29th April 2024

A 34-year-old woman and her 36-year-old partner have been unsuccessful in their attempts to conceive for the past 20 months.

A 34-year-old woman and her 36-year-old partner have been unsuccessful in their attempts to conceive for the past 20 months. They are both in good health, with no significant medical or surgical histories. The woman has a BMI of 32 and irregular menstrual cycles, ranging from 40 to 60 days. The man’s semen analysis shows normal sperm count and motility. They both lead a sedentary lifestyle and consume a diet high in processed foods.

Which is the most likely cause of their inability to conceive?