Infertility is a condition that affects about 10-15% of world population. Infertility affects men and women equally. In couples experiencing infertility about 35% is due to male factors, 35% due to female factors, 20% of cases have combination of both male and female factors and about 10% have unexplained infertility. when the cause of infertility exists within the female partner, it is referred to as FEMALE INFERTILITY.
• Ovarian factors
• tubal factor
• uterine factor
• others- Including immunological, vaginal causes and endocrinal causes
• Unexplained
In the recent time it has been seen that there are multitude of options for treatment of female infertility, in a gynecologist’s armamentarium.
So yes, we can say that for every problem we have a solution, and female infertility is curable.
1)ovarian factors
* 30-40% of all cases of female infertility are due to ovulatory dysfunction.
Ovulation disorders( anovulation ) can be caused by – PCOS, hypothalamic dysfunction, premature ovarian failure and excess prolactin.
The Symptoms of ovarian disorders are irregular menstrual cycles, either too long or too short, or absent menses.These two signs predict that a woman may not be ovulating.
Previously to diagnose ovulation certain tests were used like – Basal Body Temperature, cervical mucus study, hormonal study, and endometrial biopsy. But now these tests are no longer used. Now we have a more reliable method of diagnosing ovulation I.e. USG(TVS to be particular). It is the most commonly performed test these days and it is very accurate.
By ultrasound we can get an idea of not only about ovulation but about other ovarian pathologies including PCOD, ovarian cyst and endometrioma which can be reason behind female infertility.
Laparoscopy can also help us for diagnosing ovulation and to find out other causes of infertility .
Treatment for anovulation- medicines for ovulation induction, and controlled ovarian stimulation.
The drugs commonly used for ovulation induction –
1) clomiphene citrate alone or in combination with CC+HCG, CC+Glucocorticoid, CC+Insulin sensitizer, CC+Bromocryptine, CC+Gonadotrophins
2) Aromatase inhibitor
3)Gonadotrophins
4) Laproscopic ovarian drilling in resistant PCOS.
• In cases of premature ovarian failure- IVF with donor eggs can be used.
• Endometriosis-occurs when tissue that normally grows in uterus implants and grows in other location. It causes inability to conceive if remain untreated, due to various reasons. In cases of minimal and mild endometriosis ovulation induction and IUI is the effective treatment. severe endometriosis may sometimes need surgery and IVF.
2)TUBAL FACTORS
It is responsible for about 30% cases of female infertility. Tubal patency is necessary for natural conception, as well as for IUI.
Damage to the fallopian tubes can be caused by –
• Pelvic inflammatory disease
• Genital tuberculosis
• salpingitis
• Previous ectopic pregnancy
To see whether tubes are functional or not, we go for tubal patency test as a part of initial investigation for infertility. Tubal patency test can be done by
• HSG
• Saline infusion sonography
• Lap chromopertubation (lap&dye)
Treatment for tubal block- in cases of proximal tubal block we go for selective salpingography under fluoroscopic guidance, fluroscopic cannulation, hysteroscopy cannulation, resection anastomosis and microsurgical tubal anastomosis.
In case of distal tubal obstruction – PID is the most common cause leading to fimbrial block ,and the treatment for which includes fimbrioplasty, adhesiolysis and neosalpingostomy.
In cases of tubal problems like hydrosalpinx, lap. Salpingectomy and clipping are done, followed by IVF.
Tubal surgeries and tuboplasty are not preferred these days due to poor success rate and increased risk of ectopic pregnancy after tubal reconstructive surgeries . IVF is the best option for those having tubal problems with high success rate and without any risk of invasive surgery.
3.UTERINE FACTORS
• Mullerian anomaly,
• L eiomyoma,
• Endometrial polyps
• Asherman syndrome.
These pathological conditions can be diagnosed by HSG, 3D TVS and hysteroscopy and can be treated as required .
Immunological and cervical factor contribute to about 5% cases of female infertility. treatment depends on cause like in cases of anti sperm antibody cases we can go for IUI. In cases of cervicitis the patient is treated with antibiotics before planning for further treatment.
CONCLUSION – Most of the causes of female infertility are curable. And due to advancement in medical science ,there are more options available now than ever before. Right diagnosis and right treatment will give you the desired results. So female of any age and having any problem who wants to conceive, just don’t worry, meet your doctor and follow the advice because female infertility is curable.
2022
Infertility Problems Female Infertility
Diagnosis of female infertility For diagnosis of female infertility followi...
2022
Female Infertility Infertility Problems
INTRODUCTION To have a healthy pregnancy and to carry that pregnancy to term ...
2022
Infertility Problems Female Infertility
Introduction Physical exercise associated reproductive dysfunction within w...
2022
Infertility Problems Female Infertility
If you are a woman with type 1 diabetes and getting pregnant or perhaps wonder...
