Dr Angad Kumar Best endocrinologist & diabetologist

Dr Angad Kumar Best endocrinologist & diabetologist Doctor in bihar

Infertility

Infertility refers to the inability to conceive and carry a pregnancy to term after a year of regular, unprotected intercourse (or six months for women over 35). It can affect both men and women and can have various causes.

Symptoms of Infertility

The primary symptom of infertility is the inability to conceive despite trying to conceive for an extended period. For women, irregular menstrual cycles, very short or very long cycles, or absent periods might also be indicative of potential fertility issues. However, infertility might not always present with noticeable symptoms.

Risk Factors for Infertility:

Infertility risk factors include age (especially after 35), ovulation disorders, endometriosis, uterine/cervical issues, fallopian tube problems in women, and low sperm count, hormonal imbalances, testicular disorders in men. Lifestyle factors like smoking, alcohol, weight issues, and chronic illnesses also contribute.

Women:

  1. Age: Fertility decreases with age, especially after 35.
  2. Ovulation Disorders: Conditions like polycystic ovary syndrome (PCOS) or primary ovarian insufficiency can disrupt ovulation.
  3. Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus.
  4. Uterine or Cervical Issues: Abnormalities in the uterus or cervix might hinder conception.
  5. Fallopian Tube Problems: Blockages or damage to the fallopian tubes can prevent the egg and sperm from meeting.
  6. Medical Conditions: Conditions like diabetes, thyroid disorders, and autoimmune diseases can affect fertility.
  7. Lifestyle Factors: Smoking, excessive alcohol consumption, being overweight or underweight, and excessive exercise can impact fertility.

Men:

  1. Low Sperm Count or Quality: Issues with sperm count, motility, or morphology can affect fertility.
  2. Testicular Disorders: Conditions like varicocele (enlarged veins in the testes) can impact sperm production.
  3. Hormonal Imbalances: Hormonal issues can affect sperm production and function.
  4. Medical Conditions: Conditions like diabetes, infections, and certain medications can affect male fertility.
  5. Lifestyle Factors: Smoking, excessive alcohol consumption, drug use, and exposure to environmental toxins can harm sperm health.

Both Partners:

  1. Sexual Dysfunction: Problems with sexual function or intercourse might affect conception.
  2. Genetic Factors: Genetic conditions might impact fertility in both men and women.
  3. Previous Medical Treatments: Treatments like chemotherapy or radiation can affect fertility.
  4. Chronic Illness: Long-term health conditions can impact fertility.
  5. Stress: Chronic stress might affect hormonal balance and fertility.
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