When Should You See an Infertility Expert

Chances of conception for any couple having regular unprotected intercourse for one year or more are 80%. Based on this it is the right time to see an expert and get the investigations done.

Definition:

Infertility is defined as the inability to attain pregnancy after 1 year of regularly unprotected coitus. If you have not been able to conceive after a year of trying one should see the doctor.

Advice should be taken earlier if

• The female partner is nearing the age of 35 or
• Irregular periods or
• History of pelvic infections
• If male partner has sexual dysfunction/ ejaculatory problem/ undescended testis.

Problems in Female Partner:

1. Tubal damage due to infections or due to surgery

2. Ovarian disorders

3. Uterine factors/ No periods/ Irregular periods

4. Unexplained infertility

5. Endometriosis

6. Age Factor

7. Premature Ovarian failure/ Primary

8. Multiple IVF failure

9. Multiple IUI failure

10. Immunological factors causing infertility

11. Repeated miscarriages

12. Family history of genetic diseases

13. Uterine factor (third party reproduction)

Problems in Male Partner:

Male factor infertility (oligoasthenoteratozoospermia, retrograde ejaculation, an ejaculation):

1.Obstructive Azoospermia (Complete absence of sperms)

2. Oligospermia (Low Sperm Count)

3. Oligoasthenozoospermia (Low sperm motility)

4. Oligoteratozoospermia (Abnormal sperms)

5. DNA fragmentation

6. Sexual dysfunction

7. Ejaculatory Problem

8. Erectile Dysfunction

9. Undescended testicles

10. Varicocoele veins around the testis

Sometimes both male and female have problems, which needs to address for a successful outcome.