Ukwelashwa okunikezwayo ngokusobala kuncike ezimbangela zokungazali ezitholakala phakathi nophenyo lwezokwelapha. Baphinde bazijwayeze neminyaka yabashadikazi, umlando wezokwelapha kanye nenani leminyaka abahlushwa ukungabatholi abantwana. Naphezu kwezinhlobonhlobo zokwelapha ezitholakalayo, ezinye izimbangela zokungazali azikwazi ukulungiswa.

Kubantu, imithi noma indlela yokwelapha ingase yelapha abanye ukuphazamiseka kwe-ejaculation futhi avumele umbhangqwana wakhe ukuba ukhulelwe umntwana. Uma kunenombolo enganele yesidoda esidodeni, amahomoni kungase kunqunywe ukulungisa le nkinga noma ukuhlinzwa kungase kunikezwe ngezinye izikhathi (ukulungisa i-varicocele, ukunwetshwa kwemithambo entanjeni ye-spermatic, etholakala kuma-testicles, isibonelo).

Kwabesifazane, ukwelashwa kwama-hormone ngezinkinga zomjikelezo wokuya esikhathini kungase kuphumelele. Ukwelashwa okufana ne-clomiphene citrate (i-Clomid, ngomlomo) kunqunyelwe ukuvuselela i-ovulation. Lo muthi uyasebenza uma kwenzeka ukungalingani kwe-hormonal ngoba usebenza pituitary, indlala ekhiqiza amahomoni abangela ukuvuthwa kweqanda. Amanye amahomoni amaningana anganqunywa ngomjovo ukuze avuse i-ovulation (bheka ishidi lethu le-IVF). Uma kwenzeka i-hyperprolactinemia, i-bromocriptine ingase ibekwe.

Kwezinye izimo, kungase kudingeke ukuhlinzwa. Uma amashubhu e-fallopian evalekile, ukuhlinzwa kungaqeda lesi sifo. Endabeni ye-endometriosis, izidakamizwa zokuvuselela i-ovulation noma i-in vitro fertilization zingadingeka ukuze ube nethemba lokukhulelwa umntwana.

Techniques ukukhiqizwa kabusha okusizwayo ngakho-ke ngezinye izikhathi kuyadingeka ezimeni zokungazali. I in vitro fertilization iwubuchule be esetshenziswa kakhulu ukuzala okusizwayo. Isidoda sowesilisa sibekwe phambi kweqanda lowesifazane elabhorethri, bese umbungu ufakwa kabusha esibelethweni sikamama wakusasa (IVF).