Myths about Infertility in India Out of pure curiosity, I started searching about information regarding multiple birth and fertility treatment. In the era of quadruplets and octomoms and families of 18, one can easily understand how could people have misconceptions about infertility and its...
Infertility is a condition where a couple is unable to conceive even after having unprotected sexual intercourse for a period of 12 months.
Infertility solution- Most Effective Way of Treating Infertility
There are various reasons for infertility and IVF is never the first choice of treatment. It is done when all other methods have failed to give a positive outcome. It is advisable in the following situations where one of the partners is suffering from the following conditions:
- Low sperm counts
- Problems with the uterus or low Fallopian tubes
- Problems with ovulation
- Antibody problems
- Sperms are unable to go inside or survive in the cervical mucus
- Fertility problem which is unexplained.
IVF or In vitro fertilization is one of the most solicited treatment methods for several sorts of fertility Treatment related troubles.
In a normal process of conception, sperm from the male comes in touch with the eggs of the female fertility in the woman’s Fallopian tubes..
In IVF, this procedure of fertilization takes place outside the woman’s body. The egg from the woman is surgically taken away and then fertilized in a laboratory making use of sperm which has been made available as a sperm sample. Now, the fertilized egg, generally known as an embryo, is surgically transplanted into the woman's womb. Commonly, one sequence of IVF usually takes between four and seven weeks.
PCOS & Infertility
Polycystic ovarian syndrome, also known as PCOS is a major cause of infertility. PCOS is a primary ovarian condition and is characterized by the presence of many minute cysts in the ovaries and excess production of androgens. This condition is a very common one causing ovulation disorders in women of reproductive age.
PCOS is sometimes associated with fertility. In PCOS LH goes higher than FSH. Due to the low levels of FSH, many follicles will develop, however it will not mature. These follicles, which are present in ovaries form cysts once they become altruistic. Hence the ovaries seem to be polycystic. The follicles do not mature and that is the reason no eggs are released and subsequently there is no ovulation. Infertility is primarily caused by anovulation or lack of ovulation. Ovulation drugs (Clomid & metformin) by gonadotrophins help with ovulation or correcting the resistance to insulin.
Symptoms of PCOS
Some common symptoms of PCOS include an excessive hair growth in the face and body along with weight gain and, irregular and infrequent periods or absent periods. Ovulation is infrequent or mostly absent. The symptoms can vary from one woman to another and may also include obesity, high levels of cholesterol or even acne. There have been some symptoms of skin tags as well as extreme tiredness, or lack of mental alertness combined with depression, anxiety and decreased sex drive. Excess male hormones and infertility are also observed in some cases.
Incidence and diagnosis of PCOS
Polycystic ovarian syndrome (PCOS) accounts for 90% of women with infrequent periods 30% of women with absent periods and over 70% of women with anovulation.
PCOS can be inspected with laparoscopy, which allows direct inspection of the ovaries. However polycystic ovaries may appear normal at laparoscopy. Ultrasound of the vagina may show the PCOS. To know the total number of visible cysts, a pelvic scan of the ovaries is recommended. However, it is also to be noted that in case there is no visible cyst, it is not to be concluded that one does not have PCOS.
It is advisable to check the blood hormone levels of LH, FSH, androgens and SHBG. The best time for these tests is the first four days of the cycle. However, in situations where the woman has no period, then the test can be performed anytime and repeated if the tests do not provide a clear picture. It is seen that FSH levels are low or normal and LH levels are often raised. However, even if the level is normal, it cannot be assumed that there is no (PCOS). There is a possibility that the levels of androgens and testosterone may be raised.
To treat PCOS, according to doctor suggestion removal of ovarian cysts is not an effective option. Cysts which form on the ovaries are due to production of excess insulin leading to hormone imbalance. Hence, removing the cyst only removes one symptom and not the entire problem.
