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Definition of infertility

Infertility is a year or more of unprotected intercourse without pregnancy.

Primary infertility: Infertility without any previous pregnancy.

Secondary infertility: Fertility problems occurring in a couple that has conceived on their own..

Sterility: When there is no chance for a pregnancy. This is different from infertility which represents a reduced potential for pregnancy.

Most childless couples with a female age under about 43-44 that are having problems getting pregnant are considered to be infertile but not sterile.

Incidence:

It is 12-15% of reproductive age groups.

Natural fertilization:

In females with regular & normal menstrual cycle (28+7 days), ovulation occurs in between 12-16th day of the cycle & ovum is picked up by fimbrial end of the fallopian tube. This ovum remains live for 24 hours & if there is intercourse during this period then released spermatozoa may fertilize the ovum if everything is normal, fertilization takes place in the fallopian tube and then zygote is transferred in the uterine cavity.

Natural Fertilization

Causes of infertility:

The cause of infertility is sought by performing some fertility tests in a basic infertility evaluation. These tests can usually be completed over the course of one menstrual cycle (one month).

What causes infertility?

Most common causes of infertility problems:

  • Ovulation problems
  • Tubal infertility
  • Sperm problems
  • Unexplained infertility
  • Fertility and female age issues
  • Egg quantity and quality problems

PCOS-ovary

PCOS-ovary   PCOS-ovary

less common causes of infertility:

  • Uterine problems and infertility
  • Infertility and endometriosis
  • Previous tubal ligation surgery - tied tubes
  • Previous vasectomy surgery
  • Infertility associated with immunological problems

Female partner related causes of infertility

BICORNUAL UTERUS

  • Cervical: Anti-sperm antibody
  • Uterine: Uterine septum, various uterine malformations, Uterine Leiomyoma
  • Tubal: Blocked tubes, Salpingitis isthemica nodosa
  • Ovarian: Ovarian cysts, Chocolate cyst of ovary, premature ovarian failure.
  • Central (Hormonal): PCOD, Hyperprolactinemia, Hypothyroidism, Hyperandrogenism.
  • Endometriosis.
  • Adhesions.
  • Infection: Genital Tuberculosis, Chlamydia Infection

Male partner related causes of infertility

SPERM-COUNT

  • Absent sperms in semen sample.
  • Reduced sperm count
  • Reduced sperm movements
  • Infection in semen sample
  • Early ejaculation & ejaculatory failure
  • Impotency
  • Varicocele
  • Infection

Infertility Unit

Female Infertility

Male Infertility

Endoscopy

Stitchless Surgeries

Maternity

Sonography

Neonatal Unit