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Male Infertility :
Male Causes :
It counts about 50% of the total infertility
- Azoospermia i.e. no sperm.
- Oligozoospermia i.e. low sperm count but motility is approachable.
- Oligoaesthenospermia i.e. low sperm count and low motility.
- Nurozoospermia i.e. dead sperms.
- Retrograde ejaculation i.e. semen will go to the urinary bladder.
- Presence of antisperm antibody.
- Congenital Abnormality that means hypospadious.
Female Causes :
- Polycystic overian syndrome i.e. no ovum formation on either ovary and no question of ovulation followed by delayed period only withdrawal bleeding occur.
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- Endometriosis i.e. backflow of menstrual blood in the abdomen specifically lower abdomen. This endomeriosis may cause so many problems of the recipient for getting conception.
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- Some Chlamydial pelvic infection may cause addition of uterus and fallopian tubes and ovary.
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- Presence of antisperm, antibody in the cervix, lower part of uterus and vagina.
- Blocking of fallopian tubes : due to previous chlamydial injection or by any infection may cause bilateral tubal blockage and adlecsion of uterus and ovaries.
- Congenital abnormality of the Genitalia:
a) Uni cornuate uterus.
b) Bi cornuate uterus.
c) Rockey trouskey Syndrome i.e. presence of fallopian tubes and overy but absence of uterus and vagina.
- Ashernear’s Syndrome i.e. Fibrosis of Uterine cavity.
Treatments Done :
- Mainly intra Uterine insemination ( IUI ) done here as because he was mainly doing this treatment as H.O.D. at IRM it is a less invasive process with higher success rate.
- Monitoring of ovulation followed by Time Intercourse.
- IVF, ICSI not done in his unit still now, but he is doing this outside in his own supervision.
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