Infertility refers to that state of a woman in which she is unable to carry a pregnancy for a long term. Approximately 10 to 15 percent of     the couples aged 35 or more are unable to conceive, which shows that they've been trying to for this almost a year or for at least six months.

Female Infertility, Body weight And Eating Disorders

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Infertility refers to that state of a woman in which she is unable to carry a pregnancy for a long term. Approximately 10 to 15 percent of     the couples aged 35 or more are unable to conceive, which shows that they've been trying to for this almost a year or for at least six months. Generally, infertility results from one third of female infertility factors and another one third of male infertility factors. In some cases, the cause is either unidentified or a combination of male and female aspects. The cause of women sterility can be difficult to identify, but many therapies are available.

Causes

  • Damage to Fallopian Tubes

Breakage of the fallopian tubes (which holds the egg from ovaries to the uterus) can stop contact between the egg and sperm.Pelvic attacks, endometriosis, and pelvic operations may cause to scar formation and fallopian tube breakage.

  • Hormonal Causes

Some women have issues with ovulation. At the time of preparation of a fertilized egg, synchronized hormonal changes resulting in the discharge of an egg from the ovary and the thickening of the endometrium (lining of the uterus)do not occur. These issues may be recognized by using basal body temperature charts, ovulation,predictor kits, and blood tests for detecting hormone levels.

  • Cervical Causes

Also there are women's Who are suffering from cervical conditions, in which the sperm cannot go through the cervical canal. Whether due to abnormal mucus production or a prior cervical surgical procedure, this problem can be treated with the help of intrauterine inseminations.

  • Uterine Causes

Abnormal framework of the uterus; and use of polyps and fibroids.

  • Unexplained Infertility

The cause of sterility is in approximately 20% of the couples, and will not be determined instead of using the currently available methods of analysis.

Lab Tests

If women sterility is alleged, your physician may order several assessments, which includes:

  • A blood test analyze to examine hormone levels.
  • An endometrial biopsy to examine the coating of the uterus.
  • The two diagnostic tests hysterosalpingography and laparoscopy, that may be beneficial in finding scar tissue and tubal obstruction.
  • Hysterosalpingography

This process includes either ultrasound examination or X-rays taken of the reproduction body parts. Either dye or saline and air are directed into the cervix and travel up through the fallopian tubes. This allows the ultrasound examination or X-ray to reveal if the fallopian pipes are open or blocked.

  • Laparoscopy

In this process, a laparoscope (a slim tube fixed with a fiber optic camera) is placed into the stomach with the help of a small incision near the navel. The laparoscope allows the physician to see the outside view of the womb, ovaries, and fallopian tubes to identify abnormal growths, as in endometriosis. Meanwhile the doctor can also examine if the fallopian tubes are open or not.

  • Ovulation Induction

An infertile Women is given medication, which stimulates ovulation or egg development. “This therapy is appropriate for females who are not ovulating, or for younger females with unexplained fertility.Surgery therapy including either the fallopian tubes (tubal surgery) or the womb (hysteroscopy surgery).Supra Ovulation Intrauterine Insemination (SOIUI).It is a two-step process in which ,an infertile woman is given fertility medication to stimulate her ovaries to generate more than one egg and the man's sperm is placed high in the womb to bring it as near to the egg as possible.

  • IVF (In Vitro Fertilization)

In the IVF process, multiple eggs and sperm are brought together in a glass dish placed in lab so that eggs can be fertilized by the sperm. After fertilization, the best embryos are placed in the womb, increasing the chances of pregnancy.IVF is the most widely used “assisted reproduction technology (ART). As part of IVF, sperm can be placed into an egg to fertilize it. This is known as ICSI, or intracytoplasmic sperm injection.When does IVF become a therapy option?IVF can be regarded in the following cases:

  • Female's fallopian tubes are misplaced or blocked
  • A Female has severe endometriosis (a situation in which the tissues that normally lying within the womb are discovered outside the womb)
  • A man has a low sperm count(poor quality of semen)
  • Intrauterine insemination has not been successful
  • There is unexplained infertility for a lengthy time.

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Prevention

As sterility is frequently due to Std's, practicing safer sex behaviors may avoid upcoming sterility. Gonorrhea and the chlamydia problem are the two major causes of STD-related sterility.STDs are often without symptoms at first, until PID or salpingitis develops. These inflammatory related procedures cause scarring of the fallopian tubes and reduced fertility, or an increased incidence of ectopic pregnancy.Mumps immunization has been well confirmed to avoid mumps and it male complication, orchitis. Immunization stops mumps-related sterility.

Few types of birth control, such as the intrauterine device (IUD), carry more chances of threat for upcoming sterility. However, IUDs are not recommended for females who already had a baby.Women choosing the IUD must be willing to agree that there will be a very slight chance of sterility associated with its use. Careful consideration of this threat, with the potential benefits, should be reviewed and discussed with both the couples and the doctor.Early analysis and therapy of endometriosis may reduce the chance of sterility.

