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What is
Infertility?
Infertility affects people from walks of life
therefore understanding it is imperative.
Specialist of Urology and Infertility Dr. Tamer
Ali Abouelgreed further explains.
What It
Means and
Causes
Infertility can be
defined as the lack of a
successful pregnancy
after one year of a
regular marriage
relationship. The cause
of infertility may be
attributed to either the
male or the female and
in some cases, a specific
reason cannot be
determined by medical
examination nor by
laboratory analyses.
However, it is observed
that pregnancy may
occur 5 or 10 years
post-marriage without
any treatment.
Pregnancy Facilitators
In order for pregnancy to occur,
some important prerequisites
need to be available, as follows:
In the husband:
• The production of a sufficient
number of sperm with normal
motility, viability, and shape.
• Sperm is composed of a head,
the central region, and the
tail. There must be at least
60 percent of sperm with
normal form. The sperm count
should be of 30 to 60 million
per milliliters of semen, and
pregnancy can take place
with fewer numbers; up to 20
million per millilitres. It has
been observed incidence of
pregnancy with less than that
sperm count, provided that
there is an active movement of
sperm.
• Movement must make up
more than 70 percent of the
active movement in the first
hour of ejaculation, no less than
50 percent of them moving in
the third hour after ejaculation.
It can monitor moving sperm
in vagina after 48 hours after
sexual intercourse.
• The proportion of pus in sperm
can bypass a ratio of 4 to 5 pus
cells/milliliter.
• The amount of semen should be
2 to 6 milliliters. It decreases in
prostate infections and chronic
seminal vesicle diseases. The
amount of semen increases
in the presence of testicular
varicose, and the semen must be
of a certain viscosity as it turns
into a liquid in less than 30
minutes post ejaculation.
• The secretion of seminal fluid
containing the basic elements
necessary for sperm vitality
such as zinc, dextrose and
phosphatase.
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Sep/Oct 2015