Infertility

Abstract

Human fertility is a complex process involving gamete production, fertilization, and implantation. Disruption of any of these key steps can result in infertility. Underlying lifestyle factors, age, or pathological conditions in either or both partners can be contributory. Traditional investigations can help to identify the nature of infertility. Management depends on modification of lifestyle factors and treatment of a specific cause—where appropriate. Assisted conception has transformed the approach to fertility treatment and is used for all cases of prolonged unresolved infertility. Individualized care, taking into account the chances of natural conception as well as the physical, emotional, and financial needs of a couple, is the basis of a successful management strategy.