The inability to have any live birth is called Infertility.
It is estimated to affect as many as million people worldwide. Although male infertility contributes to more than half of all cases of global childlessness, infertility remains a woman’s social burden. Unfortunately, areas of the world with the highest rates of infertility are often those with poor access to assisted reproductive techniques. Says Dr. Saravanan and Dr. Mahalakshmi Saravanan.
Causes of increasing in Infertility
Healthy sperms, eggs, fallopian tubes, uterine milieu and receptive endo-metrium constitute the essentials for conception. Failure in one or more of these leads to infertility which is defined as failure to achieve a pregnancy within 12 months of regular coitus.
Fertility is primary or secondary, age, duration of infertility, coital frequency and regularity of menstrual cycles. Important features in examination are BMI, hirsutism, uterine size and pelvic mass.
The causes of female infertility are abnormalities in ovulation, patency and function of fallopian tubes and endometrial receptivity. Ovulation problems could be due to polycystic ovarian disease (PCOD) which will need weight reduction if BMI is >30 and clomiphene to induce ovulation. Endo-crinological causes which will require appropriate treatment while the only option for premature ovarian failure and chromosomal oocyte dysfunction is ovum or embryo donation.
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