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Infertilitas
2.1.1. Definisi Infertilitas
Bahasa Indonesia
Kalimat asli
Infertility (clinical definition): a disease of the
reproductive system defined by the failure to achieve a
clinical pregnancy after 12 months or more of regular
unprotected sexual intercourse.
Sumber
The International Committee
for Monitoring Assisted
Reproductive Technology
(ICMART) and the World
Health Organization (WHO)
Revised Glossary on ART
Terminology, 2009
American Society for
Reproductive Medicine
Practice Committee
Dikutip dari
The Boston IVF Handbook of
Infertility
BENSON & PERNOLLS
handbook of OBSTETRICS &
GYNECOLOGY
Penyebab infertilitas
Bahasa Indonesia
Kalimat asli
Infertility can result from disorders in both partners
(40%), in the female partner alone (25-30%) or in the
male partner alone (20%). No detectable reason for
infertility is found in 10-15% of couples. (Thonneau et
al. 1991, ESHRE Capri Workshop 1996.)
The main causes of infertility are ovulation disorders
(20-32%), tubal damage (14-26%) and endometriosis (46%). There is no female reason for infertility in 26-30%
of couples and decreased semen quality is found in 2442% of male partners. (Hull et al. 1985, Thonneau et al.
1991, Schmidt et al. 1995.)
Terdapat 5 faktor penyebab infertilitas yang
mendasar, yaitu faktor pasangan pria, faktor
servikal, disfungsi ovulasi, adanya masalah pada
rahim atau organ pelvis pasangan wanita ataupun
keduanya, dan penyebab yang tidak dapat
dijelaskan.6
Sumber
INTRAUTERINE
INSEMINATION (IUI)
TREATMENT IN
SUBFERTILITY
SINIKKA NUOJUAHUTTUNEN
INTRAUTERINE
INSEMINATION (IUI)
TREATMENT IN
SUBFERTILITY
SINIKKA NUOJUAHUTTUNEN
Johns Hopkins Manual
of Gynecology and
Obstetrics, The, 3rd
Edition
MALE-COITAL FACTORS
CERVICAL FACTORS
Cervical factors of female infertility may be congenital
(DES exposure, mullerian duct abnormality) or acquired
(infection, surgical treatment).
UTERINE-TUBAL FACTORS
Uterine-tubal factors are most commonly structural
abnormalities
(e.g., DES exposure, myoma, failure of normal fusion of
the reproductive tract, infections, previous ectopic
pregnancy).
OVULATORY FACTORS
Ovulatory factors involve CNS function, metabolic
disease, or peripheral defects. CNS defects include
chronic hyperandrogenemic anovulation,
hyperprolactinemia (empty sella, tumor, or
druginduced), hypothalamic insufficiency (including
Kallmanns syndrome), and pituitary insufficiency
(trauma, tumor, or congenital). Metabolic diseases
causing ovulatory factor defects are thyroid disease,
liver disease, renal disease, obesity, and androgen
excess (adrenal or neoplastic). Peripheral defects may
be gonadal dysgenesis, premature ovarian failure,
ovarian tumor, or ovarian resistance.
2.1.3.
Kalimat asli
Data dari
Family
Sumber
INTRAUTERINE
INSEMINATION (IUI)
TREATMENT IN
SUBFERTILITY
SINIKKA NUOJUAHUTTUNEN
International estimates
of infertility prevalence
and
treatment-seeking:
potential need and
demand for
infertility medical care
Jacky Boivin1,4, Laura
Bunting1, John
A.Collins2 and Karl
G.Nygren3