2022
Infertility Problems Female Infertility
Uterus, also called as women’s womb, is a pear-shaped muscular organ of the ...
2022
Infertility Problems Female Infertility
Platelets Rich Plasma – Introduction Platelets rich plasma: Effective emb...
2022
Female Infertility Infertility Problems
INTRODUCTION Infertility is defined as not being able to get pregnant despi...
2022
Infertility Problems Female Infertility
In-vitro fertilization, commonly known as IVF is an advanced treatment in whic...
2022
Female Infertility Infertility Problems
As we all know infertility rate is constantly rising in our society day by day...
2022
Female Infertility Infertility Problems
The pain in the abdominal area, as well as the pelvic area that women feel, is...
2022
Female Infertility Infertility Problems
Today’s generation is constantly struggling with keeping up a healthy balanc...
2022
Female Infertility Infertility Problems
There are many misconceptions about infertility amongst women who face trouble...
2022
Infertility Problems Female Infertility
The inability to conceive or have a full-term pregnancy after having had child...
2022
Female Infertility Infertility Problems
It is commonly believed that the factors behind infertility are tangible. Stre...
2022
Infertility Problems Female Infertility
Infertility is a state of emotional roller coaster for couples who have been t...
2022
Infertility Problems Female Infertility
Infertility is defined as the inability to conceive after one year of unprotec...
2022
Infertility Problems Female Infertility
What is infertility? Infertility is defined as the failure to achieve a cli...
2022
Female Infertility Infertility Problems
How to cope with Infertility – Cope with Female Infertility Infertility i...
2022
Infertility Problems Female Infertility
An Epidemic is referred to a sudden increase in the number of cases of a disea...
2022
Infertility Problems Female Infertility
If you are someone who is trying to conceive, and when the test, again and aga...
2022
Female Infertility Infertility Problems
A woman who is planning their family and are trying to conceive need to keep a...
2022
Female Infertility Infertility Problems
Top IVF doctors from the best IVF hospitals, infertility clinics as well as to...
2022
Female Infertility Infertility Problems
Smoking and Infertility Smoking cigarettes is one of the principal sources ...
2022
Female Infertility Infertility Problems
Fibroids And Infertility 1. What are the fibroids? Fibroids are one type o...
2022
Infertility Problems Female Infertility
Everyone who arrives at the hospital comes with a list of questions in their m...
2022
Female Infertility Infertility Problems
Residing in the nation’s capital and budding professionals working in an MNC...
2022
Infertility Problems Female Infertility
When the cholesterol becomes high, the risk of a stroke or a heart attack incr...
2022
Female Infertility Infertility Problems
Dr Nitin Choudhari (IVF and infertility specialist, INDIRA IVF) explained, “...
2022
Infertility Problems Female Infertility
Ultrasound Ultrasound is a indirect vision for fertility testing. Ultrasoun...
2022
Female Infertility Infertility Problems
When a couple decides to start a family, it becomes an exciting chapter in the...
2022
Female Infertility Infertility Problems
Can infertility be cured ? is the most common worrying question that bothers a...
2022
Female Infertility Infertility Problems
There are many assisted reproductive technology treatments to help couples dea...
2022
Female Infertility Infertility Problems
The inability to conceive affects every 1 in 10 couples and can take a toll on...
2022
Female Infertility Infertility Problems
Can Stress Cause Infertility? For some couples, the diagnosis of infertilit...
2022
Female Infertility Infertility Problems
Infertility or childlessness is a sting to life which pricks till couple gets ...
2022
Female Infertility Infertility Problems
Do you want a baby? Don’t be impatient: conceiving a child can take time....
2022
Female Infertility Infertility Problems
Infertility is a common problem affecting 17-20 percent of couples. It can be ...
2022
Female Infertility Infertility Problems
Infertility Treatment- Introduction Once a person or their near ones are be...
2022
Infertility Problems Female Infertility
Epilogue – low ovarian reserve Whenever we come across women with low ova...
2022
Infertility Problems Female Infertility
Incidence of infertility in India is 10 to 15%, in other words 27.5 million co...
2022
Female Infertility Infertility Problems
Infertility is inability to conceive after one year or more with regular unprote...
2022
Female Infertility Infertility Problems
Fertilization- Fertilization is a complex process where a sperm and egg uni...
2022
Female Infertility Infertility Problems
It is a common belief over decades that women with normal menstrual cycle patt...
2022
Female Infertility Infertility Problems
A lot of people get themselves examined once or twice a year by their doctor. ...
2022
Female Infertility Infertility Problems
What do we know today about the benefits and risks of vaccination in pregnant ...
2022
Female Infertility Infertility Problems
Pregnant women and those in close-contact with them must take necessary precau...
देश में इनफर्टिलिटी बढ़ी, 15 फीस�...
Get quick understanding of your fertility cycle and accordingly make a schedule to track it