Infertility is a medical diagnosis given to a couple who have not become pregnant even after trying for a pregnancy,regularly,for a year.
Infertility may occur due to problems in the male, female or both partners
EVALUATION of the couple is the first step in trying to resolve the concern. Studies have shown that 20 to 30% of couple are found to be normal on the initial evaluation and have UNEXPLAINED INFERTILITY. Of those with a n identifiable cause.one third occurs due to problems in the male partner alone,one third of cases occur due to female partners alone and one third due to both male and female partners together.
Common causes of infertility in males are a poor semen parameters.These could include
OLIGOSPERMIA-Too few sperms in the semen <15 million/ml sperms
ASTHENOSPERMIA-Slow moving sperms in the semen<32
TERATOSPERMIA-Abnormal looking sperms in the semen <4%
Combinations of the above conditions like oligoasthenospermia/oligoasthenoteratospermia
NECROSPERMIA is dead sperms in the semen
AZOOSPERMIA is absence of sperms in the semen ejaculate
ASPERMIA is absence of semen
It is essential to get the semen analysis done in a reputable lab,with experienced andrology technician,as your entire course of treatment is dependent on this seemingly simple report.
Common treatment for infertility
Includes correction of hormone levels,Thyroid,prolactin,sugars to medication with timed intercourse to iui to ivf/ICSI to Pgta/m.Having said that,majority 60-70%,of couples do become pregnant with simple treatment and won’t require Ivf.
Whom to approach for fertility treatment
Meeting the right,experienced doctor is critical for treatment success,as time and money are important.A trained fertility doctor,well versed in handling all types/ causes of infertility is recommended.