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  » Infertility  »  Synopsis of Infertility

Infertility Causes , Infertility Testing and Infertility Treatment

Definition

Infertility is defined as 12 months of unprotected intercourse without pregnancy.

Primary infertility: Infertility without any previous pregnancy.

Secondary infertility: When there has been a previous pregnancy.

Sterility: Is when there is no chance for a pregnancy. This is different from infertility which generally represents a reduced potential for pregnancy. 

Most childless couples with a female age under about 42-44 that are having problems getting pregnant are infertile but not sterile.

When should we seek medical assistance for infertility?

In general, it is appropriate to see a physician for infertility after 12 months of trying to get pregnant on your own.

This time can be longer. For example, if you are only 25 years old and feel that you want to give it more time to occur naturally.
You may also want to seek help in less than 12 months.

Perhaps you know that you have a condition that predisposes to infertility, such as irregular menstrual cycles , endometriosis , previous tubal pregnancy , polycystic ovary syndrome , etc.

Also, female age is an important issue. If the female partner is over 37, you may want to seek help sooner than 12 months (e.g. after 6 months of trying). It is appropriate for women 40 and older to see a fertility specialist if not pregnant after 3-6 months of trying. A high percentage of women over 40 will need help in order to conceive.

Causes of infertility

The cause of infertility is sought by performing a basic infertility evaluation .

These tests can usually be completed in one menstrual cycle.
Most common causes

Ovulation problems

Tubal infertility

Sperm problems

Unexplained infertility

Age-related factors

egg quantity and quality problems

Other, less common causes of infertility

Uterine problems

Infertility and endometriosis

Previous tubal ligation

Previous vasectomy

Infertility associated with immunological problems

Treatment of infertility

Insemination

In vitro fertilization

Intracytoplasmic sperm injection (ICSI)

Assisted Hatching

Donor sperm insemination

Egg donation

Laparoscopy

Hysteroscopy

Induction of ovulation

Ovarian stimulation

Tubal surgery