Health risks associated with PCOS
In India, Women who have Women with PCOS a much higher chance of contracting type 2 diabetes as well as cancer and cardiovascular disease (CVD). Getting your symptoms under control at an earlier age can help to reduce the above complications.
Treatment of PCOS at Raipur Centre, India
Treatment is usually ineffective pharmaceuticals and is usually more effective if there is a strategy to change the lifestyle. In case the woman is overweight, she needs to lose weight. This will help in getting the menstruation back and ovulation in patients having polycystic ovarian syndrome. Including some changes in like exercise and weight control also helps in reducing the chances of type 2 diabetes in later life.
Since there is no definite treatment for PCOS, it needs to be controlled to prevent problems. The treatment method is based on one’s symptoms, if one wishes to get pregnant and lowering one’s chances of getting heart disease and diabetes. Most women will need a combination of these treatments to meet these goals.
- Birth control Pills: This option is for women who do not wish to get pregnant and still control, menstrual cycles, reduce male hormone levels and help clear acne. However, symptoms return once the pills are stopped.
- Diabetes medications: Metformin (glucophage) helps women with PCOS symptoms. It lowers testosterone production, controls blood glucose, and slows down abnormal hair growth. Ovulation may return after a few months use. Cholesterol levels will improve along with BMI (body mass index).
- Fertility Medications: PCOS leads to lack of ovulation. T. Clomiphene citrate +Metformin are also used which helps in the stimulation of ovulation. Another option is IVF with gonadotrophins treatment.
- Surgery: Ovarian drilling helps to bring on ovulation. When medicines fail, the next option is surgery. Laparoscopy is also another option. Surgery is recommended when the medical treatment fails and for women who have experienced OHSS.
- Lifestyle modifications: Many women with PCOS are obese or overweight. A healthy diet and exercise goes a long way in helping women with PCOS. It has been seen that marginal reductions in body weight can regularize a woman’s period.
IUI Pregnancy- Solution for Infertility
Sometimes it is seen that nature needs help to start a pregnancy and the doctor can play an important role here by helping the sperm to enter through a fine tube inside the body. This process is called as intrauterine insemination (IUI). It is also known as artificial insemination with the husband’s sperm.
IUI is the process of putting washed sperm inside the uterine cavity with the help of a plastic catheter through the cervix. It is a low cost method which helps in enhancing the fertility in a woman with patent Fallopian tube. The chances of sperm meeting with the egg are increased by IUI.
IUI is a simple procedure which does not demand too many precautions. A few minutes of rest is advised post the procedure after which all the normal activities can be resumed. At times medicine may also be administered to support a pregnancy.
Apart from mild pain and spotting on the day of the IUI, there are no major complications. There are around five to ten percent cases of multiple (generally twin) pregnancies. At times a patient tends to respond excessively to medications and produce more eggs, which will lead to a risk of multiple pregnancies. Also there are chances of developing Ovarian Hyper Stimulation Syndrome (OHSS). If this happens, the doctor will recommend cycle cancellation or converting into IVF.
Success Rates of IUI in India
The success rate of IUI is determined by various factors. For instance the reason of infertility is an important factor. It is seen that usually around 80% of the pregnancies will take place within the first three cycles of IUI after which there is a reduction in the success rate. Usually a maximum of three IUI cycles is recommended, however this depends on the age of the patient as well as the cause and duration of infertility Treatment.
Male Infertility Treatment
A medical survey in recent times uncovered many startling details — around 46% of Indians, between age ranges from 31 to 40, are in need of health-related input to get pregnant at any one or maybe both the partners have problems with fertility complications. However, myths about infertility treatment have become typical. One well-known misconception is usually that it must always be a problem with the ladies. This might not really end up being not very true. In fact, within nearly 30% coming from all infertility instances, the reason is usually attributed to a problem inside the man.
