UNDERSTANDING INFERTILITY --Causes & Treatment ...
WHAT IS INFERTILITY ( men&women)
Infertility is defined as the inability to conceive after
12 months of unprotected sexual intercourse. Infertility may be
attributed to the man, the woman, or both partners. Infertility does
not mean that a couple is sterile and will never have a child.
Approximately half of all couples who seek help for infertility will
eventually conceive a child. There are several treatments available that
may help to improve the chances of a conception and a successful
pregnancy.
Causes of Infertility
Not all causes of infertility are known, however infertility
may be affected by genetic disorders, previous radiation and
chemotherapy treatments for cancer and medical conditions such as
thyroid problems or diabetes. Other factors may also play a role in the
cause of infertility and may include:
In Women:
- Advanced age
- Endometriosis
- Ovulation disorders
- Abnormalities with the uterus or cervix
- Damage or blockage in the Fallopian tubes
- Eating disorders
In Men:
- Low sperm count
- Varicocele or other testicle problems
- Hormone problems
- Exposure to certain chemicals or toxins
In some cases lifestyle factors such as obesity, smoking,
and heavy alcohol or drug use can affect ovulation and sperm count and
decrease levels of fertility.
Diagnosis of Infertility
During the initial infertility evaluation, both the female
and male partner will undergo a full physical examination and their
complete medical histories will be reviewed. In addition, blood and
urine tests will be performed. Additional tests to determine the cause
of infertility will also be performed and may include:
For Women:
- Hysterosalpingography to evaluate the condition of the uterus and Fallopian tubes
- Hormone testing to check levels of hormones that control reproductive processes
- Ovulation testing
- Imaging tests of reproductive organs
For Men:
- Semen analysis
- Hormone level testing to check testosterone levels
- Transrectal and scrotal ultrasound
Both partners may also be tested for any genetic defects that may be causing infertility.
Treatment of Infertility
Treatment for infertility aims to maximize the couple's fertility
potential and allow for successful conception. Recommendations for
increasing fertility may be as simple as quitting smoking, avoiding
alcohol and losing weight. Treatments may vary depending on the cause
and may include:
For Women:
- Fertility drugs to induce ovulation
- Surgery to repair blocked or damaged fallopian tubes
- Surgery to correct problems with the uterus
- Hormone treatments
For Men:
- Surgery to correct a varicocle
- Medication to correct impotence
- Sperm retrieval
- Hormone treatments
Additional Resources
- National Institutes of Health
- Centers for Disease Control and Prevention
- U.S. Department of Health & Human Services
- U.S. National Library of Medicine
- NOTE
- l Balance is an important factor when it comes to healthy fertility and getting pregnant. During the course of a menstrual cycle various hormones are working together in a complex symphony to trigger the components of ovulation and menstruation. Progesterone is one of these key hormones. After ovulation progesterone production is triggered by Luteinizing Hormone (LH) which stimulates the corpus luteum (the remnant egg sac) in the ovary to produce progesterone. One of the main actions of progesterone with fertility is to help support a developing embryo.
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