Abstract
Infertility and childlessness are one of the most important health problems in women. The objective of present review was to identify the infertility associated factors with anovulatory menstrual cycles in women. Infertility is defined as the inability to conceive after one to two years of unprotected intercourse. In the general population, conception is expected to occur in 84% of women within 12 months and in 92% within 24 months. According to the European Society of Human Reproduction and Embryology Classification, infertility is defined as the diminished ability, or the inability to conceive. Infertility is also defined in specific terms as the failure to conceive after at least one year of intercourse without contraception. One of the most important and underappreciated reproductive health problems in developing countries is the high rate of infertility and childlessness. The inability to procreate is frequently considered a personal tragedy and a curse for the couple, impacting on the entire family and even the local community. In many cultures, womanhood is defined through motherhood and infertile women usually carry the blame for the couple's inability to conceive. Moreover, in the absence of social security systems, older people are economically dependent on their children. Childless women are frequently stigmatized, resulting in isolation, neglect, domestic violence and polygamy. Several studies have demonstrated that anxiety has a detrimental effect on fertility and that reduction of anxiety increases pregnancy rate. If any menstrual problem is observed, doctor should be concerned immediately. Unhygienic home deliveries should be avoided to prevent infection leading to secondary infertility due to tubal blockage. Balance diet and exercise increases insulin sensitivity, which improves ovarian function and the chance of conception.