Infertility, whether male or female, is defined as the inability of a couple to achieve conception or bring a pregnancy to term after a year or more of regular, unprotected sexual intercourse.
According to WHO, between 2 and 10% of couples worldwide are unable to conceive a child and a further of 10-25% experience secondary Infertility
Becoming pregnant is not that easy even for people who do not have fertility problems, human being is one of the least fertile creature on earth.
Keywords: Infertility, types of infertility, causes, investigation of infertility, management by homoeopathic medicine.
Definition :: Infertility is defined as a failure to conceive within one or more years of regular unprotected coitus.
1.Primary infertility ::denotes those patients who have never conceived.
2Secondary infertility :: indicates previous pregnancy but failure to conceive subsequently.
causes of infertility :
2 . pathological
a. Before menarche
b. After manopause
c.pregnancy unlikely up to 10 week of postpartum
1. Faults in male
-vericocele or big hydrocele
(B) Obstruction of the efferent duct system
(C) Failure to deposit sperm high in the vagina
-premature or absence of ejaculation
(D)Errors in the seminal fluid.
-low fructose content
-high prostaglandin content
2 . Faults in female
– Anovulation or oligo-ovulation.
-Decreased ovarian reserve.
-Luteal phase defect (LPD).
– Luteinized unruptured follicle (LUF).
-impaired tubal function includes defective ovum pick up,impaired tubal motility,loss of cilia and partial to complete obstruction of tube
– infection of tube
– pelvic endometriosis
-unfavourable endometrium for nidation
-ineffective sperm penetration
-immunological factor (presence of antisperm antibody)
-General factors : Advanced age of the wife beyond 35 is related but spermatogenesis continues throughout life although aging reduces the fertility in male also.
-Apareunia and dyspareunia
-anxiety and apprehension
-use of lubricants during intercourse which may be spermicidal
1) Routine investigations include urine and blood examination including postprandial sugar.
2) Seminal fluid analysis
3) Serum FSH,LH,testosterone and TSH
4) Fructose content in the seminal fluid
6)Sex chromatin study
8)Presence of plenty of pus cell requires prostatic massage and the collected fluid is to be examined by staining and culture to detect the organisms.
DIAGNOSIS OF OVULATION
-evaluation of peripheral or endorgan changes
-cervical mucus study
CERVICAL Investigation -post coital test
-sperm cervical mucus contact test.
Homoeopathic Management of Infertility
Yellow discharge from urethra. No erections. Impotence. Parts cold, relaxed. Desire gone . Scanty emission without ejaculation. Loss of prostatic fluid on straining. Gleety discharge. Testicles, cold, swollen, hard, and painful.
Scanty menses. Abhorrence of sexual intercourse. Relaxation of genitals, with leucorrhœa. Agalactia; with sadness. Sterility. Leucorrhœa staining yellow; transparent. Hysterical palpitation with nose bleed.
Pruritus. Glans very red. Organs seem larger, puffed, relaxed, cold, sweating; skin of scrotum thick. Erections when half-asleep; cease when fully awake. Impotency; relaxation of penis during excitement. No emission and no orgasm during embrace.
Pruritus of vulva and vagina during pregnancy Voluptuousness. Cramp pains in uterus at night.Epilectic attacks during excitement and at time of menses.
No erectile power; impotence. Premature emission . Enlarge prostate.old men with strong desire but imperfect erection.panis is small,relaxed and cold.
Menses too late; last too long, too profuse. Vagina dry. Coition painful. Right ovarian pain. Varicose veins of pudenda. Leucorrhœa, acrid, with burning in vagina. Discharge of blood from genitals during stool.
Dribbling of semen during sleep. Dribbling of prostatic fluid. Irritability after coitus. Loss of sexual power, with lascivious fancies. Increases desire, decreases ability. Semen thin, odorless. Sexual neurasthenia. On attempting coition, penis relaxes. Hydrocele.
Especially after self-abuse; persistent dwelling on sexual subjects. Spermatorrhœa, with sunken features; guilty look; emissions, with backache and weakness and sexual neurasthenia. Dyspnœa after coition.
Parts very sensitive, worse sitting down . Irritable bladder in young married women. Leucorrhœa. Prolapsus, with sinking in the abdomen; aching around the hips.
Constant sexual excitement. Psychical impotence. Loss of desire. Speedy emissions. Deficient erections.
Severe uterine pains; bearing-down pains; old pains return. Sexual desire completely destroyed. Feels as if menses would appear. Aching in breasts. Nipples itch. Menses too early and too prolonged. Soreness in uterine region. Leucorrhœa, yellow, acrid, profuse.
Emissions at night and at stool. Seminal vesiculitis. Sexual power deficient; testicles tender and swollen. Parts relax during embrace. Prostatorrhœa, even when passing a soft stool. Eczema of scrotum. oedema of prepuce, and swollen glans-penis. Herpes preputialis. Sycotic excrescences.
Menses too early and profuse, with pain in liver. Itching; yellow leucorrhœa after menses. Milk scanty; health deteriorated from nursing.