What is Female infertility? What's Male Fertility or Potency?

Another look at the definition and description of Infertility

Infertility means the inability to conceive or the inability to carry a pregnancy to term and deliver it. On the other hand, male infertility is the inability of a man to impregnate a woman. In other words, male infertility is known as impotence. A less often used synonym (words with similar meaning) for infertility in both sexes is sterility. You know, Of course, that the opposite of infertility (no fertility) is fertility meaning that you can reproduce.

The root word, "infertile" from where infertility is derived means unproductive or barren (used most often by the Holy Bible). Therefore, you cannot find infertility in the Bible which rather uses the word "barrenness" to mean the same thing.

I must say that unexplained infertility is not a gynecological or obstetric condition per say but an disorder of internal health. Most naturopathic physicians attribute infertility to "an imbalance in the body." It could be structural, inflammatory, biochemical, nutritional or hormonal imbalance. This is because many infertile people or couple are perfectly  normal and healthy on the outside yet cannot conceive inwardly or deliver a baby. The ability (or inability) to conceive or reproduce is a complex multi-factorial phenomenon that involves well-nourished couple, maturation and release of healthy eggs, patent fallopian tubes, quality sperm to fertilize the egg, well nourished uterus for implantation, and adequate hormonal balance to sustain pregnancy. Other unseen factors like psycho-spiritual elements may play a role as well. These include stress, distress, mood, habits, unforgiveness, generation curses in the bloodline, and demons (spiritual husband or wives). Sometimes it may be the conscious or unconscious decision of one of the couple not to have children or more children. If this is unknown to one of the partners, they may not conceive until they have a mutual agreement to do so.

Infertility is actually a way the body is warning you that something is wrong and needed to be fixed. This is because reproductive organs are the last to be affected when other organs are imbalanced or diseased from any cause. Remember that the first law of nature is self-preservation and perpetuation of its specie.

Don't forget that the causes of infertility are fairly equally distributed in men and women. About 40% of infertility causes is said to be due to male factors. Another 40% are attributed to female infertility causes. Ten percent of the causes of infertility is shared by both male and female; and the remaining 10% is said to be unknown or explained.

Three Classes, Types and Definition of Female Infertility

From medical point of view, female infertility is defined according to 3 main classes or types:

1. Primary Infertility--This is inability to conceive for the first time (and deliver) after one year of regular unprotected sexual intercourse. This is American OBGYN definition (OBGYN is an acronym for Obstetrics and Gynecology). In Europe, primary infertility is the inability to conceive after two years of regular unprotected sexual intercourse. This definition is for a woman under 35 years. Above the age of 35, primary infertility is defined as inability to conceive after 6 months of regular unprotected sexual intercourse. Most people, including doctors, tend to focus more on this type of infertility which is less common than secondary infertility.

2. Secondary Infertility--This is the inability to conceive again and deliver a baby after having one or more children. Secondary infertility is less obvious and less noticeable when compared to primary infertility or miscarriages. Secondary infertility is more than twice the incidence of primary infertility. It is the most common type of infertility. People tend to advice the couple who are already parents to be content with the child or the children they already have. They see them as greedy when they clamor for more because people tend to compare them with parents who are childless.
However, the type that causes the greatest pain, emotional turmoil and grief because it involves loss is the third type.

3. Miscarriage--This is the inability to carry gestation to term and deliver it. A miscarriage is the common name given to unintentional loss of viable pregnancy on or before 20th week. Most miscarriages or spontaneous abortions happen before the13th week of pregnancy. Most women hate to think that they aborted their own babies. The keyword word here is "intentional" otherwise the definition is that of abortion (conscious decision to terminate pregnancy by the woman and her doctor). There are different types of pregnancy miscarriages but the type that is relevant to the definition of infertility is recurrent miscarriages. It is estimated that between 10 to 25% of early gestation end in a miscarriage. Three or more miscarriages (regardless of cause) are classified by as infertility. Bear in mind that giving birth to a dead baby at term is known as still birth and it's not part of the definition and classification of infertility.

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You notice timing is of essence in the definition and description of infertility regardless of type. This is because the chances of getting pregnant becomes more difficult as time progresses especially in women. "A women is supposed to conceive and conclude early," says one pastor friend of mine. "Pregnancy after 30 is a disaster," says one gynecologist. Delay spells danger when it comes to conception and pregnancy. However, as long as a woman is still seeing her menses, there is always hope. People have been know to get pregnant even during peri-menopause and menopause (one year of normal changes before final cessation of menses. After this period, it is called post menopause. You can only lose hope after menopause which signals the end of reproductive period. The average is usually around 50.

Regardless of the type or definition of infertility, the evaluation, tests and management remains the same procedure or protocols. The accurate treatment any type of infertility depends on identifying the cause. The only missing link in most infertility evaluation by conventional doctors or reproductive endocrinologist is not associating infertility with nutrition.

Infertility seems to be increasing in incidence. About 30 years ago, only one in ten couple are infertile, today the incidence is one in six. The ignored reason is the proliferation of toxins and chemical pollutants in our food chain and water supply.

The Gender (Female and Male) Differences in fertility, Infertility and Conception

When it comes to fertility, men and women are totally different. A woman is already preprogrammed at birth with finite bank account of eggs when she arrives on this planet. The ovary is only responsible for maturing and releasing eggs. They cannot make new ones unlike the man. Yes, woman is born with 300,000 primitive eggs in her ovaries. She continues to lose them as years go by. At her peak reproductive period around 24 or 25, she has less than 100,000 eggs. At 30, it is less than 50,000 and it goes down rapidly from there such that at 35, she may be left with only 15 per month. At 40, the number dwindles to about 5 released eggs a month. At 45, she is left with 2 or 3 a month. At peri-menopause, it is 1 or 2. And at menopause, 1 or none. Please note here fertility or ovarian cycle (as sketched out above) is more important in timing pregnancy than concomitant menstrual cycle. A women can even get pregnant before noticing that she has missed her menstrual period which is less reliable especially if it is irregular.

On the other hand, a man can continue to be potent and produce spermatozoa or seed well past his nineties or even beyond. Both testicles are designed to reproduce perpetually although sperm quality and quantity may continue to decrease with increasing age. However, men can continue to be potent for the rest of their lives. In the Bible, Abraham fathered Isaac at the age ripe old age of 100 and even married Ketura and produced more children after Sarah died many years later.

Conclusion

For a woman, infertility is the inability to conceive or sustain a pregnancy while man infertility means the inability to impregnate a woman to reproduce. Infertility could be primary because a woman has never conceived in her life or secondary if a woman who had a child or children but could not reproduce despite series of tries. A woman who has experienced spontaneous loss of pregnancies (3 or more times) is also classified as an infertile woman.
Like most issues in life, getting pregnant is a probability that involves complex interplay and inter-action of factors. The married couple or a woman woman in particular has one chance in every monthly cycle to get pregnant during her reproductive period. Until the end of her menopause, she still has a chance to get pregnant.

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