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Infertility And Its Management

Written and reviewed by
Gynaecologist, Mumbai
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Hi,

I am Dr. Suyansh Bhandekar, Gynaecologist. I will be briefing you today about infertility and its management. You must have observed that he infertility cases have been increased over the 1-2 decades. Science has also envolved into this to help the couples. As of ow 10-14% incidents are there in India. What do we mean by infertility? Infertility is the inability to conceive with unprotected and regular intercourse. We have seen 80% of the couples do conceive within a year. So, 10-14% requires some kind of potential. We divide infertility into 2 aspects whether it's primary where the lady has not conceived on time and the secondary where she has conceived and then she had a miscarriage.

Now she is trying again but unable to do so. So, what leads to infertility? When we look for the female factors which are almost the contributor 40-50% of the cases which involve your ovarian factors like PCOD, ovarian failure, endometriosis, a uterine factor which includes fibroid, polyp, etc or it could be a tubal thing where the tubal is blocked and have been damaged. 2nd the most important thing is the hormonal thing which deals with your menstrual cycle. Next is the malefactor. 40% of the cases we have seen because of male-related things. In which the semen parameters are damaged because of any injury, injections, testis, hernia or some sort of other problems. Sometimes it can be because of male and female factors both which we have seen in 20-30% of the cases. Last but not least, there are some factors which are unexplained. When do we approach a Dr for that?

10-20% of couples who are trying from past 2-3 years, they should definitely approach a Dr. Some couples do require early intervention. Just like the age of the lady is more than 35 or she has a history of the ovarian problem like PCOS, irregular cycles, a male problem which is hampering the problem. So, these patients should come forward and need to see a Dr as soon as possible. So, we advise very basic tests like hormonal tests, thyroid, prolactin, AMH, progesterone. Next is a detailed ultrasound which is a must. The only test which we advise for the male is the semen parameter or semen analysis which see the motility and morphology factors. If everything is normal then the malefactor is also normal. 2nd is tubal evaluation. We do the ovulation induction and IUI. 3rd and the last s IVF and ICSI which has the success rate of 60-70%. So, this is all about in brief. For more information, you can contact me. Thank You.

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