Failure of couple to conceive AFTER 12 months of unprotected sexual intercourse
Infertility
Indications for Investigation of Infertility
> 35 y/o with no pregnancy after 6 mos
oligomenorrhea
tubal obstruction
uterine disease
severe endometriosis
known male factor
Ability to achieve pregnancy in one menstrual cycle
Fecundability
20 - 25 % for the 1st 3 mos
15% - during the next 9 mos
60% of couples conceive within 6 mos
80-90% conceive within 12 mos
Female Factors Infertility
Ovulatory (32%)
Tubal (34%)
Uterine
Cervical
MC reversible cause of male factor infertility
Varicocele
Parameters used to evaluate the semen
Volume Viscosity Sperm density Sperm morphology Sperm motility