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Infertility – MEDICAL CAUSES
• What is infertility ?
• When to consult a Doctor?
• Who should get checked?
Most common in Man / woman?
Causes in women?
MAIN CAUSES OF FEMALE(♀) INFERTILITY
1) DEFECTIVE OVULATION.
2) DEFECTIVE TRANSPORT.
3) DEFECTIVE IMPLANTATION.
PCOD (most common)
DEFECTIVE OVULATION OCCURS DUE TO
a) Endocrine disorders.
b) Physical disorders.
Contd......
Contd.........
c) Ovarian disorders. e.g.: Poly Cystic ovarian
disease
Contd.........
d) Endometriosis
2) Defective Transport
a) Ovum: Occurrence due to Pelvic Inflammatory Diseases
b) Scar tissue after abdominal
surgery
3) Defective implantation
Occur due Uterine Fibroids near the fallopian tube or cervix
When to consult a doctor ? women
• Irregular periods
• Severe pain during menstruation
• Painful intercourse
• Frequent vaginal infections
• Chronic pelvic pain
• Excessive wt gain
• Facial hair, acne
• Age factor
Infertility: what to look for?
 Female (normal vs abnormal)
 Duration of infertility and prior evaluation or therapy
 Menstrual cycle (length and characteristics)
 Symptoms associated with ovulation (e.g. breast tenderness,
bloating, mood changes)
 Full OBHx and GynHx
 Prior pregnancies, surgeries, or STD’s
 Sexual history (frequency of intercourse)
 Chronic medical illness
 Family history (infertility, birth defects, genetic
disorders)
 Social history (smoking, EtOH, drugs)
MALEINFERTILITYCAN BECLASSIFIED INTO
2 MAIN TYPES:
Quantity problem:
No sperm (azoospermia) and
Poor sperm quantity (oligospermia)
Quality problem:
Poor sperm quality :low motility
(asthenozoospermia)
A high percentage of abnormal sperm
(teratozoospermia).
MAIN CAUSES OF MALE(♂) INFERTILITY
1) Impaired production or formation of
sperm
2) Impaired delivery of sperm
3) Congenital factors
4) Acquired factors
When to consult a doctor ? men
• Loss of libido
• Erectile dysfunction
• Painful intercourse
• Age
• Addictions
Infertility: what to look for?
Male
 Prior children
 Genital tract infections
 Genital surgery or trauma
 Chronic medical illness
 Medications (e.g. Furantoins, CCB)
 EtOH, drugs, or smoking
 Sexual history (frequency of intercourse)
END NOTE
• MULTIFACTORIAL
• FAMILY ISSUE
• TIMELY CONSULTATION
• LIFESTYLE DICIPLINE
• ACCEPTANCE AND HOPE
inferility.pptx

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inferility.pptx

  • 2. • What is infertility ? • When to consult a Doctor?
  • 3. • Who should get checked?
  • 4. Most common in Man / woman?
  • 6. MAIN CAUSES OF FEMALE(♀) INFERTILITY 1) DEFECTIVE OVULATION. 2) DEFECTIVE TRANSPORT. 3) DEFECTIVE IMPLANTATION.
  • 8. DEFECTIVE OVULATION OCCURS DUE TO a) Endocrine disorders. b) Physical disorders. Contd......
  • 9. Contd......... c) Ovarian disorders. e.g.: Poly Cystic ovarian disease
  • 11. 2) Defective Transport a) Ovum: Occurrence due to Pelvic Inflammatory Diseases b) Scar tissue after abdominal surgery
  • 12. 3) Defective implantation Occur due Uterine Fibroids near the fallopian tube or cervix
  • 13. When to consult a doctor ? women • Irregular periods • Severe pain during menstruation • Painful intercourse • Frequent vaginal infections • Chronic pelvic pain • Excessive wt gain • Facial hair, acne • Age factor
  • 14. Infertility: what to look for?  Female (normal vs abnormal)  Duration of infertility and prior evaluation or therapy  Menstrual cycle (length and characteristics)  Symptoms associated with ovulation (e.g. breast tenderness, bloating, mood changes)  Full OBHx and GynHx  Prior pregnancies, surgeries, or STD’s  Sexual history (frequency of intercourse)  Chronic medical illness  Family history (infertility, birth defects, genetic disorders)  Social history (smoking, EtOH, drugs)
  • 15. MALEINFERTILITYCAN BECLASSIFIED INTO 2 MAIN TYPES: Quantity problem: No sperm (azoospermia) and Poor sperm quantity (oligospermia) Quality problem: Poor sperm quality :low motility (asthenozoospermia) A high percentage of abnormal sperm (teratozoospermia).
  • 16. MAIN CAUSES OF MALE(♂) INFERTILITY 1) Impaired production or formation of sperm 2) Impaired delivery of sperm 3) Congenital factors 4) Acquired factors
  • 17.
  • 18. When to consult a doctor ? men • Loss of libido • Erectile dysfunction • Painful intercourse • Age • Addictions
  • 19. Infertility: what to look for? Male  Prior children  Genital tract infections  Genital surgery or trauma  Chronic medical illness  Medications (e.g. Furantoins, CCB)  EtOH, drugs, or smoking  Sexual history (frequency of intercourse)
  • 20.
  • 21.
  • 22.
  • 23. END NOTE • MULTIFACTORIAL • FAMILY ISSUE • TIMELY CONSULTATION • LIFESTYLE DICIPLINE • ACCEPTANCE AND HOPE