1.What is Infertility?
Infertility is difficulty in conceiving a pregnancy. We consider a couple to have infertily if they have not conceived despite regular intercourse without using birth control, for atleast a year. However, this does not mean that they have not conceived later on, even without traetment.
2.Is infertility a male or a female problem?
In the past, Infertility was commanly considered to be solely of a female problem. It is now recognised that a couples' infertility is just as likely to slim from promlems.In the male partner, 40% of cases are found to stem from female factors and 40% from male factors. In 10% of couples, infertility factors are found in both man and woman. In the remaining 10%, the infertility remains unexplained after testing.Because either or both may be involved, it is imported to test both the man and the woman before starting treatment. No matter what the cause, most treatments required the active participation of both partners.
3. If I had a baby once, can I be infertile now?
Yes, Secondly infertility is the name given whenthe problem arises in a couple who have been able to get pregenant in the past. Sometimes a new facrtor, such as infection or a going process make it more difficult for a couple to conceive.
4. Is Infertility becoming more common?
Yes, there has been a major increase in the proportion of couples who are infertile because of delayed marriages and environmental factors.
5. Does age affect fertility?
In general, women's fertility begins to decline gradually after 30, with a steep drop between 35 and 45. This means that, an average, it takes longer for an older woman to conceive.
6. Does stress cause infertility?
Stress is recognized primarily as a result, rather than a cause of fertility problems. However, there is evidence that stress can have a negative impact on sperm and egg production.
7. How is the cause of infertility identified?
An infertility work up will involve tests to determine how well each of the systems involved in conception is working.
- Egg Production : By checking hormone levels and doing ovulation studies.
- Sperm Production : A semen specimen will be analyzed for the number of sperms, their shape and motility. If the results are abnormal, the ale partner may be evaluted by a eurologist or tested for normal abnormalities or infection.
- Fallopian Tubes : To see whether the fallopian tubes are open, or X-ray ( called as Hysterosalpingographu or HSG ) may be taken while dye is injected into the uterus and tubes. Alternatively, doctor might inject a saltwater solution and view the uterus and tubes using ultrasound ( called scnohysterogram)
- Cervix : To determine whether sperms are able to swin through cervics, a sample of cervical nucleous is examined after intercourse. This is called post cortal test but this is not very useful.
- Uterus : The shape of the uterus can be seen in 3D pelvic USG or HSG or through hysteroscopu. Endamentral living can be measured by ultrasound same way same way require endamental biopsy.
8. Treatment options for Infertility :
- Ovulation induction : Planned relations
- Ovulation induction : 141
- Ovulation induction : IVF