What is Infertility?
Infertility is a condition where the couple is unable to conceive even after 12 months of regular cohabitation and without any use of birth control measures.
Infertility can be due to the woman (33%), the man (33%) and by both sexes or due to unknown problems (33%), approximately.
There are two kinds of infertility - primary and secondary:
- Primary infertility means that the couple has never conceived.
- Secondary infertility means that the couple has experienced a pregnancy before and failed to conceive later.
Is infertility just a woman's problem?
No, infertility is not always a woman's problem. Both women and men can have problems that cause infertility. About one-third of infertility cases are caused by women's problems. Another one third of fertility problems are due to the man. The other cases are caused by a mixture of male and female problems or by unknown problems.
What increases a man's risk of infertility?
A man's sperm count gets affected by his overall health and lifestyle. Reasons for low sperm count can be:
- Heavy alcohol use.
- Drug abuse.
- Environmental toxins, including pesticides and lead.
- Smoking cigarettes.
- Health problems such as mumps, kidney disease or hormonal problems.
Treatment for men
Approaches that involve the male include treatment for general sexual problems or lack of sperm count. Treatment may include:
Medication or behavioral approaches. Addressing impotence or premature ejaculation with one or both approaches may improve fertility.
Surgery, hormones or assisted reproductive technology. If a lack of healthy sperm count is suspected as the cause of a man's infertility, surgery or hormones to correct the problem or use of assisted reproductive technology is sometimes possible.
Sperm Retrieval. These techniques obtain sperm when ejaculation is a problem: surgical sperm aspiration, which allows retrieval of sperm if the ejaculatory duct is blocked and electric or vibratory stimulation to achieve ejaculation, which can help retrieve sperm in men with spinal cord injury.
Treatment for women
Although a woman may need just one or two therapies to restore fertility, it's possible that several different types of treatment may be needed before she is able to conceive.
Stimulating ovulation with fertility drugs. Fertility drugs are the main treatment for women who are infertile due to ovulation disorders. These medications regulate or induce ovulation. Talk with your doctor about fertility drug options, their benefits and risks associated with these drugs.
Intrauterine insemination (IUI). During IUI, healthy sperm that have been collected and concentrated are placed directly in the uterus around the time the woman's ovary release one or more eggs to get fertilized. Depending on the reasons for infertility, the timing of IUI can be coordinated with your normal cycle or with fertility medications.
Surgery to restore fertility. Uterine problems such as endometrial polyps, a uterine septum or intrauterine scar tissue can be treated with hysteroscopic surgery. Their might be the case that you have a uterine fibroid or ovarian cyst which needs surgery for removal. Also there can be situation where the fallopian tubes are blocked which is preventing pregnancy. The tubes cn be opened through an OPD procedure called HSG or surgery called Tubal Recanalization.