INTRODUCTION DEFINITION TYPES CAUSES MANAGEMENT GENERAL INSTRUCTIONS- • Maintenance of body weight. • Avoid smoking & alcohol. • Maintain ideal coital frequency. [ 3-4 times / week in fertile period] • Avoid lubricants, spermicidal jellies and creams. • Avoid fertility impairing medications. • Psychological support

1. INFERTILITY

2. The ability to conceive and bear children,
the ability to become pregnant through
normal sexual activity.
Fertility is the ability to have babies or to
reproduce. When fertility rates in a
community increase, more babies are born.
Fertility Meaning

3. DEFINITION:
“ Infertility refers to inability to
achieve pregnancy after 12 months of
having unprotected sexual intercourse
with average frequency of 3 to 4 times
per week without use of any birth
control measure”

4. RISK FACTORS
• Age
• Smoking
• Over weight
• Over exercising
• STDs
• Frequency & timing of sexual intercourse
• Mental stress

12. DIAGNOSTIC INVESTIGATIONS
• History collection
• General physical examinations
• Gynaecological examinations
• Cervical mucus study
• Hormone estimation
• Endometrial biopsy
• Sonography

13. MANAGEMENT
GENERAL INSTRUCTIONS-
• Maintenance of body weight.
• Avoid smoking & alcohol.
• Maintain ideal coital frequency.
[ 3-4 times / week in fertile period]
• Avoid lubricants, spermicidal jellies and creams.
• Avoid fertility impairing medications.
• Psychological support.

14. MANAGEMENT OF INFERTILITY

16. MANAGEMENT OF FEMALE INFERTILITY
MEDICATIONS SURGERY ART

17. SURGERY
• Surgical removal of tumor

18. ASSISTED REPRODUCTIVE TECHINQUES
“Assisted reproductive techniques involving direct
retrieval of oocyte from ovary , manipualtion of
gametes and embroyos outside body for purpose
of establishing pregnancy”

19. TYPES OF ART
1.IUI [ Intra Uterine Insemination]
2. IVF- ET [ In vitro fertilization & Embryo
Transfer]
3.GIFT [ Gamete Intra fallopian Transfer]
4.ZIFT [ Zygote Intra Fallopian Transfer]
5. ICSI [ Intra Cytoplasmic Sperm Injection]

20. INTRA UTERINE INSEMINATION

21. IVF

22. GAMETE INTRA FALLOPIAN TRANSFER
( GIFT)
• GIFT is similar to IVF but the difference is that
in IVF technique fertilization done in vitro &
embryo is transferred and in GIFT sperm and
oocytes are mixed in vitro & fertilization done
Done in case if male don’t have capacities to
ejaculate deeply.

23. ZYGOTE INTRA FALLOPIAN
TRANSFER ( ZIFT)
• Egg cells removed and fertilized in
laboratory and zygote placed in fallopian
tube following day 1 of IVF.

24. INTRA CYTOPLASMIC SPERM INJECTION
( ICSI)
• Sperm injected directly into egg cell.
• Done in case of male factor infertility.