eating while pregnant

  • Subscribe to our RSS feed.
  • Twitter
  • StumbleUpon
  • Reddit
  • Facebook
  • Digg

mardi 16 mars 2010

Question 7: What are typical causes of infertility?

Posted on 08:09 by Unknown
Being a fertility specialist is a bit like being a detective. You gather the evidence and then work on a hypothesis. Once you have the hypothesis, then you can test it out and see if the problem is resolved. Today I saw a new patient that was very frustrated with her situation and the response that she had gotten from her previous physicians. I listened carefully to her story and then explained carefully what I thought explained her particular problem. We now have a plan to test my hypothesis. If I am right then we will all be very happy, but I think that even if I am wrong then at least the couple understood how I approached the problem in a logical fashion.

Ultimately there are not that many fertility issues and common things are common. But every patient has their own story to tell and we need to listen in order to make sound decisions. So what types of problems do we deal with? Good question and the topic of today's Question of the Day from the upcoming 2nd Edition of 100 Questions and Answers about Infertility.


7. What are typical causes of infertility?

The causes of infertility are wide ranging but can be examined in light of the reproductive cycle described in Question 1. (See Table 1.) In general, the causes of infertility can be equally divided between the male and female partners in a couple.

Half of all infertility cases, therefore, involve problems with the sperm of the male partner. Unfortunately, functional tests for sperm competence (the ability of sperm to fertilize an egg) are not available leaving us to rely upon the descriptive components of the semen analysis. A complete semen analysis should include the total number of sperm (concentration), the percentage of those sperm that are moving (motility), and the shape of those sperm (morphology).

Many factors can reduce the female partner’s ability to conceive. For example, a woman may have anatomical problems related to the fallopian tubes, uterus, and peritoneal structures within the pelvis such as adhesions or endometriosis. Problems with ovulation are very common in infertile patients, and women with irregular periods may suffer from a common disorder such as polycystic ovarian syndrome (PCOS). Another major fertility factor is reproductive aging. Peak fertility occurs when a woman is in her twenties, and it declines significantly during her thirties and forties. The rate of decline increases after the age of 35 as is evident in decreased IVF pregnancy rates and decreased embryo implantation rates in this age group.
Envoyer par e-mailBlogThis!Partager sur XPartager sur Facebook
Posted in | No comments
Article plus récent Article plus ancien Accueil

0 commentaires:

Enregistrer un commentaire

Inscription à : Publier les commentaires (Atom)

Popular Posts

  • HSG vs HSC vs H2O sono...What is the difference?
    Medical terminology can really give patients fits and no where is this more apparent than in the distinctions between hysterosalpingogram (H...
  • Managing DOR at Dominion Fertility
    Here in Washington DC we love acronyms. The entire government is one big acronym....DHS, HHS, DOJ, IRS, etc, etc. In medicine we are similar...
  • Facebook
    Well I guess I have now officially joined Web 2.0 with my own Dominion Fertility Facebook page. Although I am slightly worried that Faceboo...
  • And the winner is....Aauuuuugggghhh.....
    Well, since the NHL season just ended 5 minutes ago with a crushing defeat for my hometown Boston Bruins I guess that winter is now official...
  • IVF Stimulation Protocols...cooking eggs with DrG
    Many of the questions that I answer on the INCIID bulletin board revolve around issues of stimulation. High responders, low responders, unus...
  • Thanks to Those Who Serve - Happy Veteran's Day
    I want to offer a heartfelt thanks to the brave men and women who serve or have served in our armed forces. My late father actually managed ...
  • Ectopic Pregnancy After IVF
    My brother Mike is a real doctor. I mean it. He is a general surgeon in a small town in North Carolina and has not had a full night’s sleep ...
  • Question 18. How will my reproductive endocrinologist determine a plan of therapy?
    Here in Washington we are surrounded by planners. People are available to plan your party. People are available to plan your finances. Peopl...
  • Question 37. What is the difference (if any) between intrauterine insemination and artificial insemination?
    What's in a name? Sometimes not much I guess and certainly we throw around medical jargon quite freely in our practice sometimes forgett...
  • Tough Transfers
    Sometimes you just want to pack it in and head for the islands... There is nothing quite as stressful as a tricky embryo transfer. Here you ...

Blog Archive

  • ►  2014 (10)
    • ►  juillet (1)
    • ►  juin (1)
    • ►  mai (1)
    • ►  avril (1)
    • ►  mars (1)
    • ►  février (2)
    • ►  janvier (3)
  • ►  2013 (14)
    • ►  décembre (1)
    • ►  novembre (1)
    • ►  octobre (1)
    • ►  septembre (1)
    • ►  août (1)
    • ►  juillet (1)
    • ►  juin (1)
    • ►  mai (1)
    • ►  avril (1)
    • ►  mars (2)
    • ►  février (1)
    • ►  janvier (2)
  • ►  2012 (30)
    • ►  décembre (2)
    • ►  novembre (1)
    • ►  octobre (3)
    • ►  septembre (1)
    • ►  août (2)
    • ►  juillet (2)
    • ►  juin (3)
    • ►  mai (2)
    • ►  avril (2)
    • ►  mars (3)
    • ►  février (6)
    • ►  janvier (3)
  • ►  2011 (28)
    • ►  décembre (2)
    • ►  novembre (3)
    • ►  octobre (1)
    • ►  septembre (2)
    • ►  juillet (3)
    • ►  juin (2)
    • ►  mai (2)
    • ►  avril (3)
    • ►  mars (5)
    • ►  février (3)
    • ►  janvier (2)
  • ▼  2010 (52)
    • ►  décembre (2)
    • ►  novembre (6)
    • ►  octobre (5)
    • ►  septembre (4)
    • ►  août (1)
    • ►  juillet (4)
    • ►  juin (3)
    • ►  mai (4)
    • ►  avril (9)
    • ▼  mars (13)
      • Question 13. What is ureaplasma, and how did I get...
      • Question 12: What is a hysteroscopy, and do I nee...
      • Question 11. What is a laparoscopy, and do I need ...
      • Question 10. What is antimullerian hormone and wha...
      • Question 9. What is ovarian reserve, and how is it...
      • Question 8: What tests will we have to undergo as ...
      • Question 7: What are typical causes of infertility?
      • Question 6: How do I choose a fertility clinic?
      • Question 5: Who should evaluate the infertile couple?
      • Question 4: Is Infertility Becoming More Common?
      • Question 3: How Common is Infertility
      • Question 2: What is Infertility?
      • New Beginnings - Question 1: How does normal repro...
    • ►  janvier (1)
  • ►  2009 (22)
    • ►  novembre (1)
    • ►  octobre (2)
    • ►  septembre (2)
    • ►  août (2)
    • ►  juillet (4)
    • ►  mai (2)
    • ►  avril (1)
    • ►  mars (3)
    • ►  février (2)
    • ►  janvier (3)
  • ►  2008 (27)
    • ►  décembre (2)
    • ►  novembre (1)
    • ►  octobre (3)
    • ►  septembre (6)
    • ►  juillet (1)
    • ►  juin (2)
    • ►  mai (3)
    • ►  avril (2)
    • ►  mars (1)
    • ►  février (2)
    • ►  janvier (4)
  • ►  2007 (66)
    • ►  décembre (1)
    • ►  novembre (5)
    • ►  octobre (6)
    • ►  septembre (7)
    • ►  août (11)
    • ►  juillet (13)
    • ►  juin (22)
    • ►  mai (1)
Fourni par Blogger.

Qui êtes-vous ?

Unknown
Afficher mon profil complet