In India, it is estimated that approximately between 15-20% of all couples of fertile Age suffer from infertile. This figure is on the increase because of increased urbanization and pollution, stress, a competitive work environment and a hectic and fast paced lifestyle.

Infertility, whether male or female, can be defined as ‘the inability of a couple to achieve conception a year or more of regular, unprotected coital Exposure.

The World Health Organization (WHO) estimates that approximately 8-10% of couples experience some form of infertility problem. On a worldwide scale, this means that 50-80 million people suffer from infertility. However, the incidence of infertility may vary from region to region.

It’s not possible to determine the reason for your infertility until you undergo tests to find out. the reasons. You can do following:

1. You can try timed intercourse for few months
2. After no results you need to go for tests to determine the underlying couse of your problem which will include:
   • Detailed Semen analysis
   • Ovulation Study
   • A HSG to find the status of your tubes.

To increase the chance of getting pregnant spontaneously, timed sexual intercourse is recommended. This means that sexual intercourse, or coitus, has to be taken place around the time of ovulation, which is the most fertile period of a woman. To detect the approximate time of ovulation a temperature curve of several menstrual cycles can be made. The woman takes her body temperature each morning before getting out of bed, starting on the first day of the menstruation until the start of a new period. The body temperature rises around 0.5 degree Celsius after the ovulation. This is mostly about 14 days after the first day of the period and when no pregnancy occurs the temperature drops to normal again; with pregnancy the temperature stays high. One can also use urine or saliva tests to detect the ovulation. The time of ovulation can sometimes vary a few days each month, even in a regular menstrual cycle. Also, if the circumstances are right, sperm can live inside the women for a few days and sperm quality can decrease with high sexual activity. Therefore it is best to have intercourse 3-4 days before the expected ovulation and every other day until 2-3 days after the expected ovulation with no necessity for higher frequency. When tests are used to detect ovulation it is advised to have sexual intercourse on the day of a positive test.

In females, the causes could be:

• Irregular ovulation or egg production, hormonal imbalance 30%
• Tubal block 30%
• Problems in uterus like fibroids, adhesions, synechae congenital anomalies, chocolate cyst of ovaries 30%
• Unexplained 10%

Male contribute almost 40% to infertility. The common reasons are:

• Low motility of sperms with normal or low count
• Varicococele, congenital absence of Vas deferens, Testicular dysfunction and hormonal imbalance
• A zoosperm is Obstructive & non obstructive.

The main factors are :

• Insufficient number of rapid, liner, progressive, motile sperms
• Mucous in the cervix is unfavorable and/or hostile to sperms
• Mechanical barriers preventing fertilization like blocked fallopian tubes, adhesions around the ovaries, disturbed tubo-ovarian relationship (preventing the age from gaining access into the tube.)
• Hormonal imbalance
• Intercourse during infertile phase of cycle
• Mental stress

Considering all the above, we suggest a suitable procedure keeping the age of the patient in mind.

The main treatment options:

• I.U.I (With husband Sperms)
• I.U.I (With Donors Sperms)
• IVF
• IVF ICSI
• Egg Donation
• Surrogacy
• Surgery
• Hormonal Treatment