13 CAUSES OF MALE AND FEMALE INFERTILITY, INCLUDING TREATMENT OPTIONS
Married couples are driven by the desire to have a baby.While some are successful soon after marriage, it takes a few years in others’ cases.Such couples feel depressed and try all sorts of home remedies to become pregnant.Almost always, the method followed by them is strikingly similar.
First, they go for self-medication, seek advice from friends regarding exercises and copulation techniques, and try the so-called sex-stimulating herbal medicines.They even visit soothsayers and quacks in the hope of having a child.Finally, when everything fails, they reconcile to their fate, withdraw into thier shells and live as total strangers under the same roof.
Infertility is not a problem that starts only after mariage.Its causes are varied and it is important to realise that good health is the result of several years of healthy eating and healthy living.Some factors are in the hands of the individual, others need more complex understanding and evaluation.With newer research more understanding is developing into the causes of infertility.
Causes Of Infertility In Men:
1.Any current medical illness.
2.Medical history (mumps, sexually transmitted diseases).
3.Surgical history (operations on testes, inguinal hernia repair).
4.Occupation (exposure to excessive heat, toxins).
5.Drugs (chemotherapy).
6.Smoking, alcohol indigestion.
7.Erectile or ejaculatory difficulties.
Causes Of Infertility In Women:
Age is an important factor in female sub-fertility.Increasing age reduces fertility in women and also the likelihood of successful treatment.Even in a younger woman, a depleted ovarian reserve will reduce natural fertility.
1.Gynaecological conditions-ovulation failure-oligomenorrhoea or amenorrhoea, tubal damage, cervical mucous defects, uterine fibroids, endometriosis, etc.
2.Coital infrequency and poor timing.
3.Menstrual irregularities.
4.Pelvic infection(current or past).
5.Current medical illness like Tuberculosis.
6.Smoking, alcohol indigestion.
It is important to consider natural outcomes in pregnancy.Within a year of marriage if the couple are having regular intercourse, 90% of the women should become pregnant.This figure rises to 95% after a 2 year period.No fertility treatment should be started during this period, as the delay in pregnancy is by chance, since these couples have low normal fertility thaninfertility.Thus 5-10% of couples will seek medical advice for delay in achieving pregnancy.
These couples, without further delay, should be investigated and referred to a specialist early.It is vital that investigations are planned bearing in mind that 15% of couples have multiple causes of infertility.It is wiser to do complete investigation in the beginning than to start treatment on the first abnormal result.
If a woman is over 35 years,there is a substantial fall in the chance of success with fertility treatment.A woman of 35 years with an older partner would have a 20% chance of conceiving in any month.Compare this to a woman in 19-26 years of age who has a 50% chance of conceiving.
Indications For An Early Referral To A Specialist Infertility Clinic:
1.Duration of infertility more than 3 years.
2.Woman’s age more than 38 years.
3.FSH more than 10 IU/I in early menstrual phase.
4.Low and abnormal sperm count according to World Health Organisation (WHO) guidelines for sperm examination.
Some Solutions:
A. Intrauterine Insemination:
Intrauterine Insemination(IUI) may be used to overcome potential problems like thickening of female cervical mucus, premature ejaculation, impotence or anatomical abnormalities.This enables the sperm to be inserted directly into the cervix via the vagina.IUI is only suitable for women with healthy Fallopian Tubes.It involves placing a specially prepared sample of sperm into the uterus at the optimum time in the cycle.To increase the chances of pregnancy, the female partner is given fertility drugs.The treatment is monitored by regular Ultrasound scan’s to prevent multiple pregnancies.
B.In Vitro Fertilisation:
There are times when it is difficult for the sperm and egg to meet in the fallopian tube and the normal processes of fertilisation cannot take place in the body.In vitro fertilisation(IVF)offers an opportunity to avoid such problems by allowing fertilisation to occur outside the body in a glass dish(culture dish).Upto 3 of any resultant embryos can be replaced in the womb.Appropriate IVF can be done with donated eggs, sperm or embryos.
C.Intracytoplasmic Sperm Injection:
Patients who are unlikely to achieve fertilisation with conventional IVF can be treated with micro-manipulation of the egg and sperm.The technique used is called intracytoplasmic sperm injection(ICSI).ICSI involves injecting a single sperm into the egg, using a very fine needleICSI may be appropriate where the male partner has very few sperm or where the sperm have poor or no motility.
With the progress in medical science, a wide number of treatment options are available, with huge success rates.Thus it is advisable that couples visit specialist infertility clinics at the earliest
Culled from…. www.101lifestyle.com/health/infertility/infertility.html
For further informations , FREE CONSULTANCY and COUNSELLING , Contact JOAS MEDICAL DIAGNOSTIX
JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria, offer comprehensive infertility screening tests for both couples like Transvaginal Scan for uterine and ovarian functions,Ovulation/follicular tracking, HSG to evaluate the fallopian tubes, blood tests for hormone check, semen analysis etc. We also offer a simple assisted reproductive procedure like INTRAUTERINE INSEMINATION [IUI].
For accurate assessment of your fertility situation, contact us at JOAS MEDICAL DIAGNOSTIX, Ikotun Lagos Nigeria.
For FREE Consultation and FREE Counseling. Also for Quality and Accurate Medical Diagnostic Tests Contact
JOAS MEDICAL DIAGNOSTIX
JOAS MEDICAL DIAGNOSTIX——-WE ARE AN ULTRAMODERN MEDICAL IMAGING CENTER. WE ARE EXPERTS IN ULTRASOUND SCAN SERVICES, 3D/4D COLOUR DOPPLER SCAN SERVICES, X-RAY/RADIOLOGY SERVICES, ECG SERVICES, INFERTILITY SERVICES, HSG SERVICES, LABORATORY SERVICES,BLOOD BANKING SERVICES , DNA SERVICES, AND HEALTH CONSULTANCY/COUNSELLING SERVICES.
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