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Infertility

Infertility: Inability to conceive a child within two years of marriage with successful regular intercourse without use of contraceptives is defined as infertility. Infertility may be primary and secondary.

Primary infertility is one in which couple had no pregnancy right from the beginning of marriage and secondary infertility is that in which couple has conceived once and then gets problem in having second baby.

Infertility have different causes in males and females, hormonal changes, lack of good diet, smoking, obesity, dieting, alcohol, stress, diabetes, are general causes in both sexes, in females diseases like polycystic ovarian syndrome, vaginal and uterine infection, blockage of tubes, inability to produce ova, cervical incompetence, some mechanical factors like tumors or cancers of ovaries, uterus and vagina, some autoimmune and blood disorders are causes of infertility.

In males impotence, retrograde ejaculation, mechanical blockage by tumors, prolonged exposure of testicle to heat,  un descended testes, decreased sperm count are common causes. There are numerous tests to diagnose infertility, these include blood tests, hormonal measurements, urinalysis, ultrasound, CT and MRI scans. In males semen analysis is used to detect sperm counts.

For treating infertility there are some general measures which are advised to couples like improving diet containing vitamins, especially folic acid, vitamin A and vitamin C, minerals like zinc and iron, regular mild exercise, reducing stress and depression, maintaining proper weight.

Proper intercourse timings and techniques are very important, other treatment options depend upon the cause and done by infertility specialist. In vitro fertilization or Test Tube Baby is the final option for infertile couple.

In this page, we are going to discuss about Infertility and symptoms, diagnosis and treatment in Urdu and Roman Hindi for the people of Pakistan and India.

Infertility Causes In Hindi 1.    Banjh pan aam bimari hai.
2.    Iss mein mard aurat dono mein nuqs ho sakta hai.
3.    Banjh pan ki wajah say aik saal tak ijmaa karne kay bawajood aurat ko hamal nahi hota.
4.    Ye dono kay liyay pareshani ka baais banta hai.
5.    Yeh condition bari serious hoti hai dono mard aaurat ko kisi mahir Endrologist ya Gyacologist say rojoo karna chaahiay.

Cause
1.    Banjh pan kay mard aaurat dono zumahdaar ho saktay hain.  
2.    Iss ki asal wajah maloom nahi ghair tasalli bakhsh ijma, saraut anzal, ghunghat ka chota hona aur overi mein noqs toleedi jaraseem ka kam moqdaar mein paida hona waghairah waghairah banjh pan kay asbaab ho saktay hain.
3.    Mard kay foton ki infection, Priet glinds, ki infection, kisi bimaari ki waja say jaraseem ka kam moqdaar mein paida hona aur sar'ut anzal ka banjh pan ka bara sabab hai.
4.    Aurton mein taqreeban 20% ko yeh bimaari ho sakti hai. In ko Ovalatory Problem ho sakti hai, vegaina mein kharabi, (Cervical Infection) aur ijma ko pasand na karna banjh pan kay asbab hote hain.

Investigation
1.    Mard aur aurat ko tajurba kar doctor say rouu karna chaahiay.
2.    Mareez kay foto'n aur pains ka achi tarah muaaina kia jaye.
3.    Mard kay (Semens) checks kiye jayen.
4.    Sparm ka Post Coital test kia jaye agar semens main sperm kam hon ya ziada tadaad mein hon aur wo shakal say ghair normal nazar aayein to mard ko banjh pan ki bimari hogi.
5.    Endocrine gland aur thiride glands ka test karna zaroori hai.
6.    Agar in mein noqs hoga to semon kam tadaad mein baney gay.

Blood Test
Gonedo hormone aur Testosterone ki level ko daikhne kay liye kia jaye in ki kami se Hypothalamus kay kam ki noiyet per asar andaaz hogi.

Aurat kay Pelvic ka Ultrasound kia jaye takeh seeram ka pata chale FSH mein hormones ki kaifyat ka pata lagaya jaye aurat kay vagina aur Pelvic ki laparoscopy ki jaye. Aur jarsome (eggs) ka muaaina kia jaye.

Treatment
Mard aur aaurat dono ko end urologist aur gynecologist se mashwarah karna lazmi hai. Aurat ki mahwari ko regular karne kay dawai di jaye agar test se pata chala ho keh semens kam tadaad mein bante hain aur sperm paida nahin hote to mard ko human menopausal gonadotropins (HMGS) tikay lagain.

Agar hypothalamus sahi kam nahi karta to (Pariodel) say adjust kar saktay hain varicosel ka noqs ho to surgery ki jaye takeh vo sahi function karay.
Intracytoplasmic sperm injection dono mard aurat ko lagain. Yeh injection buhat mowassar saabit hoye hain.
(730-732)

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