Fertility/Infertility

To correctly assess infertility both partners must be involved in the process, in order to correctly address the feeling often associated with infertility such as:

• Inadequacy
• Anger
• Guilt
• Resentment

For the male patient the search usually centers on the sperm and the endocrine system.

• Sperm
• Low sperm count
• Azospermia (fructose in the semen)
• Varicocele - most common anatomic abnormality in men. Mostly on the left
• Retrograde Ejaculation. Neurological problem results in the sperm going into the bladder at ejaculation.

• Endocrine
• Prolactin
• Thyroid
• Adrenal Disorders may result in infertility
• Hypogonads
• For the female patient we usually look at the ovary - Any infertile woman with abnormal menstrual period should be checked for ovulation abnormality especially hormonal.

• Tubal Problems
• May be associated with
• PID
• IUD
• Appendicitis
• Abd Surgery
• Ectopic Pregnancy
• Cervix Mucus Abnormality

Abnormality of the biological mens plug that helps the sperm and keep away bacteria Others - some female infertility may not be fully biologically explained. For these patients medical therapy may be the only option.