What is Infertility ?
Infertility means difficulty in conceiving ( becoming pregnant ),
despite having regular physical relation without using
contraception. There is no definite cut off point to say when a
couple is termed as infertile. Many couples take several months to
conceive. As a rule, it is worth seeing a Doctor, if you do not
conceive within a year of trying.
Who is responsible for Infertility ?
It is not true that only female partner is responsible for
Infertility. Out of total 100% , both male and female partners are
equally responsible for 40% each, i.e, 40+40= 80% and the rest 20% ,
cause is unexplained – and even then treatment can be successful.
What can cause fertility problem ?
For female :
1) Ovulation problem- Hormonal disorder, PCO (Poly cystic
2) Fallopian tube or Uterine problem- Damaged or blocked
3) Endometriosis- womb tissue invades and damages
4) Excessive thick cervical mucosa
For male :
1) Low sperm count- Lower count
2) Poor sperm motility- Sperm is unable swim
3) Poor shape- unable to penetrate the egg
4) Azoospermia – No sperm in the semen
Monday - Friday, 2pm to 4pm
Our Panel of
Dr. Biswajit Ghosh ( Mon to Thursday )
D.G.O, M.D (O & G ), D.I.C.O.G
Dr. Souren Bhattacharjee ( Friday)
M.B.B.S , D.G.O, FRCOG ( Lond )
Mr. Ananda swarup Basu
MSc ( Biotechnology )
How to manage this problem ?
The cause should be ascertained first by taking thorough
history and clinical examinations of both the partners.
Female Infertility: Sometime they need specific tests
/investigations eg, Ultrasonography (Transvaginal), HSG (Special type of X-ray with dye) , Leparoscopy, Blood tests
etc. They can be treated by simple Ovulation inducing drugs.
If it fails, they need assisted conception technique like,
IUI ( Intrauterine Insemination ), GIFT (Gamet
intrafallopian transfer) , IVF (Invitro fertilization ) etc.
Sometimes they need surgery in case of tubal damage, large
pelvic tumour etc.
Male Infertility : To ascertain the cause, sometimes
they need semen analysis , blood tests etc. It is much more
difficult to manage. Rarely medicines are effective. Surgery
for varicocele ( engorged testicular vein ) helps to improve
Some general advice
If you have not conceived even after one year of unprotected
sex with your partner, you should see a specialist as soon
as possible, because of the fact that the chance of
conceiving gradually goes down over the years. Husband
should always accompany his wife to see the specialist.
If you have fertility problem, you should avoid smoking,
excess alcohol and caffeine intake and try to control your
weight. Female partner should take folic acid to reduce the
chance of any congenital spinal cord problem of the baby.