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Subfertility
reduced level of fertility characterized by unusually long time for conception
Primary Subfertility
there have been no previous conceptions
Secondary Subfertility
previous pregnancies occurred; however, couple is not able to presently conceive
Infertility
term used to describe the inability to conceive a child or sustain a pregnancy to birth. have not yet pregnant for at least one year of unprotected sex
Sterility
inability to produce offspring
Semen Analysis
Ovulation Monitoring
Tubal Patency
Assessments for Subfertility
Adoption
Alternative Insemination
In Vitro Fertilization
Alternative methods of having a children
18-45 yrs old
Ages fertility assessment should be done
1 year of subfertility .
If a woman is younger than 35 years of age, it is usually suggested she have an evaluation after
6 months
If a woman is older than 35 years of age, it is usually suggested she have an evaluation after
male-superior position
best position for coitus to achieve conception because it places sperm closest to the cervical opening.
Elevating a woman's hips to a small pillow
woman should remain on her back with knees drawn up at least 20 minutes after ejaculation
Don't use douching or lubrication after intercourse
Eat a diet high in slowly digested carbohydrates, low in saturated fats and moderate in protein.
Increasing chances of Fertilization
Rubella titer
Advanced testing for women - a serologic test for syphilis
Disturbance in spermatogenesis
Inadequate production of FSH and LH in the pituitary
Obstruction in the seminiferous tubules, ducts or vessels
Development of autoimmunity which immobilizes sperm
Problems for ejaculation or deposition
Chronic or excessive exposure to X-rays or radioactive to substances, general ill health, poor diet and stress all of which may interfere sperm production
Factors that causes male subfertility
20 million/mL or 50 million/ejaculation.
Normal sperm count