What is Infertility
- Infertility means not being able to become pregnant after 1 year of regular of unprotected intercourse under 35 years of age and for 6 months in a woman more than 35 years of age.
- Infertility is a common problem of about 25% of women aged 15 to 44 yrs.
- Infertility can be due to the problem in woman (30%), the man (30%) and by both sexes or due to unknown problems (40%), approximately.
- A woman must release an egg from one of her ovaries (ovulation).
- The egg must go through a Fallopian tube toward the uterus (womb).
- A man’s sperm must join with (fertilize) the egg along the way.
- The fertilized egg must attach to the inside of the uterus (implantation).
Infertility can happen if there are problems with any of these steps.
What Causes Infertility in Man?
Infertility in men is most often caused by
- Varicocele. This happens when the veins on a man’s testicle(s) are too large. This heats the testicles. The heat can affect the number or shape of the sperm.
- Low sperm count (oligozoospermia), decreased motility (asthenozoospermia) or abnormal shape (teratozoospermia).
- Injuries or other damage to the reproductive system block the exit of sperm.
- Complete absence of sperms (Azoospermia).
Sometimes a man is born with the problems that affect his sperm. Other times problems start later in life due to illness or injury.
What Increases a Man’s risk of Infertility?
A man’s sperm can be changed by his overall health and lifestyle. Some condition that may reduce the health or number of sperm include:
- Heavy alcohol use
- Environmental toxins, including pesticides and lead
- Smoking cigarettes
- Health problems such as mumps, serious conditions like kidney disease, or hormone problems
What Causes Infertility in Women?
- Blocked Fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy
- Physical problems with the uterus like fibroids, polyp, Adenomyosis etc.
- Hormonal disturbance in the thyroid or adrenal gland, diabetes etc.
Treatment at Sunrise Hospital
Laparoscopic Treatment For Infertility
Today laparoscopy has come as a boon for Infertility patients as it requires only 1-day hospital stay, early resumption of day to day activities, minimal blood loss and minimal adhesions make this procedure highly beneficial for the patients and also lead to higher pregnancy rate.
Procedures that are easily done
- Lap Myomectomy- Removal of fibroids.(for more detail on fibroid click here).
- Resection of Endometriosis.(for more details on Endometriosis click here.)
- Tubal Reconstruction is case of previous Laparoscopic Ligation also Known as Tubal Recanalization.
- PCOD Drilling- for polycystic ovarian syndrome for patients who do not respond to medical management alone.
- Lap Adhesiolysis especially in cases of tuberculosis.
- Tubal Cannulation for Mucosal blocks in the tube.
Wherein the inner cavity of the uterus is examined by a per size scope and any abnormalities corrected.
- Hysteroscopic Myomectomy: Wherein fibroids present inside the cavity of the uterus are removed at the same setting with special instruments like Resect scope or Hysteroscopic Morcellators.
- Hysteroscopic Polypectomy: Polyps are benign growths present inside the uterus which lead to infertility and irregular bleeding per vaginum. These growths are removed at the Hysteroscopy.
- Septal Resection: Uterine septum is the presence of an abnormal wall within the cavity of the uterus which is reserted(removed) at the time of Hysteroscopy so that infertility or miscarriage is prevented.
- Hysteroscopic Adhesiolysis is for ashermans syndrome: Sometimes small bands of tissue (Synechiae) present inside the cavity of the uterus are separated with special Hysteroscopic scissors.
- Hysteroscopic Tubal Cannulation.