Infertility is a condition that affects approximately one out of every six couples. An infertility diagnosis is given to a sexually active couple that has been unsuccessful in efforts to conceive not using any birth control,over the course of one full year. When the cause of infertility exists within the female partner, it is referred to as female infertility. About 40% of cases are due to female factors,30% are due to male factors, 20% are a combination of both, and in about 10% the cause is unknown. Female infertility factors contribute to approximately 50% of all infertility cases, and female infertility alone accounts for approximately one-third of all infertility cases. Causes of infertility are many and varied and involve male, female or a combination of factors. They include problems with the production of sperm or eggs,the structure or function of male or female reproductive systems and/or hormonal and immune conditions in both men and women.
What causes female infertility?
If a woman keeps having miscarriages, it is also called infertility. Female infertility can result from physical problems, hormone problems, and lifestyle or environmental factors. The most common causes of female infertility includes the following
* Problems with ovulation
* Age can contribute to infertility because as a woman ages, her fertility naturally tends to decrease.
* Problems with the reproductive tract (e.g., blocked or damaged fallopian tubes, endometriosis, pelvic adhesions, benign uterine fibroids, and complications
from surgery or infection).
* Sexually transmitted diseases
* Smoking, drinking alcohol, or using recreational drugs (e.g., cocaine and marijuana).
* Medications such as antidepressants,tranquilizers, calcium channel blockers,narcotics, and anti-cancer drugs.
* Exposure to radiation, lead, toxic fumes and pesticides.
* Incorrect timing of intercourse relative to ovulation.
* Medical conditions such as chronic kidney disease, liver disease, sickle cell disease, and chronic infections including HIV/AIDS, hepatitis B or C,and tuberculosis.
* Overweight or underweight
Diagnosis of female infertility.
Doctors usually begin with a medical history about your menstrual cycle, past illnesses, sexually transmitted diseases and surgeries, and if you are taking drugs or have been exposed to toxic agents. The medical history is usually followed by a pelvic exam to make sure your reproductive tract (vagina, uterus, and ovaries) is normal, and blood tests to measure your hormone levels. A semen analysis and a medical history of your partner will also be performed. Depending on what is found in these tests, your doctor may also perform more specialized tests like Laproscopy,Hysteroscopy,Sonohystogram and ultrasound,of your reproductive tract, including one to make sure your fallopian tubes are not blocked. Tracking your ovulation through fertility awareness will also help your healthcare provider assess your fertility status.
Treatment options For Female Infertility
Treatment of infertility depends on the cause and the womans age. It falls into two main categories: one helps fertility through medications or surgery, and the other uses assisted reproductive technologies. Fertility drugs are the main treatment for women with ovulation disorders, and may also be used in women with no identifiable cause of their infertility. These treatments may also be used with an intrauterine sperm injection (IUI), when sperm is injected directly into the uterus around the time of ovulation. Surgery may benefit women with fibroids, uterine polyps, or endometriosis. Surgery may also be an option when the cause of infertility is blocked fallopian tubes. It is important to note that attempts to unblock a fallopian tube may increase the risk of ectopic (tubal) pregnancy. Other options for a couple to achieve pregnancy include assisted reproductive technology such as mixing sperm with an egg outside the body (known as in vitro fertilization or IVF) or injecting a single sperm into an egg (known as intracytoplasmic sperm injection or ICSI), then transferring the resulting embryo back into the uterus. For women with very few remaining eggs in the ovaries,egg and embryo donation are options. Surrogacy is also one of the option for infertile couples.
Can female infertility be prevented?
If the female infertility is caused by genetic problems or illness then nothing can be done to prevent it. However, if women takes following steps ,she can decrease the possibility of infertility:
Take steps to prevent sexually transmitted diseases
Avoid illicit drugs
Avoid heavy or frequent alcohol use
Adopt good personal hygiene and health practices
Have annual check ups with her gynaecologist or infertility specialist
Emotional support During Infertility Treatment and Evaluation.
The inability to become pregnant can lead to a variety of emotions, including anxiety, depression, anger, shame, and guilt. In one study, 40 percent of infertility patients suffered with some type of psychiatric disorder; the most common diagnosis was an anxiety disorder (23 percent), followed by major depressive disorder (17 percent). Both men and women can suffer from these problems, which can further hinder a couple's ability to become pregnant.
The best approach for treatment of psychological distress related to infertility treatment has not been determined. However, some experts suggest relaxation techniques, stress management, coping skills training, and group support. Evaluation by a psychiatrist may be needed for some persons with significant symptoms of anxiety or depression.
When should someone contact an Infertility Specialist?
If a female is facing problems like abnormal bleeding, abdominal pain, fever, unusual discharge, pain or discomfort during intercourse and soreness or itching in the vaginal area then the female should contact the doctor or her infertility specialist at the earliest.
Confronting an infertility diagnosis can be difficult but it is an important milestone. It marks progress on your path to resolving your infertility. Regardless of whether the cause is male-related or female-related it is best if you and your partner deal with infertility as a couple and take the help of the expert to overcome the problem. Rotunda- The Centre for Human Reproduction is an Infertility and IVF Clinic in Mumbai India. At Rotunda, we work hand-in-hand with you to make every phase of the process - from diagnosis to treatment- as predictable and comfortable as possible. We help you to determine the cause of your infertility and an appropriate course of action. Many problems can easily be corrected with medication or surgical procedures. For couples facing more difficult challenges, our ART program ranks amongst the best in the nation.
India appears very good options and clearly comes out as the cheapest country on IVF cost. India also has the benefit of a vast amount of experience they were the second country in the world to have a successful pregnancy with IVF, only a couple of month after the UK in 1978. In India many of the doctors have been trained and have practiced in the West and are fluent in English.
Uncovere a wealth of valuable information that can significantly increase a couple's chances of pregnancy through IVF.
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