Our bodies, like every other living being, are biologically able to give birth. Birthing is a natural process however, not all couples are physically prepared to go through this natural process. The causes are varied and so are the solutions. This phenomenon of inability to birth live is called infertility. In other words, Infertility is the inability to conceive and reproduce naturally. Most couples diagnosed with infertility are the ones who have consummated without the use of contraceptives over a long period of time. However, the definition of infertility changes as we travel across countries. These are drawn from the lifestyles and have set age criteria to define infertility and solutions are recommended accordingly to the couples seeking medical help.

The most extensively used definition, however, is the one that The World Health Organization has put forth for infertility and that is, “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 (and there is no other reason, such as breastfeeding or postpartum amenorrhoea).

Infertility is further divided into two sub-divisions. They are Primary infertility and Secondary infertility.

Primary infertility, as the name suggests, is reported in couples who have never given birth to a living child before and are unable to conceive even after a year of having sexual intercourse without the use of protection or contraceptives. Couples that have undergone miscarriages or have given birth to a stillborn child are also considered to be diagnosed with primary infertility.

Secondary infertility is reported in couples who have had a successful pregnancy in the past, but are unable to conceive or are unable to have a live birth in later attempts for at least five years without the use of protection and contraceptives. Again, inability to carry a pregnancy to full term and giving birth to stillborn babies after various attempts for at least five years after the previous successful pregnancy is also considered as Secondary infertility.

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