Many different factors can influence fertility. Women may have problems with getting pregnant or staying pregnant. Men have risk factors, too. Many things can affect the health of their sperm.

Gender words are used here to talk about anatomy and health risk. Please use this information in a way that works best for you and your doctor as you talk about your care.

These are things that can affect a woman's fertility:

• Age. Women in their late 30s and older are less fertile than women in their early 20s.
• Endometriosis
• Chronic diseases, such as diabetes, lupus, arthritis, high blood pressure, and asthma
• Hormone imbalance
• Smoking cigarettes
• Drinking alcohol
• Contact with workplace hazards or toxins
• Too much body fat or very low body fat
• Abnormal Pap smears treated with cryosurgery or cone biopsy
• DES taken by their mother during pregnancy
• Sexually transmitted infections
• Fallopian tube disease
• Multiple miscarriages
• Fibroids
• Pelvic surgery
• Abnormalities of the uterus
• Certain genetic conditions

These are things that can affect a man's fertility:

• History of prostatitis, genital infection, or sexually transmitted infections
• Regular contact with radiation, radioactivity, or welding
• Regular contact with toxins, such as lead
• Regular contact with ethylene dibromide or vinyl chloride
• Cigarette or marijuana smoke
• Heavy alcohol drinking
• Exposure of the genitals to high temperatures
• Hernia repair
• Undescended testicles
• Opioid-like medicines that affect the central nervous system
• Mumps after puberty
• Certain genetic conditions
• A problem that was present at birth (congenital)