Sub-fertility Causes &Management. Dr. Yousef Gadmour Professor, Al-fateh university Senior consultant, Al-Jalla Hospital Tripoli , Libya. Definitions:. Sub fertility- Involuntary failure to conceive within 12 months of commencing unprotected sexual intercourse.
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Dr. Yousef Gadmour Professor, Al-fateh university
Senior consultant, Al-Jalla Hospital
Tripoli , Libya
1. Idiopathic - 25 per cent
2. Sperm defects or functional disorder - 25 per cent
3. Ovulation failure - 20 per cent
4. Tubal damage - 15 per cent
5. Endometriosis - 5 per cent
6. Coital failure - 5 per cent
7. Cervical mucus defect - 3 per cent
8. Obstruction of sperm ducts - 2 per cent
Assessment of Ovulation
Cheap and easy, but…
98% of women will ovulate within 3 days of the nadir.
Volume: 2 to 6 ml
Density: 20 to 250 million /ml
Motility: > 50 % with forward motion within 2 hours
Morphology: > 50 % normal sperm
Premature ovarian failure :
Luteal phase defect: