The hysteroscopy used was rigid continuous flow diagnostic hysteroscopy (Tuttligen, Karl Storz, Germany). It has a 30o panoramic optic which is 4mm in diameter and the diagnostic continuous flow outer sheath is 6.5 mm in diameter. The patient was placed in lithotomy position with the buttocks projecting slightly beyond the table edge.read more
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Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Family Planning Procedure
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The hysteroscopy used was rigid continuous flow diagnostic hysteroscopy (Tuttligen, Karl Storz, Germany). It has a 30o panoramic optic which is 4mm in diameter and the diagnostic continuous flow outer sheath is 6.5 mm in diameter. The patient was placed in lithotomy position with the buttocks projecting slightly beyond the table edge.
Azoospermia is a medical condition in which there is absence of sperms in seminal fluid. Normally sperms are produced inside the testicles and then ejaculated out of the body for reproduction. In azoospermia, either the production or ejeculation of sperms from the body is impaired.
There are 3 types of azoospermia depending upon level of damage-
• Pre-testicular azoospermia - A rather less common variety of azoospermia, this happens when reduction in hormone levels at hypothalamus or pituitary level causes inefficient production of sperms from testicles.
• Testicular azoospermia- This happens when the testicles cannot produce adequate level of sperms because they have been injured or otherwise impaired due to disease acquired in childhood(mumps) which causes inflammation of the testis or cancer treatment like chemotherapy or radiation therapy.
• Post-testicular azoospermia- This happens when the testicles are producing adequate levels of sperms, but they cannot be ejeculated due to a blockage in their pathway.
In the case of azoospermia, usually there are no symptoms. It does not affect the performance of male partner.
Usually semen analysis is advised after failure to impregnate a female partner even after unprotected intercourse for a year.
For diagnosis of azoospermia, semen sample should be tested at least twice. If there is nil sperm count at both times, diagnosis is confirmed.
Your medical history, including any injury / infection to the testicles and groin area in childhood to adulthood, will be asked. This is done so that your physician can advise you better, about the path to follow in order to regain fertility and reproductive health.
Treatment of azoospermia
There are different types of treatments, specific to causes of azoospermia.
• If a blockage in the path of sperm is the cause, then curative surgery or testicular biopsy/aspiration followed by ICSI with those sperms can provide a solution. TESA(testicular sperm aspiration) /TESE(testicular sperm extraction) /PESA(percutaneous epididymal sperm aspiration)/ Micro TESE provide an effective treatment in such cases. If positive for sperms, they can be stored for 2-3 ICSI cycles.
• If azoospermia is due to testicular failure, option of donor semen is available. It can be used for IUI or IVF depending upon female factors.
Polycystic ovarian syndrome is a complex endocrinological disorder causing absence of ovulation, irregular menstrual cycles, increase in male hormone levels like testosterone , DHEAS causing pimples, excessive hair growth on face, chest, infertility and multicystic ovaries on sonography. Most of these females are overweight or obese. Because of ovulation defect and insulin resistance, they have difficulty in conceiving. Treatment mainly aims at lifestyle modification, weight loss, medications for ovulation induction & reducing insulin resistance . IUI or IVF treatment may be needed depending upon tubal patency tests and semen analysis.
Polycystic ovarian syndrome (pcos) is seen in approx 30-40% of infertile females. Most of these women are overweight or obese, the severity of the disease is directly proportionate to wt gain. Increased weight causes insulin resistance, rise in male hormone levels leading to pimples and excessive hair growth and irregular cycles. Ultimate treatment should be aimed at weight loss, lifestyle modification, diet and exercise. Medications like oral contraceptive pills, metformin help to reduce insulin resistance and male hormone levels to some extent. But the results will be temporary unless backed by weight loss. Pcos in lean females need to be treated with medicines and is more difficult to treat. These females should seek advice of fertility expert early after marriage, so that simple options like ovulation induction help them. They need to keep it in mind that they have higher chance of miscarriage than females without pcos. So, do not neglect if you are getting irregular periods, consult your gynaec or fertility expert.
We had some fun on 8 October 2018. We both were wearing inner underwear and jeans also. I sleeped on her. Can my sperm enter her vagina through clothes. Pls answer bcix she is taking tension that she is pregnant. But we were wearing inners as well as jeans.
Hi, I would like to know that Semen volume 2 ml constipation 24 million motility 65 morphology 85 trying for baby 2 years.
Please my husband semen analysis result is colour grey, volume 6 ml, PH 7.5, consistency incomplete liquefaction after 1 hr, Motility (actively motile 45%, sluggish 20%, inactive 35%, viability 70%) sperm count 25,700,000, range (minimum of 20,000,000) Morphology (normal 50%), Abnormal (Head Defect 4%, Mid-piece Defect 13%, Tail-Piece Defect 3%) Cells (PUS cells present (+) ), Comment Normospermia. Please with this result can he pregnant me and any suggestions for us.
Why do females with irregular cycles have infertility more often?
Cycle regularity is related to ovulation process. Those getting regular cycles often ovulate from either ovary. It may be alternate ovary or same ovary in consecutive months. After ovulation if conception does not occur in that cycle, female gets periods 2weeks after ovulation. Those with irregular menstrual cycles, usually don't have spontaneous ovulation, hence fertility issues occur. Ovulation induction with medicines or gonadotropin injections helps correcting ovulation and infertility in these women.