Treatment

Treatment for infertility should first address any underlying medical condition that may be contributing to fertility problems. Medication, surgery treatment, or both may be used to cure these circumstances. Surgery may also be used to repair obstruction in fallopian tubes.

Fertility Treatment Approaches in India

Several techniques are used to cure infertility

  • Lifestyle actions (healthy lifestyle, planning sexual intercourse with ovulation cycle, handling stress and emotions)
  • Drugs to generate ovulation, such as clomiphene and gonadotrophins
  • Assisted reproduction technology (ART) such as in vitro fertilizing (IVF) or intracytoplasmic sperm (ICSI)

Choosing a Fertility Clinic in India

Consult with a fertility professional. Women who are 35 or more than that, however, wants to explore their choice if they don't become pregnant in 6 months or a year.Choosing a excellent fertility medical center is important.Those providing assisted reproductive techniques are not always handled by the govt, and violations have been revealed, such as lack of suggested approval, illegal use of embryos, and failure  to continually check donor for disease.The medical center should always provide the following information:

  • The live-birth rate (not just pregnancy success rate)for other couples with identical sterility issues. (Multiple births, such as twins or triplets, are considered as one live birth.)
  • This kind of research should include high-risk females, such as those who are mature or facing problem in producing egg. (Some illegal medical centers give achievements costs that remove high-risk females from their total, thereby creating the  percentage of success much higher)

Special Considerations For Patients With Cancer

Women which are going through cancer treatments as well as those who wants to conceive a baby visit a reproductive professional to talk about their choices. According to the American Society of Clinical Oncology's guidelines, the fertility maintenance technique with the improved chances is embryo cryopreservation. This process contains harvesting a women egg (oocytes), followed by in vitro fertilization and freezing of embryos for later use. Other methods under research includes egg preservation, collecting and freezing unfertilized eggs, removing and freezing a part of the ovary for later reimplantation, and using hormone therapy to protect the ovaries during chemotherapy. Women may be able to access these investigational approaches through enrolling in clinical trials.

Body Weight And Eating Disorder

Women with eating disorders often have difficulties in conceiving. In fact, sterility issues are a common side-effect of an eating disorder. It is approximated that as many as 1 in 5 sufferers at a sterility medical center are there , just because of eating disorders.

Eating Problem Types

One of the best-known eating conditions is anorexia therapy. Individuals with anorexia have an incredibly altered sense of body picture and therefore deny themselves of meals in an effort to be slim. Even when an anorexic reaches to an extent that is incredibly harmful, individual still thinks that she is fat and needs to burn fat. Other anorexia signs can include unusual dietary routines, meals avoidance and excessive workout. Some anorexics also have obsessive-compulsive disorder .Unlike anorexia, people being affected by bulimia therapy generally do not appear to have a eating disorders. This is because bulimics maintain a healthy weight.

However, bulimia includes excessive eating and then getting rid of the meals, either by nausea or through the use of stimulant laxatives. Because the bulimia signs are not as noticeable as the signs of anorexia, it is often easier for this eating conditions to go unnoticed. A larger number of females usually experience from bulimia (about 2 to 3 % of the population) than they do anorexia (about 1 to 2 % of the population). It is not unusual for bulimics to have drug misuse issues, as well.Another eating conditions that is not as well known as anorexia and bulimia is excessive unnecessary eating. While it is identical to bulimia, excessive unnecessary eating is not the same disorder. Compulsive overeaters binges on meals but not purge afterwards. Consequently, most excessive overeaters are obese. Often, this excessive eating is associated with feelings of guilt and shame.

  • Causes

All three kinds of eating conditions have a lot of health issues associated with them. Due to the underweight and/or lack of nourishment, a person with eating disorder can harm their major body parts and throw their hormonal systems out of place. Since these are not just physical but psychological diseases as well, anorexics, bulimics and excessive overeaters are more likely to suffer from stress, anxiety and depression.All of these factors when mixed can make a conception, fertilizing of an egg, implantation and holding maternity to a term is utmost difficult and, in some situations, not possible.

A poor diet as well as pressure and depression can also give rise to the development of other sterility issues such as low sexual interest and polycystic ovarian syndrome.The reason behind  the impressive losing  of weight  during anorexia, is that many anorexics patients stop with  their periods, thereby making it almost difficult to conceive. In some situations, Indian females who have been being affected by anorexia for years are unable to start their mensuration again because of long lasting harm they have done to themselves.

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Associated Problems

Just some of the infertility problems associated with eating disorders include:

  • Irregular menstrual cycles
  • Reduced egg quality
  • Ovarian failure
  • Poor uterine environment
  • Miscarriage