At KARE, we very well understand that how frustrating it can be for the couples if they are not able to produce offspring. This inability of the couples might be one of the saddest events in their life which is exactly where fertility has a vital role to play in the life of the couple. Fertility is the natural ability of human beings to produce offspring. At the time when there are any kinds of interference in the reproductive system, this natural ability of offspring production is lost. We at KARE have a specialist fertility clinic to take care of all issues related to both the fertility of females as well as males. The primary aim of our fertility clinic is to correctly identify the causes of fertility problem so that appropriate diagnosis and treatment can be carried out.
Major Causes of Infertility
Our specialist and experienced doctors perform a complete analysis and survey to find out the exact causes of infertility in the couples. Every possible means is tried for the restoration of fertility in the couples so that they are able to produce offspring. At this point of time, it is to be kept in mind that infertility is not only the inability to get pregnant after trying for about an year but also the inability to stay pregnant for sufficient time. The major causes of infertility in the females and males are as enumerated below.
Causes of Infertility in Females
- Age of the Female – Age is a major point of concern regarding fertility issues. Females up to the age of 35 are considered to be most fertile and the fertility is gradually decreased with the increase of age. Thus, age might be an important cause of infertility.
- Disorders in Ovulation – If the female is not ovulating on a regular basis where the menstrual cycle is either too long or too short can result in infertility. It might as well happen that the female is not at all ovulating due to any disorders thereby making it impossible for getting pregnant. Polycystic ovary syndrome, hypothalamic dysfunction, premature failure of the ovary and hyperprolactinemia (excessive amount of prolactin) are some of the major ovulation disorders.
- Fallopian Tubes are Damaged or Tubal Diseases – Blocked or damaged fallopian tubes in the females prevents the fusion of the sperm and the egg or simply block the passage of the egg that is fertilised into the uterus. Salpingitis or Pelvic inflammatory disease which is sexually transmitted, pelvic tuberculosis and any previous surgeries in the pelvis or abdomen might give rise to tubal infertility thereby causing infertility.
- Endometriosis – This occurs at the time when the tissues that usually grow in the uterus implants grow at other locations which affects the lining of the uterus thereby disrupting the implantation.
Apart from these, there are a number of other causes which are a combination of more than one minor and major factors which are sometimes referred to as unexplained infertility.
Causes of Infertility in Males
- Unhealthy Sperms – The inability to produce healthy sperms by the testicles of the males is the major cause of infertility.
- Klinefelter’s Syndrome – This is a genetic condition where the males are born with an extra X chromosome and these males produce almost no sperm or very less sperms thereby infertile.
- Low Sperm Count – A low sperm count is another major cause of infertility in the males.
- Immobile Sperms – The sperms need to travel to reach the egg for fertilisation and when the sperms are immobile, they are unable to travel causing infertility.
- Sperm Ducts are Damaged – Damaged sperm ducts is another major cause of infertility where the sperms are not able to come out properly at the time of ejaculation.
- Torsion – Torsion refers to the condition when a testicle is rotated causing a twist in the spermatic cord contributing to infertility.
Retrograde Ejaculation – Here the semen enters into the bladder instead to exiting out of the urethra at the time of ejaculation and the males are not able to make their partner pregnant.
- Varicocele – This is a condition where the veins that drain the testicle swell up and is one of the most common cause of infertility in the males but is reversible.
Besides the causes mentioned above, there are a number of other causes which are a blend of more than one along with pattern of lifestyle contributes to infertility in the males.
Authored by Dr. Nirmal Krishnan