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Although there are many causes of Male Infertility, Varicocele is the most common. A clinically significant varicocele can be identified is nearly 40 % of the man with primary Infertility and up to 80% of men with secondary infertility.

Numerous studies have demonstrated that the type of underwear has no significant effect on sperm counts, Motility or Pregnancy rates.

Prepubertal mumps doesn’t affect the testes. Of the disease that occurs postpubertally (after the age of 11 – 12 ), Unilateral mumps orchitis may develop in 30 % and bilateral orchitis in 10%. The testicular damage may be severe and result in testicular atrophy

Fibroids rarely are the sole cause of infertility. They are more commonly associated with difficult implantation of fertilized eggs and re-current spontaneous miscarriages. Leiomyomata can also be caused Infertility by obstructing the patency of fallopian tubes .

The ability of an Ovary to respond to the stimulation during Ovulation induction or IN VITRO FERTILIZATION.

Type of Ovarian failureNormal and no response to FSH therapyMenstrual CycleFertility
Occult InsufficiencyNormal and no response to FSH therapyNormalReduced
Overt Primary Ovarian InsufficiencyHighAbnormalReduced
Premature Ovarian FailureHighAbsentZero

Although traditionally considered a female problem, Infertility(male infertility or female infertility) is typically Multifactorial and many involve both partners. Approximately 40 % of cases involve a female factor, 30 % a malefactor; and 20% combined male and female factors. Approximately 10 -15 % of cases remain unexplained.

Up to 15% of all couples attempting conception are unsuccessful within the first year. However, this number increases with the age of the couple. Thus, Infertility should be evaluated by best Gynaecologist in Dilsukhnagar, Hyderabad on request by the couple rather than wasting until a full year has elapsed.

Hi Ramya, you have already tried maximum IUI cycles. Since your egg reserve is also borderline (AMH), it is better to go for IVF. Success in IVF depends on egg reserve and age of the female partner. Hence, sooner the better.

Hello Shilpa, tubal re-anastomosis may not be the right treatment for you. Since your age is 34 and your husband sperm count is also low, you will have better success rates with IVF.

Hello! firstly get a karyotype test done for both of you. You can opt for pre-implantation genetic screening, where after IVF, embryos are tested for genetic abnormalities and only normal ones are transferred back to your womb. This will prevent miscarriages and ensure healthy babies.

IVF can last anywhere from 2-4 weeks prior to egg retrieval. The embryos are then transferred between 3-5 days after egg retrieval and you will be tested for pregnancy 15 days after the embryo transfer. Overall it takes 5-6 weeks for complete procedure.

It is better to consult fertility expert since you are trying for almost 1 year. After evaluation, you will be advised treatment based on the reports. Not all couples need IVF. IVF is advised for very few couples who have major problems like:

  • a) Both tubal blocks
  • b) Severe endometriosis (stage 3 & 4)
  • c) > 3-6 failed IUI Cycles
  • d) Hydrosalpinx
  • e) Male Partner having very Low Sperm Counts.

Hello, your sperm count is quite low. Moreover, you have not responded well for medicines. Chances of conceiving with simple treatments are less. Intra cytoplasmic sperm injection- ICSI (test tube baby) is the best treatment for you with good success rates.

Hi Sravya, husband and wife working in different shifts not only reduces sexual frequency but also leads to fluctuations in hormonal rhythm which ultimately leads to infertility. It is better to choose same work shifts. After ovulation female egg’s life is around 24hrs. So, timed intercourse with follicular scans done under a trained fertility specialist will reduce time to pregnancy.

Hi Anil, Exact link on stress and infertility has not been established but, we see lot of patients having fertility issues with severe work load, specially from the software industry. Compromised sexual life may be one of the reason. We have seen good results with various treatments after changing jobs/ work shifts.

Hello.. Most of the jobs now a days being sedentary along with faulty dietary habits and lack of physical activity are known to increase weight. Obesity causes hormonal imbalance which leads to irregular periods. It is advisable to maintain healthy life with balanced diet, regular exercises and also get evaluated by a fertility specialist to identify problems like PCOS. This will help in taking appropriate treatment and achieve pregnancy soon.

Hi.. Smoking can increase DNA fragmentation index even with normal semen parameters is associated with decreased pregnancy rates and increased miscarriage rates. So it will definitely help in achieving pregnancy soon if you can quit smoking.

Hello priya, most of the plastics which we use on a daily basis contain various toxic chemicals specially BPA (Bisphenol A) which are known to have negative effects on endocrine and immune system. These chemicals interfere with development of uterine cells and the way they change in preparation for possible pregnancy.

These are known to reduce pregnancy rates even with assisted reproductive techniques. So, it is advisable to minimize plastic usage as much as possible.

Hi, PCOS is usually associated with irregular periods as ovulation doesn’t happen on time. Some patients may have difficulty in conception. If u fail to conceive, you can consult a fertility specialist so that they can plan follicular tracking and timed intercourse which helps to conceive earlier. Weight reduction however remains an important.