Root Cause Diagnosis

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 11, 2026

Root cause diagnosis is the foundational RRM principle that reproductive health problems (including infertility, abnormal bleeding, and chronic pain) are symptoms of identifiable underlying causes, not final diagnoses in themselves.¹ Underlying causes may include hormonal imbalances, structural abnormalities (e.g., tubal blockage, uterine defects), inflammatory conditions, autoimmune disorders, metabolic dysfunction, iatrogenic factors such as C-section scar defects, or male-factor contributions such as sperm DNA fragmentation and varicocele. Both partners are evaluated systematically, including semen analysis with DNA fragmentation index. RRM does not accept "unexplained infertility" as a final answer. That label almost always means under-investigated.²

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.