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Infertility is the inability to conceive after one year of unprotected intercourse for women under 35, and after six months for women over 35. Types of Infertility 1. Primary Infertility: Couples who have never conceived. 2. Secondary Infertility: Couples who have conceived before but are unable to conceive again. 3. Male Infertility: Infertility caused by male factors, such as low sperm count or poor sperm quality. 4. Female Infertility: Infertility caused by female factors, such as ovulation disorders or blocked fallopian tubes. Causes of Infertility Male Factors 1. Low Sperm Count: Insufficient sperm production. 2. Poor Sperm Quality: Abnormal sperm shape, size, or motility. 3. Varicocele: Enlarged veins in the scrotum. 4. Infections: Epididymitis, orchitis, or prostatitis. Female Factors 1. Ovulation Disorders: Irregular ovulation or anovulation. 2. Blocked Fallopian Tubes: Damage or blockage of the fallopian tubes. 3. Endometriosis: Growth of endometrial tissue outside the uterus. 4. Polycystic Ovary Syndrome (PCOS): Hormonal disorder affecting ovulation. Unexplained Infertility 1. Unknown Causes: Infertility with no identifiable cause. Diagnosis of Infertility 1. Medical History: Review of medical history and lifestyle factors. 2. Physical Exam: Physical examination of the reproductive organs. 3. Semen Analysis: Analysis of sperm count, quality, and motility. 4. Ovulation Testing: Testing for ovulation using basal body temperature, ovulation predictor kits, or blood tests. 5. Imaging Tests: Ultrasound, hysterosalpingogram (HSG), or laparoscopy to evaluate the reproductive organs. Treatment of Infertility 1. Medications: Fertility medications to stimulate ovulation or improve sperm quality. 2. Intrauterine Insemination (IUI): Placement of sperm directly into the uterus. 3. In Vitro Fertilization (IVF): Fertilization of eggs with sperm outside the body. 4. Intracytoplasmic Sperm Injection (ICSI): Injection of a single sperm into an egg. 5. Surgery: Surgical procedures to repair or remove damaged reproductive organs. Alternative and Complementary Therapies 1. Acupuncture: Traditional Chinese medicine technique to improve fertility. 2. Herbal Supplements: Herbal supplements to improve fertility, such as maca or tribulus terrestris. 3. Yoga and Meditation: Mind-body therapies to reduce stress and improve fertility. Emotional Support and Counseling 1. Individual Counseling: One-on-one counseling to cope with infertility emotions. 2. Support Groups: Group therapy to connect with others experiencing infertility. 3. Online Resources: Online forums, blogs, and websites to connect with others and access infertility information.