Primary Amernnorrhoea

• Gonadal Agenesis
• Disorders of Hypothalamus and Piturary Axis
• Chromosome abnormalities
• Turners Syndrome – (45 x 0)
  TURER MOSAICISM (45/46/x0) (45/46/x0/xy)
• GYNAETRESIA (absence of uterus and vegina)
• Cryptomenorrhoes (absence of periods)
  

Secondary Amennorrhoea and Oligamenorrhoes

1. Hypothalamus
   Obesity
   Anerexia Nervosa
   Oral Contraceptives
   Tranquilizers
   Psychological Disturbances
2. Pituotary
   Pituotary Thmours – Hyper prolactenimia
   Seehan’s Syndrome
3. Thyroid
   Myxoedema
   Thyrotoxicosis
4. Adrenal
   Adrenal Hyperplasia
5. Ovary
   Ovarian failure
   Polycystic Ovary

Uterus

Endometrial atrophy
Asherman’s Sydrome (Repeated D & C)
Cercial Stenosis

Cervical Factors

Infections

Tubal Factors

• Tuberculosis
• Gonorrhoea
• Post partum and Post abortal infections
• Intra uterine coutraceptive devices
• Pelvic and post operative infections
• T.Mycoplasma
• Chlamydial infections
  

Unexplained causes of intertility

• Retroversion of uterus
• Tortuosity of felloplain Tubes
• Premeture release of immature ova
• Leutinising Unruptured follicle
• Hyper Androgenism – HIRSUTISM
• Leuteal phase defects
• Endometriosis
• Veginismus
• Sperm antibodies
• Rigid Hymen
• Chronic Leucorrhoea
• Inflamation of Vulva
• High degree of Acidity in Vegina
• Morework and insufficient sleep
  

When both the tubes are closed – (Test tube Baby)

IVF – Invitro fertilization
GIFT-Gammet Intra Fellopian Transfer
POST – Peritoneal Ovum and Sperm Transfer
Micro Manipulation Technique
Forcible infection of sperm over egg

General Survey in femal infertility

• Ovulatory factors – 27%
• Tubal factors – 19%
• Endometriosis – 18%
• Uterine factors – 6%
• Male factors – 30%