Treament according to disorders identified :

• Induction of ovulation
• Reduce body weight,
• Tuboplasty
• In Vitro Fertilization (IVF) and Embryo Transfer (ET)
• Antibiotics to treat chlamydia infection and mycoplasma infection
• Artificial Insemination (Intrauterine Insemination)

DEFINITION
- Primary Infertility
- Secondary Infertility

INCIDENCE

CAUSES OF MALE INFERTILITY

• Defective Spermatogenesis
• Obstruction of The Efferent Duct System
• Failure to Deposit Sperm High in Vagina
• Errors in The Seminal Fluid

CAUSES OF FEMALE INFERTILITY

• Ovarian Factors
• Tubal Factors
• Peritoneal Factors
• Uterine Factors
• Cervical Factors
• Vaginal Factors

CAUSES OF COMBINED FACTORS

• General factor ; age
• Anxiety
• Immunological factors

INVESTIGATION OF MALE INFERTILITY

• History : Mumps, Testicular Surgery, Previous Heat Exposure
• Examination : Undescended testis, Varicocele
• Investigations : Semen Analysis, Testicular Biopsy, Hormonal Assay
• In-depth Evaluation

INVESTIGATION OF FEMALE INFERTILITY

• History : Of the cause
• Examination : Cervical stenosis, cervicitis, cervical mass
• Investigations : Post-coital test, Sperm-Cervical Mucous Interaction, Culture and Sensitivity, Cervical Mucous Study, HSG, Laparoscopy

TREATMENT OF MALE INFERTILITY

Indications of Male Treatment

• Extreme oligospermia
• Azoospermia
• Low volume ejaculate
• Impotency

TREATMENT OF FEMALE INFERTILITY

Treatment according to disorders identified ;

• Ovulatory
• Tubal
• Associated disorders
• Cervical
• Immunological
• Unexplained infertility
• Uterovaginal canal
• Assisted Reproductive Technology (ART)

Thank you

Treatment of Male Infertility

• General care
• Avoid medication interferes with spermatogenesis
• a-adrenergic agonist
• Surgical
• Impotency treatment