Primary infertility
Primary infertility refers to people who have never been pregnant. Sometimes the problem that causes infertility is congenital, and sometimes it is acquired in other stages of life.
Effective factors in primary infertility:
- age increasing
- Weight Gain
- Stress
- life style
- Sexual infections
- Smoking, alcohol and drugs
- Hereditary and acquired diseases
- Disorders of the uterus and ovaries
- Sperm disorders
- Unknown disorders
Secondary infertility
Secondary infertility refers to the time when there is a history of fertility and the problem of infertility has arisen after a previous pregnancy or miscarriage.
Effective factors in secondary infertility:
- Complications that occurred during previous pregnancy or childbirth, such as abnormal abortions, long-term rupture of the amniotic sac, postpartum infections, retained placenta and subsequent infections.
- Menstrual disorders
- Sexually Transmitted Infections (STIs)
- sexually transmitted diseases
- age increasing
- Weight Gain
- Environmental factors and lifestyle
- Autoimmune diseases
- drop Sperm quality and quantity
- Unknown factors
Factors that lead to secondary infertility, some related to female infertility and some related to male infertility, and sometimes arise due to unknown problems. The causes of infertility and treatment in both types of infertility are largely similar.
Infertility of unknown cause
Infertility with an unknown cause or idiopathic infertility refers to cases where the woman has regular menstruation, normal hormone tests and normal hysterosalpingography, and the man also has no problems in the initial evaluation such as semen analysis and tests, and there is no specific cause for it with the existing standard diagnostic methods. can be found Slight differences in the way people's reproductive system functions may cause this type of infertility, as well as factors related to lifestyle such as being thin or overweight, smoking, alcohol and coffee in large quantities can be effective in infertility with an unknown cause.
Unexplained infertility can be explained in two ways:
- There is no true abnormality and the couple is at the lowest normal threshold for fertility (due to the woman's advanced age or extreme reproductive senescence).
- The cause of infertility cannot be identified with standard diagnostic tests. For example, there are no valid diagnostic tests to diagnose gamete or implantation disorders.
Sometimes the causes of infertility are associated with unknown causes and known causes, and despite receiving treatment, a successful pregnancy is not achieved.
About 201 TP3T of these patients get pregnant within 12 months and about 501 TP3T of them get pregnant up to 36 months after trying to conceive. IVF is the most effective treatment method for unexplained infertility.