Men's infertility will be described simply throughout cases associated with continually unnatural semen evaluation. There are numerous reasons behind this, which includes youth bacterial infections, hormonal issues, genetic aspects and also physical abnormalities. Males that smoke and also are drinking alcohol face 13-17% lesser sperm fertility when compared with teetotalers. In current days, tension and also ways of living disorders also have added to infertility fears. Another popular cause of men's infertility is usually sexually carried disorders such as gonorrhea as well as Chlamydia, which can result in blockage of the tubes in which sperms are carried.
Apart from these, the following list of things can also affect male fertility:
Laptops - Although a laptop could possibly be your constant companion for as many activities as getting meals to getting your current wage, professionals have highlighted that keeping a laptop in your thighs and leg can affect your sperm quality and cause you to be infertile.
Obesity – The sperm count gets affected.
Smoking – Smokers can have up to 10-40% lower monthly fertility Treatment rate.
Deodorants/Triclosan soaps – The popular antibacterial and antifungal component called triclosan has been identified to invoke infertility and other hormonal conditions in its users.
Tight underwear - The scrotum is designed to be positioned a little below your body because it needs to be cooler than the rest of the body, but tight underwear raises the temperature of the scrotum which affects sperm production.
Soy-based food - Soybean is a rich source of necessary protein, and also is great for the health of an individual, but professionals have found a connection between Soya-rich food and lower sperm count.
Mobile phones – Although debated by many scientists, still there exists a theory that one should avoid keeping the mobile phones near the groins as the cellular radiations may affect the quality of the sperms.
Diagnosis & Treatment of Male Infertility
The very first check in the assessment of the infertile male is the semen assessment. This examination is affordable, easy to carry out and also provides very important facts and information. Treating male infertility is complicated and also occasionally annoying. Instantaneous outcomes are very hard to generate and perseverance with treatment options is necessary. In spite of the availability of such a large number of treatment modalities, certain patients stay incurable and no medication, inexpensive or expensive, will probably improve their fertility opportunities. The individual in that case does not have any option but has to be prescribed an AID (donor insemination) adoption.
Infertility Statistics in India
As per a recent report published by the International Institute of Population Sciences, Infertility is growing at an alarming pace, especially in the metros of leading countries including India. From the sixty to eighty million couples affected by infertility globally every year, a concerning figure of 15- 20 million are found to be in India alone. Although a few men and women nevertheless consider infertility being a "woman's problem", up to 50% most situations associated with infertility is triggered due to difficulties pertaining to infertility with the man. Actually, about 20% - 30% times, any man's lower fertility is the major hurdle to be able to conceive.
In past times, as per studies, woman's fertility was 60% responsible for the issue of infertility Treatment, whilst male infertility contributed to 25% only. On the other hand, nowadays the male contribution has risen to 50% that comes out to be that just one in every 5 males between age groups 16 to 25, suffer from abnormal sperm count. A cause for this reduced count and motility of sperm are troubles with ejaculation of semen, malignancy of the genital system, mumps while in younger years etc.
The most recent study recommends that 10% of metropolitan based Indian partners in their reproductive age bracket are suffering from female infertility. Then again, with the ladies who are 35 or above, this is up to 30-40% for females are born with a set pool of eggs. The eggs develop from one to two million at the beginning, to 3, 00,000-5, 00,000 at puberty, which lowers to 25,000 when a woman turns 37, and then even more decreases to 1,000 when she gets to the phase of menopause. A woman's capacity to get pregnant reduces steadily yet significantly from once she turns 32, and by 37, it falls speedily.
Stress & Depression in Fertility Treatment
Dealing with Infertility treatment can be extremely stressful. There is stress related to the outcome, expenses as well as other aspects which can make one very anxious.
It is important to learn to take care of yourself, make sure that you get the support that you need and manage your emotions in a way that your self esteem and outlook on life remains positive.
Infertile women have reported higher levels of stress and anxiety. Effects related to infertility tend to impact work, family, financial as well as sexual life. You need to find ways which will help you get rid of the tension and anxiety and make you feel better.