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Last Updated: Oct 23, 2019
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Different Reasons for Infertility in Females & Males

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Dr. Nupur GuptaGynaecologist • 27 Years Exp.MICOG, MS - Obstetrics and Gynaecology, MBBS
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Infertility refers to the inability to conceive after having regular unprotected sex for a period of 12 months or so. The complex process of ovulation and fertilization need to work right in order to become pregnant.

The common reasons that cause infertility in female and male are listed below:

Reasons for female infertility:

  1. Uterine abnormalities - This includes problems related to the opening of cervix or abnormalities in the shape of the uterus which includes arcuate or septate uterus or any congenital anomalies like bicornuate uterus or uterine didelphys. Fibroids may distort the uterine cavity interfering with implantation of fertilized egg. Adenomyosis or endometriosis of the endometrium is one the common causes of early infertility.
  2. Thyroid problems - Disorders of the thyroid gland, either too much thyroid hormone or too little can interrupt the menstrual cycle, leading to infertility in the long run.
  3. Ovulation disorders - This prevents the ovaries from releasing eggs. Examples include hormonal disorder (PCOS, hypothyroidism, hyperprolactinemia), excessive exercise, eating disorders, injuries, cysts be it follicular or endometriotic and ovarian tumors.

Reasons for male infertility:

  1. Problems with delivery of sperm - This can happen due to sexual problems, such as premature ejaculation, retrograde ejaculation (semen entering bladder instead of emerging through the penis during orgasm), genetic diseases such as cystic fibrosis, structural problems such as blockage of the part of the testicle that contains sperm or injury to reproductive organs.
  2. Damage related to cancer - This includes radiation and chemotherapy. Cancer treatments can impair sperm production. Removal of one testicle due to cancer may also affect male fertility.
  3. Abnormal sperm production - This can be due to various problems like undescended testicles, genetic defects, health problems including diabetes, infections such as mumps, chronic urinary tract infection especially e. Coli or surgeries on the testicles. Enlarged veins in the testes increase blood flow and heat, affecting the number and shape of sperm.
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