Infertility – male factors

 

Problems with ejaculation and sustaining an erection

  • Diabetes mellitus
  • Peripheral vascular disease
  • Spinal injury

 

Reduced sperm quality

  • Smoking
  • Sexual transmitted disease infection
  • Medical condition ( e.g.: on chemtotherapy)
  • Undescended testis
  • Past medical history – orchitis, mumps, varicocoele, post herniotomy

 

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Infertility – female factor

 

Disorder at hypothalamus-pituitary level

  • Asherman’s syndrome – amenorrhea after dilatation and curettage
  • Hyperprolactinemia
  • Sheehan syndrome

 

Ovary causes

  • Primary ovarian failure
  • Polycystic ovarian syndrome
  • Endometriosis
  • Premature ovarian failure

 

Uterus causes

  • Fibroid
  • Adenomyosis
  • Retroverted uterus

 

Cervical causes

  • Cervical stenosis
  • Cervical antibodies

 

Tuboperitoneal causes

  • Endometriosis
  • Pelvic inflammatory disease – salpingitis

 

Systemic causes

  • Hypothyroidism
  • Hyperthyroidism
  • Psychosocial factors
  • Psychosexual factors

 

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