Most common reasons for infertility are related to the dynamics of ovulation, ovum pick-up, fertilization, transport and implantation. If after one year of unprotected intercourse pregnancy fails to occur, infertility is a concern. The chances of conception during a month of regular intercourse is about 20 %. Infertility could be due to the failure of the egg (ovum) to be released from the ovaries. This is called anovulation and is treated medically. If the Fallopian tubes are blocked or interrupted, this requires intervention. If fibroids are present, these can be removed. If there are autoimmune, infectious or hormonal issues these can be addressed.