Infertility has increased by 4 percent since the 1980's. About 40 percent of the issues involved with infertility are due to the man, other 40 percent due to the woman, and 20 percent result from complications with both partners.One in every four couples in developing countries had been found to be affected by infertility.
Infertility according to WHO is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse," also some times infertility specialists believe that couple with infertility are eligible for treatment if a women under 35years of age is not conceived within 12 months of regular unprotected coitus, and if a women above 35 years of age is not conceived within 6 months of regular unprotected coitus.
Also Ayurveda, the science of life explains about this infertility as vandhyatwa decades back.Mithyaachara, Beejadosha, Pradustaartava, Daivat are etiology factors given in ayurveda for infertility.
Infertility according to WHO is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse," also some times infertility specialists believe that couple with infertility are eligible for treatment if a women under 35years of age is not conceived within 12 months of regular unprotected coitus, and if a women above 35 years of age is not conceived within 6 months of regular unprotected coitus.
Also Ayurveda, the science of life explains about this infertility as vandhyatwa decades back.Mithyaachara, Beejadosha, Pradustaartava, Daivat are etiology factors given in ayurveda for infertility.
- This mithyachaara can be considered as life style factors like smoking etc which play important role in causing infertility.
- Beeja dosha are chromosomal and congenital abnormalities causing infertility.
- pradushtartava is the menstrual factor and ovulation factor responsible for infertility.
- The last one daivat is infertility due to idiopathic reasons.
The basic investigations for infertility include:
1.Semen analysis.
2.USG-to rule out pelvic abnormalities if any..
3.Hysterosalpingography
4.Follicular study
Semen analysis:(normal study)
volume: 2 ml or more
sperm count: 40 million or more per ejaculation
motility: more than 50%
viability:more than 75%
If report given shows:
ASPERMIA: failure of emission of semen
OLIGOSPERMIA: sperm count < 20 million per ml
AZOOSPERMIA: No spermatozoa in semen
ASTHENOSPERMIA: reduced motility of sperm cells
NECROZOOSPERMIA: motion less or dead spermatozoa
TERATOZOOSPERMIA: > 70% spermatozoa with abnormal morphology.
USG(ultra sonography)pelvis:
to rule out PID, any ovarian cysts like pcod, uterine fibriods,
the thickness of endometrium, any growth etc.
HSG(hysterosalpingography):
This is done usually to assess the tubal patency in infertility, blocked fallopian tube, abnormal shape or size of uterus, any adhesions, fibroids, polyps are also seen through the contrast media used in the test.
Follicular study:
Usually done during the ovulation period, on every alternate day to measure the growth of dominant follicle, and its rupture for ovum to get released.Also thickness of endometrium is measured to check its capacity of implantation.Usually triple line pattern of endometrium is a good sign for proper implantation in follicular study.
2.USG-to rule out pelvic abnormalities if any..
3.Hysterosalpingography
4.Follicular study
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| Waiting for Fertility |
Semen analysis:(normal study)
volume: 2 ml or more
sperm count: 40 million or more per ejaculation
motility: more than 50%
viability:more than 75%
If report given shows:
ASPERMIA: failure of emission of semen
OLIGOSPERMIA: sperm count < 20 million per ml
AZOOSPERMIA: No spermatozoa in semen
ASTHENOSPERMIA: reduced motility of sperm cells
NECROZOOSPERMIA: motion less or dead spermatozoa
TERATOZOOSPERMIA: > 70% spermatozoa with abnormal morphology.
USG(ultra sonography)pelvis:
to rule out PID, any ovarian cysts like pcod, uterine fibriods,
the thickness of endometrium, any growth etc.
HSG(hysterosalpingography):
This is done usually to assess the tubal patency in infertility, blocked fallopian tube, abnormal shape or size of uterus, any adhesions, fibroids, polyps are also seen through the contrast media used in the test.
Follicular study:
Usually done during the ovulation period, on every alternate day to measure the growth of dominant follicle, and its rupture for ovum to get released.Also thickness of endometrium is measured to check its capacity of implantation.Usually triple line pattern of endometrium is a good sign for proper implantation in follicular study.
