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Primary Infertility: When a couple has never conceived.
Secondary Infertility: Difficulty conceiving after previously having a child.
In Women
Ovulation Disorders: Polycystic ovary syndrome (PCOS), hormonal imbalances.
Fallopian Tube Damage: Caused by infections or pelvic inflammatory disease (PID).
Endometriosis: Growth of uterine tissue outside the uterus.
Uterine or Cervical Issues: Fibroids, polyps, or abnormal cervical mucus.
Age-Related Decline: Egg quality and quantity decrease with age.
In Men
Low Sperm Count
Poor Sperm Motility or Morphology: Sperm’s ability to move and its shape.
Hormonal Imbalances: Testosterone deficiency or other hormonal issues.
Obstructions: Blockages in the reproductive tract.
Lifestyle Factors: Smoking, excessive alcohol, or exposure to toxins.
Age: Fertility declines with age, especially after 35 for women and 40 for men.
Lifestyle: Smoking, alcohol consumption, and obesity affect fertility.
Medical Conditions: Chronic diseases like diabetes or thyroid disorders.
Stress: High stress levels can disrupt hormone production.
Initial Evaluation:
Medical history review and physical examination.
Discussion of menstrual cycles, sexual habits, and lifestyle.
Tests for Women:
Ovulation testing.
Pelvic ultrasound to check the uterus and ovaries.
Hysterosalpingography (HSG) to assess fallopian tube health.
Tests for Men:
Semen analysis to check sperm count and quality.
Hormone testing (e.g., testosterone levels).
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