Male Infertility
Approximately 15% of couples attempting their first pregnancy meet with failure. Most authorities define these patients as primarily infertile if they have been unable to achieve a pregnancy after one year of unprotected intercourse. Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the male factor is at least partly responsible in about 50% of infertile couples.
Important issues related to the evaluation of the male factor include the most appropriate time for the male evaluation, the most efficient format for a comprehensive male exam, and definition of rationale and effective medical and surgical regimens in the treatment of these disorders. It is extremely important in the evaluation of infertility to consider the couple as a unit in evaluation and treatment and to proceed in a parallel investigative manner until a problem is uncovered. It has been shown that the longer a couple remains subfertile, the worse their chance for an effective cure. Many couples experience significant apprehension and anxiety after only a few months of failure to conceive. Unduly prolonged unprotected intercourse should not be advocated before a workup of the man is instituted. Initial screening of the man should be considered whenever the patient presents with the chief complaint of infertility. This initial evaluation should be rapid, non-invasive and cost effective. Of interest is the fact that pregnancy rates of up to 50% have been reported when only the woman has been investigated and treated even when the man was found to have moderately severe abnormalities of semen quality.
Causes of male infertility
There are many male factors that can make a couple unable to become pregnant. These may include conditions such as the following:
- diabetic neuropathy, in which nerve damage causes problems with erection or ejaculation
- extreme obesity hormone imbalances, such as hypothyroidism
- hypogonadism, a condition in which the testes fail to develop normally
- inherited conditions that impair the ability to produce sperm, such as Down syndrome
- testicular torsion, a condition in which the blood supply to the testicle is cut off
- undescended testicles, a condition in which the testes fail to drop into the scrotum
- varicocele, a group of enlarged veins inside the scrotum
- Female Infertility
There are many different types of infertility experienced by women. Many of the fertility problems can be easily treated. However, the sooner you get a diagnosis, the better your prognosis will be. In this section, you'll find explanations for numerous female infertility disorders.
Some of the most common causes of female infertility include polycystic ovarian syndrome, fibroids and endometriosis. However, there are several other reasons why a woman may experience fertility problems, such as ovulatory disorders (like anovulation), premature ovarian failure and uterine factors. Egg quality also plays a role in infertility in many women.
The female reproductive system is a very delicate structure that is easily affected by even the slightest change in your body. Because of this, it can be dangerous to alter the system too much. menstrual suppression, for example, can potentially lead to infertility. Maintaining your health can also help you avoid some infertility risks, like luteal phase defect.
Women with eating disorders find it very difficult to conceive. Anorexics often stop menstruating, making pregnancy impossible until the eating disorder is corrected. Alternately, plus-sized women can also find themselves dealing with various fertility issues. Infertility When You're Plus Sized outlines some of the more commone problems experienced by overweight women and what can be done about them.
Women who have been diagnosed with breast cancer may feel overwhelmed at the the thought of treatment. If you have been diagnosed and are in your childbearing years, then you will also likely feel some anxiety as to whether treatment will make you infertile. Take a look at Breast Cancer and Fertility to find out what kind of impact this deadly disease may have on you.
Sadly, many women are able to conceive but have difficulties carrying a pregnancy to term. Women who experience multiple miscarriages should make an appointment with their doctor to find out what is causing their infertility.
Worried that there may be drawbacks to infertility treatments? There are a few, including the increased chance of having multiple births.
Causes of female infertility:
In order for you to become pregnant, each of these factors is essential:
You need to ovulate. Achieving pregnancy requires that you're having regular menstrual cycles during which an egg is released, a process known as ovulation. Your doctor can help evaluate your menstrual cycles and confirm ovulation.
Your partner needs sperm. For most couples, this isn't a problem unless your partner has a history of illness or surgery. Your doctor can run some simple tests to evaluate the health of your partner's sperm.
You need to have regular intercourse. You need to have regular sexual intercourse during your fertile time. Your doctor may be able to help you better understand when you're most fertile during your cycle.
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Posted by: honey | 08/23/2011 at 10:06 AM