Infertility is the inability of a couple to conceive after repeated attempts over more than one year without the use of contraception. In women over the age of 35 years, inability to conceive for 6 months is regarded as a case of infertility. About 6.1 million individuals suffer from infertility disorders worldwide. In India, infertility is a concern for 10-15% of all married couples and this number is on the rise due to changing lifestyles. There are two broad categories of infertility-primary infertility and secondary infertility. In primary infertility, the couple has never conceived despite repeated attempts. In secondary infertility, the couple has had at least one successful conception before, but is unable to conceive again.
There are numerous reasons for both male and female infertility, some of which can be treated medically. While it is a common assumption that infertility is due to women, only one third of all infertility cases are due to problems with the female partner. One third of all cases are attributable to problems with the male partner, one third with both partners being responsible and in 20% cases, the exact cause cannot be ascertained.
In women, the most common treatable causes of infertility are ovulation disorders, bilateral blockade of the Fallopian tubes, structural anomalies of the uterus and hormonal issues. Other causes include pelvic inflammatory disease, endometriosis, toxic effects from drugs and tobacco, environmental and occupational factors, age, and inadequate diet.
We offer extensive guidance and information regarding these issues and the chances of success after treating them. About 80-85% cases of infertility are treated with conventional therapies that include hormonal therapies and surgical correction of structural anomalies, if any. Assisted methods of reproduction such as in utero insemination (IUI) and in vitro fertilization (IVF) are recommended in the remaining 15% cases where conventional therapies fail.