INFERTILITY
INFERTILITY
INFERTILITY
(Chap 8 pp.163)
The inability to conceive a child or sustain
a pregnancy to birth
A couple is said to be infertile if they have
not become pregnant after at least 1 year
of unprotected sex (Subfertility)
Sexual Dysfunction
• Sexual dysfunction (or sexual malfunction
or sexual disorder) is difficulty experienced by
an individual or a couple during any stage of a
normal sexual activity, including physical
pleasure, desire, preference, arousal or
orgasm.
STERILITY
• The inability to conceive because of a
known condition, such as the absence of
uterus
• Primary Subfertility- no previous
conceptions
• Secondary Subfertility-with previous viable
pregnancy but unable to conceived at the
present
General Factors could affect
• Sexual activity
• Age
• Use of oral contraception
• Position
• Body weight
FACTORS: MALE SUBFERTILITY
(Pilliteri)
• Limited Sperm Count
• Obstruction or Impaired Sperm Motility
• Ejaculation Problems
LIMITED SPERM COUNT
• Sperm Count – the number of sperm in a single
ejaculation or in a milliliter of semen.
• Normal minimum sperm count contains:
-36 or 46 M sperm/milliliter or 50M/ejaculation
-50% should be motile
-30% normal in shape and form
• Temperature of scrotal sac should be
maintained slightly lower than the body
temperature
Causes
• Congenital Abnormalities such as:
CRYPTORCHIDISM and VARICOCELE
• Past Trauma to the testes
• Surgery
• Endocrine imbalance
• Drug and alcohol use
• Exposure to radiation
• Avoid activities than can lower sperm count
• Maintain ideal body weight