Infertility
Infertility Center Nagpur
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Causes of Sterility in Women In women, the classification of possible causes is much more complex. Factors affecting Fertility Frequency/Timing of sexual intercourse: - Every 2 to 3 days optimises the chance of pregnancy Obesity: - Women who have BMI of over 30 should be informed that they are likely to take longer to conceive and will affect treatment success rates. Cushing disease Increased cortisol levels cause a negative feedback on the hypothalamus, decreasing GnRH release. An estimated 34 million women, predominantly from developing countries, have infertility which resulted from maternal sepsis and unsafe abortion (long term maternal morbidity resulting in a disability). Hysterosalpingography: Fluid is injected into the woman's uterus and X-rays are taken to determine whether the fluid travels properly out of the uterus and into the fallopian tubes. Paternal age > or = 40 years: an important risk factor for infertility.
You take gonadotropins that trigger the development of more than one egg. Many more couples, however, experience involuntary childlessness for at least one year: estimates range from 12% to 28%.[4] Male infertility is responsible for 20–30% of infertility cases, while 20–35% are due to female infertility, and 25–40% are due to combined problems in both parts.[2][5] In 10–20% of cases, no cause is found.[5] The most common cause of female infertility is ovulatory problems, which generally manifest themselves by sparse or absent menstrual periods.[6] Male infertility is most commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[7] Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile for the rest of the menstrual cycle. Exposure to some chemicals: Some pesticides, herbicides, metals, such as lead, and solvents have been linked to fertility problems in both men and women.
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The severity usually depends on how near to the testicles the radiation was aimed. In some cases, laparoscopy for infertility will be indicated to look for pelvic scarring or endometriosis As in vitro fertilization success rates have improved dramatically over the past 20 years, laparoscopy for infertility is being done much less than before.
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Source : Infertility and its Treatments - PPT Presentation Summary : Infertility and Its Treatments. Three regions have been described, called azoospermic factors a, b, and c (AZFa, AZFb, AZFc).[24] These deletions are observed in 3-19% of patients with idiopathic infertility and 6-14% of patients with oligospermia, although up to 7% of patients with other known causes of infertility may also be found to have a deletion. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. The enzyme aromatase is responsible for this conversion, and is found primarily in adipose tissue. However, medical treatment can be used to reduce the myoma size prior to removal. Fimbrioplasty for fimbria agglutination or phimosis without destruction of the cilial epithelium is equally successful.
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It is more successful in women who have previously been pregnant. Abnormal sperm: The sperm may have an unusual shape, making it harder to move and fertilize an egg. Large polyps or multiple polyps can impact fertility by interfering with the ability of embryo to implant and should be removed. BMI (body mass index) may be a significant factor in fertility, as an increase in BMI in the male by as little as three units can be associated with infertility. Hormonal analysis Around 3% of cases of male infertility are estimated to be due primarily to a hormonal cause. Both infertility and subfertility are defined as the inability to conceive after a certain period of time (the length of which vary), so often the two terms overlap. Specific surgical instruments used in a laparoscopic surgery include forceps, scissors, probes, dissectors, hooks, and retractors.
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