29/11/2022
INFERTILITY
📌 Infertility is the failure of the couple to conceive diagnosed after one year of regular coitus without contraceptives.
TYPES OF INFERTILITY
A) PRIMARY INFERTILITY
📌This is the failure of a couple who has never coinceived to bear a child after one year of regular coitus.
B) SECONDARY INFERTILITY
📌This is the failure of a couple to conceive after one year of regular coitus following an abortion or any chronic diseases.
FACTORS TO CONCEIVE
FEMALES
📌 Cervical mucus must be acidic and not thick
📌 Fallopian tubes must be patent with no any obstructions
📌 Ovaries must be able to produce a matured ova(an egg)
📌 Adequate reproductive hormones (oestrogen and progesterone)
MALE
📌 Normal s***matozoa (quantity, morphology and motility)
📌 Spermatozoa must be an alkaline
📌The ge***al tracts must be patent (s***m ducts)
📌 P***s should be able to secrets mucus.
CAUSES OF INFERTILITY
📌Sperm abnormalities such as low s***m count, malformed s***ms
📌 Systemic conditions such as diabetes due to increase glucagon hormones that reduces the production of testosterone in males and progesterone in females
📌 Smoking and drinking alcohol causes the testicles to shrink and decreases s***m production.
TREATMENT
📌 Clomiphene citrate 50mg orally to induce ovulation in women.
📌 Metformin 500mg to maintains glucagon levels and testosterone and progesterone levels.
📌Danazol 400mg orally In cases of uterine fibroids and endometriosis
📌 Oral contraceptives pills especially microlut which contains progesterone only to facilitate ovulation
📌In vitro fertilization it's a procedure in which the mature fertilized egg(embryo) is inserted into the woman's uterus.
📌 Donor insemination it's a procedure in which the frozen donor s***ms is inserted into the woman's uterus during the period of her ovulation.
📌 Surrogacy it's a procedure in which a woman becomes pregnant and give birth to a baby and give it to the couple.🌹
