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Infertility is the failure of a couple to become pregnant after one year of regular, unprotected intercourse. Infertility, also known as subfertility, may be due to a single cause in either you or your partner, or a combination of factors that may prevent a pregnancy from occurring.
Approximately 10% of couples attempting their first pregnancy meet with failure. Most authorities define these patients as primarily infertile if they have been unable to achieve a pregnancy after one year of unprotected intercourse.
Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should, therefore, be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the malefactor is at least partly responsible for about 50% of infertile couples.
Medical Treatment of Male Infertility in India
In the past pharmacological treatment has been used empirically for infertile patients when surgical treatment had failed or was unavailable. Today attempts are made to specifically identify causes of male infertility such as immunological, infectious or hormonal factors in order to prescribe a specific treatment. However, in many cases, no specific cause can be found and empirical treatments are still used.
In case of treatment failure, depending on the severity of male infertility, insemination, IVF or micro fertilization (ICSI) can be tried regardless of the etiology.