Barrenness (Infertility)
People, who are unable to be pregnant despite regular sexual intercourse without applying a method of protection throughout 1 year, are accepted as infertile. It is encountered at the incidence of 10-15%. The problem is seen in both male and female in 40% of cases, in male in 20% of cases, due to some unexplainable reasons in 10% of cases.
Couples should be evaluated together. A detailed story should be gotten from both of them. Duration of marriage, frequency of sexual intercourse, and disorders and operations they underwent should be examined. Use of medication, habits of alcohol and cigarette should be learnt. Treatments received and examinations performed previously should be requested.
Causes associated with women:
- Ovulation disorders or anovulation
- Congenital uterine abnormalities
- Occlusion of tubes congenitally or after undergone infection, operation
- Hormonal disorders-endometriosis-polycystic ovarian syndrome
- Genetic abnormalities
- Some special conditions associated with immune system (against egg and sperm)
Causes associated with men:
- Genetic and chromosomal abnormalities
- Varicocele
- Undergone infections, particularly mumps
- Undescended testis
- Anti-sperm antibody
Following detailed anamnesis, sperm analysis, hormone tests -if required- are requested from applying couples. From the woman, hormone tests are requested after gynecologic and detailed ultrasound examination. HSG (medicated uterine graph) is performed for obstruction in canals. Laparoscopic method is not diagnostic anymore; it is preferred for the treatment in the presence of endometriosis or cyst. A treatment, which we will choose personally, is planned.
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