A vexing condition causing physical and psychological suffering of a married couple is infertility. A wide range of legal and civil problems arises from this problem. It deprives a woman from the test of motherhood, a man from fulfillment of paternity and happiness of a couple. Infertility is invariably associated with psychological stress related not only to the diagnostic and therapeutic procedures themselves but also to repeated cycles of hope and loss associated with each new procedure or cycle of treatment that does not result in the birth of a child. These feelings are often combined with a sense of isolation from friends and family.
Infertility is defined as the inability to conceive after 12 months of unprotected sexual intervention. Prevalence varies according to duration assumed beyond which non-conception is considered as infertility. It varies between 7-8.5%.
So before going to start any procedure you must have a fair idea about what are the causes of concern problem. Infertility can offer in a variety of settings. Although a general thought prevails among general population that females are mostly responsible for infertility and carry whole responsibility for conception, the fact is males are liable by 25% for such problem. So think it in a new way. Female causes prevail in 58% and causes remain unexplained in 17% cases.
Causes from female side include amenorrhea or ovulatory dysfunction, hypothalamic or pituitary cause (they release hormones responsible for female egg maturation and ovulation), disorder in fallopian tubes, Endometriosis (it also cause painful menstruation and abnormal bleeding), polycystic ovary syndrome, premature ovarian failure, uterine or outflow tract disorder, sexually transmitted diseases that may cause ascending infection (pelvic inflammatory disease), any congenital defect in genital system including absence of uterus, double uterus etc, exposure to deep x-ray or harmful chemicals, malnutrition, obesity , excessive exertion (> 1hour per day), psychological stress, drug abuse and obviously, tubectomy (stelilization).
Malepart play their role in infertility with primary and secondary hypogonadism, disordered sperm transport, loss of potency, premature ejaculation, qualitative and quantitative deficiency of sperm, infection such as mumps, testicular tumor, trauma, absence of penis, double penis, filarial disease affecting penis, gonorrhea, syphilis, pelvic testis, systemic diseases like diabetes, tuberculosis, disease of nervous system like hemiplegia, tabes paresis, insufficient volume of semen, alcoholism, drug abuse, over-exercise, stress and vasectomy.
Some of the above causes are potentially controllable and treatable. So think reasonably the probable causes and make a guess yourself to which line you should approach. Doctors are always ready to help you.