The inability to conceive after indulging in unprotected sex is known as infertility. It can also be referred to the biological incapability of a male to cause the conception or a woman being unable to carry the pregnancy for full-term. Research has shown that female problems contribute to over half of all the infertility cases while a majority of the other causes include sperm disorderread more
While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term.read more
Hi! I am Dr Shubhada Sanjiv Khandeparkar, Gynaecologist. Today I will talk about male infertility. It is seen in 40% of the couples are infertile. 7% in the male population and in the whole world is infertile. How do we come to know about it? The only way is the semen analysis. What are the common causes of male infertility? 1st is ejaculatory dysfunction. 2nd is poor production of the semen. 3rd is low production of the semen. 4th is poor quality and last is blockage of semen. It is commonly seen in stress male. These types of couple need counselling and distressing therapies.
Then the common causes are infections, varicocele, tumours of the testis, excess tobacco chew, smoking, alcohol consumption, obesity. Other conditions like exposure to chemicals like pesticides. Less or no exercise, huge driving can also lead to this problem. If testosterone is low in the body, it can also cause infertility. If a male has the breast then also this problem can arise. So, the examination of the semen is very important. Thank You.read more
I am Dr. Shubhada Khadeparkar here. Today I am going to discuss about infertility. Infertility means a couple who is unable to conceive and after trying for at least one year of uninhabited intercourse now infertility today in India is a major problem. There are about 27.6 million couples who are infertile and if you ask me the incidence it is about 10% on an average. Certain states like Uttar Pradesh has less infertile couples like 3.6% and states like Kashmir is about 15% infertile couples. Now infertility can again be divided into 2 types primary and secondary. Now primary infertility is when the couple just does not conceive at all and secondary infertility is when they have one baby and they do not conceive after again for the 2nd child may be one year after trying for that. Now the infertility couple as we say are male and female partners. So infertility can again further be divided into a female factor a male factor and there is a third factor which is unknown infertility.
The female factor contributes to about 40 to 50%. The male factor in total infertile couples the male factor contributes to about 30 to 40% and the unknown factor which we call idiopathic infertility is about 10 to 20%. What is the causes of female infertile couple? Now when the ovaries are damaged or not healthy as we see in polycystic ovaries when there are multiple small eggs getting formed or when the ovary is infected inflamed or when the ovary again is because of age is not producing adequate oocytes in all these cases we see that the patient can become infertile. In polycystic ovaries commonly we see cycles become very irregular patients become obese gets acne on the face and hormonal imbalance is seen. Certain other causes for ovarian infertility are thyroid hormone insufficiency deficiency prolactin hormone etc. The other second common cause in female infertility is tubal factors.
Now if the tubes are blocked then the female cannot conceive. Which are the common causes of tubal infertility? Again infection which is a pelvic inflammation we see also tuberculosis. In our country tuberculosis is endemic it's all around the year and this is one of the very common causes again. The third common cause for infertility is the uterine factors. Now in the lining of the uterus which we call the endometrium is not healthy. We again see that the baby cannot implant or the embryo cannot implant in the uterine cavity and again the patient becomes infertile. Commonest causes again for uterine factor are infection any procedure done in the uterine cavity in the past specially when adequate antibiotic coverage is not given and that is again pelvic infection and also ageing. Ageing uterus does not have good lining of the endometrium and the patient can become infertile. So today I have discussed basically the main factors in the female the next session I want to discuss the male factors and then of course I will go to the management of the infertile couple.
Thank you!read more