Sometimes the uterus can have physical anomalies that can affect our ability to carry a baby. These include an irregular shaped uterus, a septate uterus or uterine fibroids. These abnormalities can generally be detected by having a hysterosalpingogram, an outpatients x-ray procedure. In some cases, minor surgery will be needed to correct an abnormality.
The lining of the uterus also plays a very important role in housing the embryo and a few women will have thinner than normal endometrium lining (optimum is 6mm and above in thickness). Again, once diagnosed, this can be relatively easily treated with hormone medication.