Menopause is an age-appropriate decline in ovarian function that usually occurs around age 50. By definition, a woman in menopause has not had a period in one year; Fallopian tube obstruction (whether fallopian tubes are open, blocked or swollen) abnormal uterine contour (physical characteristics of the uterus). Female fertility is known to decline with age as aging decreases a woman’s chances of having a baby; smoking; excessive alcohol use; extreme weight gain or loss and excessive physical or emotional stress that results in amenorrhea (absent periods).