Infertility- Female InfertilityBasics
Causes Of Female Infertility
→ Causes
1. Ovarian Causes- 40%
3. Uterine/Cervical Causes-10%
2. Tubal Causes- 40%
4. Unexplained-10%
Ovarian Causes
→ WHO Classification
Class 1. Hypothalamo Pituitary Ovarian Axis (HPOA) Failure- 10% cases
Class 2. Hypothalamo Pituitary Ovarian Dysfunction- 85% cases- Anovulation
→ Most easily treatable form of infertility
→ E.g. Kallmann Syndrome-Hypothalamic Failure + Anosmia
→ E.g. PCOS, ↑ prolactin level
Class 3. Premature Ovarian Failure/Premature Menopause-5%
Test For Ovulation
Basis
→ If female ovulate Progesterone is present in her
→ Time for test of Ovulation- Done on day 22 of cycle, If regular cycles-1 week before menses
→ If female Does not ovulate Progesterone is absent & major hormone in her is Estrogen
Test
1. Cervical Mucous Study
Progesterone +nt
Ferning –nt
Estrogen +nt
Ferning +nt

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