Get more info on: http://genderselectionclinic.org/fertilitytreatments/are-you-infertile The main sign of male infertility is the inability to conceive a child. There may be no other obvious signs or symptoms. In some cases, however, an underlying problem such as an inherited disorder, hormonal imbalance, dilated veins around the testicle, or a condition that blocks the passage of sperm may cause signs and symptoms.

1. Signs Of Infertility
Assessment and
treatment of
patients with
fertility problems

2. Why learn about it?
Its in the curriculum !
 Infertility – primary/ secondary
 Investigations eg hormone tests
 Knowledge of subfertility
secondary care investigations
 Primary care management
 Knowledge of specialist treatments
and surgical procedures

3. Why learn about it..
Expectations from secondary care services!
 Inappropriate timing of referrals (early/late)
 Incomplete /inadequate investigations

4. What is infertility?
 NICE:
Failure to conceive after regular UPSI for 2 years in the
absence of reproductive pathology.
P.S NICE suggests offer clinical investigations if failure to
conceive after 1 year of UPSI.
 GP NOTEBOOK:
Infertility is the failure of conception in a couple having regular,
unprotected coitus for 1 year, provided that normal intercourse
is occurring not less than twice weekly.

5. Natural conception rates:
 80% of couples will be pregnant after 12
cycles.
 50% of remaining will conceive during a
2nd year ( hence cumulative rate 90%)
 50% in the following 4 years.

6. Get more info on:
http://genderselectionclinic.org/

7. Get more info on:
http://genderselectionclinic.org/