular ovulation 
  • Good egg count 
  • Sperm count, shape, and motility is optimal fertility or IVF clinic
  • The production of reproductive hormones is normal   


Frequency of unexplained infertility in couples  

The exact ratio of unexplained infertility in couples can vary as per fertility testing variations and fertility assessment service providers. As per the summary of a few studies, it can be present in 10 to 30% of infertile couples.   


Possibility of conception with unexplained infertility 

Having a conception is possible for infertile couples. According to a study of the National Institute of Health, 92% of couples with unexplained infertility could become parents through fertility treatments like IVF and IUI. Detection of unexplained infertility does not mean you should leave your hope of having a child. 


Causes of unexplained infertility 

Usually, unexplained infertility has no obvious cause. If there is a cause, experts do not consider it or recommend a test for it. Some probable causes of unexplained infertility are as follows:


  • An untreated or underlying condition – No exact idea what health conditions contribute to it. However, experts are agree that thyroid, celiac disease, and diabetes pave the way for having fertility problems
  • Endometriosis 
  • Cervical mucus thickness obstructing sperm flow and egg-sperm meeting 
  • Egg quality 
  • Uterine lining 
  • Sperm quality
  • Poorly timed physical intimacy   


In general, it is hard to detect and diagnose unexplained infertility. 


Suggest to Read:- How To Improve Fertility For Women?




There is no specific test to diagnose unexplained infertility. Doctors term it when all the test/screening reports are normal. As per the American Society for Reproductive Medicine, a fertility assessment should include:


  • Physical examination 
  • Total sexual and medical history 
  • Blood tests to examine hormone levels
  • Semen analysis 
  • Ovarian reserve testing
  • Complete assessment of reproductive organs like the fallopian tubes, uterus, cervix, testicles, and ovaries through ultrasound, laparoscopy, and hysterosalpingogram 



Like the absence of specific diagnosis, there is no specific treatment to cure unexplained infertility. Doctors usually recommend the treatment options used to treat infertility. Your treatment options could be:


  • IVF
  • IVF with ICSI
  • IUI
  • Medicines 
  • Lifestyle changes like no smoking, limited caffeine intake, stress & weight management, healthy diets, and regular moderate exercises



Unexplained infertility means a lack of the exact cause obstructing a couple from becoming parents of a child. To assess and treat it, doctors advise what they recommend to treat infertility. In most cases, following your doctor’s instructions can help you expand your family.  

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