Best Examination Tips: Infertility and the scale of fertility problems

  • Friday, December 28th, 2012

Updated on 30.10.2016.

 

1WII

 

A woman of reproductive age who has not conceived after 1 year of unprotected vaginal sexual intercourse, in the absence of any known cause of infertility (National Institute of Clinical Excellence, UK, 2013).

[As infertility denotes no fertility, some people prefer the term sub-fertility that means reduced fertility. Sterility means absolute absence of fertility.]

In the female, primary infertility means that the woman has never been pregnant and secondary infertility means that the woman has had pregnancy before but been unable to conceive since then. In the male, primary infertility means that the man has never made any woman pregnant and secondary infertility means that the man has had made a woman pregnant before but been unable to do that since then.

 

2SOFP

 

One in seven couples (15%) has fertility problems (approximately 40 million or 4 crore people in India) (Figure 1).

 

3Fig 1

 

Male factors are responsible in 30%, female factors in 40%, and the rest 30% are associated with combined male and female factors and unexplained infertility (Figure 2).

 

4Fig 2

 

Author

 

Introduction to Infertility

 

References

1. Book: Paul S. Infertility – a Growing Problem The Facts and Solutions” Kolkata: Dey Publications, 2011.

Book available at

Dey Publications, 13 Bankim Chatterjee Street. Kolkata – 700073, India.

2. Fertility. Assessment and treatment for people with fertility problems. NICE Guideline Feb 2013, London.

 

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© Dr Sudipta Paul, themedideas.com, 2012

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