1. Male infertility: Infertility in men is due to testicular abnormalities and hormonal imbalances that result in low semen quality. Sperm qualities such as sperm count, sperm motility, and sperm morphology can be assessed or evaluated by the semen analysis.
The sperm concentration for a normal person is estimated to be at least 15-20 million sperms per 1 ml of semen. Low sperm count results in infertility and reduced conception rate.
The sperm that has less than 50% motility power cannot swim, which significantly affects the ability of the sperm to reach the egg and fertilize.
The sperm may have an unusual shape either in the head, middle, and tail parts, making it harder to move and fertilize an egg.
Abnormal sperm cannot travel rapidly and precisely towards the egg, and hence conception may be difficult.
Varicocele in men may affect the number and morphology of sperm as it causes overheating in the testicles.
The normal testicular function is maintained by the hormones produced from the pituitary and hypothalamus glands.
Hypersecretion of prolactin from the pituitary gland results in low or no sperm production.
2. Female infertility: Infertility in the female is due to abnormalities and improper functioning of the female reproductive systems such as the uterus, ovaries, and fallopian tubes.
Fibroids that grow in and around the cervix, polyps, and uterine wall lower pregnancy and implantation rates. The uterine fibroids block the fallopian tube and prevent the fertilized egg from being implanted in the uterus.
Disruption in ovarian function leads to anovulation during the menstrual cycle. It is one of the most common causes of infertility in women.
Hormonal imbalances such as elevated levels of the male hormone testosterone in women result in partial development of egg within the ovary, which causes the polycystic ovarian syndrome.
In some women, fewer eggs than normal in the ovaries may affect the chances of conceiving. Such a condition is called a diminished ovarian syndrome.
Endometrial tissue growth, pelvic infections, and inflammation of the fallopian tube may affect the function of fallopian tubes and increase the risk of infertility in women.
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