Monday, August 31, 2020

Meaning of Infertility

Many couples ,all over the world are unable to produce child even after many year of unproteted sex.
It denote the inabelity to produce offspring is failure to fertility is called "Infertility". Infertility is comman.


Causes of Infertility:-
  • Due to female factor :-
    • Failure to ovulation
    • Failure to fertilization
    • Failure to implantation
    • Narrowing of fallopian tube 
    • No support to utero endometrium
    • Uterine fibrosis 
    • Endometriosis
    • Dysmenorrhea
    • Crptomenorrhea
  • Due to male factor -
    • Erectile dysfunction 
    • Aspermia
    • Varigocele in lower extermities and groine area
    • Oligospermia 
    • decrease motoraty  of sperm 
    • Cryptorichidism
    • Microphallus
    • Lack of libido
    • Anorchia( congenital abscence of testies)
    • Aphallia( congenital abscence of penis)


    Risk factors:-
      • Smoking
      • Alcholism
      • Narcotic drugs 
      • Obesity
      • Harmonal imbalance
      • Mal nutrition 
      • Surgery of ectopic pregnancy
      • Sexually Transmitted Disease
      • Cervica disorders
      • Vaginal interotus


    Type of infertility:- There are two types of infertility.
    1. Primary Infertility - In this type of infertiliy the has not pregnant once in her entire life, it called primery type of infertility.
    2. Secondery Infertility- The woman has been pregnant once before but is not able to get pregnant again,is the secondery type of Infertility.

    Diagnostic tests for identify the cause of  infertility:-
    • In Male -
      • History taking 
      • Blood analysis
      • Testicular biopsy
      • Seman anlysis ( most commanly done )


    • In Female-
      • History taking - age at menrache, menstrual history
      • Physical examination
      • USG
      • Hysterosalpingography
      • Post coidal test
      • Harmonal analysis

    Treatment of Infertility:-

    • The treatment are based on the male and female factors,In case of infertility
    MEDICATIONS  to treat male factors of infertility
    • HCG (To improve testosterone harmone)
    • Hypoyonaclotrophine(Improve sperm count in seman)
    • Clomiphene citrate( Improve gonadotrophine level)
    • Antibiotic tharapy (For treat any UTI& GIT)
    • Phenyle epherine (To treat ejaculation problems)
    • Vigra ( To treat eractile dysfunction)
    Medication for females:-
    • Bromocriptine(Decreases the level of prolctine harmone)
    • HCG
    • HMG
    • Dexamethasone( To reduce the level of endrogen)

    Surgical procedure to treat infertility:-
    • Orchidopexcy and Gyptorchidis
    • Tubopasty ( to remove ostruction in fallopian tobe)
    • Salpingotomy 


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