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Female infertility is a health condition that prevents a woman from getting pregnant even after indulging in unprotected sex for 12 months and more. If a woman keeps having miscarriages every time she conceives, it is also called infertility. Female infertility is quite a common phenomenon. At least 10 percent of women deal with infertility issues of some or the other kind. As a woman ages, her chances of being infertile increase.
Treatment
Treatment of female infertility
The treatment of female infertility depends on the cause of the problem. With advancements in the medical field in recent times, couples today can resort to any of the following methods to conceive a baby.
The treatment for female infertility can also involve medication, surgery, non-surgery, and reproductive assistance such as ART.
If the cause of infertility can be treated by medicines, the doctor is likely to recommend the same.
Fertility medications
Fertility medications are often the first line of treatment for couples who have been trying to conceive for a long time but are facing difficulty. For the infertility specialist to determine the best medicines in your case, an accurate and thorough diagnosis is extremely important. The most commonly used fertility drugs are gonadotropins and Clomid. These medicines are used to induce ovulation. Gonadotropins are used to enhance ovarian stimulation in patients. Gonadotropins can be used as part of both IVF and IUI. Different types of gonadotropins for infertility treatments include:
FSH (follicle-stimulating hormone)
Mixture of FSH and LH (luteinizing hormone) – also called hMG or human menopausal gonadotropin
hCG (human chorionic gonadotropin)
Surgery
Surgery is often recommended to correct abnormally shaped uterus, remove fibroids from the uterus, and unblock fallopian tubes.
Non-surgical
Egg Freezing
Egg freezing, also known as ‘oocyte cryopreservation, is the best technology for any woman who does not plan to get pregnant immediately but wants to have a baby someday. In this method, the eggs from the ovaries are harvested and are frozen, and stored to be used later. Egg freezing is often combined with in-vitro fertilization and the fertilized egg is then implanted in the uterus of the woman. Infertility specialists recommend women freeze their eggs in their late 20s or in their early 30s. If the female has any disease or health condition that might decrease the quality or the quantity of the eggs, she should consider freezing her eggs even earlier.
Assisted Reproductive Technologies
IVF
Assisted Reproductive Technologies, commonly known as ART can include several forms of infertility treatments, from medications to surgery. But in the medical fraternity, ART refers to any treatments where the sperm and the egg are combined in an external environment. ART works best for women who have issues with the fallopian tube or in couples where the sperm cannot swim to fertilize the egg.
IVF is the most common and most reliable form of ART. This treatment is often used for couples where the woman has a blockage or damage in the fallopian tube or where the male partner produces very little sperm. IVF stands for in-vitro fertilization, meaning the fertilization takes place in a petri-dish, outside the body. During this treatment, the infertility specialists treat the woman with drugs to stimulate the ovaries to produce more eggs. Once the eggs are matured, they are retrieved from the ovaries and put in a petri-dish along with the sperm of the man for fertilization. Once the fertilization successfully happens and embryos are formed, the doctors implant the embryos in the uterus of the woman and allow the pregnancy to take place.
IUI
IUI or intrauterine insemination is a comparatively reasonable infertility treatment than IVF, but the success rate of the treatment is also lower than IVF. IUI is a viable treatment for women/ couples with unexplained infertility, where the sperm has issues in traveling to the egg, where the sperm of the man has low motility. In IUI, the sperm of the male partner or a donor is directly implanted into the uterus of the woman.
Intracytoplasmic sperm injection (ICSI)
ICSI is an assisted reproductive technology in which a single sperm cell is introduced into an egg cell. This treatment is a good option for couples with serious problems with the sperm. The treatment can also be used in the case of older couples or in those where IVF does not give effective results. Once the embryo is formed, it is transferred to the uterus or the fallopian tube.
Intrafallopian transfer
Intrafallopian transfer is a good treatment option for couples with unexplained infertility, with low motility in sperm, or in cases where the woman has any damage or blockage in her fallopian tube. Intrafallopian transfers can be of two types:
Zygote intrafallopian transfer (ZIFT) or Tubal Embryo Transfer where the fertilization takes place in a laboratory. Later, the fertilized embryo is transferred into the uterus.
Gamete intrafallopian transfer (GIFT) – This treatment involves transferring the eggs and sperm into the fallopian tube and allowing the fertilization to take place inside the woman’s body.
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The treatment of female infertility depends on the cause of the problem. With advancements in the medical field in recent times, couples today can resort to any of the following methods to conceive a baby.
The treatment for female infertility can also involve medication, surgery, non-surgery, and reproductive assistance such as ART.
If the cause of infertility can be treated by medicines, the doctor is likely to recommend the same.
Fertility medications
Fertility medications are often the first line of treatment for couples who have been trying to conceive for a long time but are facing difficulty. For the infertility specialist to determine the best medicines in your case, an accurate and thorough diagnosis is extremely important. The most commonly used fertility drugs are gonadotropins and Clomid. These medicines are used to induce ovulation. Gonadotropins are used to enhance ovarian stimulation in patients. Gonadotropins can be used as part of both IVF and IUI. Different types of gonadotropins for infertility treatments include:
FSH (follicle-stimulating hormone)
Mixture of FSH and LH (luteinizing hormone) – also called hMG or human menopausal gonadotropin
hCG (human chorionic gonadotropin)
Surgery
Surgery is often recommended to correct abnormally shaped uterus, remove fibroids from the uterus, and unblock fallopian tubes.
Non-surgical
Egg Freezing
Egg freezing, also known as ‘oocyte cryopreservation, is the best technology for any woman who does not plan to get pregnant immediately but wants to have a baby someday. In this method, the eggs from the ovaries are harvested and are frozen, and stored to be used later. Egg freezing is often combined with in-vitro fertilization and the fertilized egg is then implanted in the uterus of the woman. Infertility specialists recommend women freeze their eggs in their late 20s or in their early 30s. If the female has any disease or health condition that might decrease the quality or the quantity of the eggs, she should consider freezing her eggs even earlier.
Assisted Reproductive Technologies
IVF
Assisted Reproductive Technologies, commonly known as ART can include several forms of infertility treatments, from medications to surgery. But in the medical fraternity, ART refers to any treatments where the sperm and the egg are combined in an external environment. ART works best for women who have issues with the fallopian tube or in couples where the sperm cannot swim to fertilize the egg.
IVF is the most common and most reliable form of ART. This treatment is often used for couples where the woman has a blockage or damage in the fallopian tube or where the male partner produces very little sperm. IVF stands for in-vitro fertilization, meaning the fertilization takes place in a petri-dish, outside the body. During this treatment, the infertility specialists treat the woman with drugs to stimulate the ovaries to produce more eggs. Once the eggs are matured, they are retrieved from the ovaries and put in a petri-dish along with the sperm of the man for fertilization. Once the fertilization successfully happens and embryos are formed, the doctors implant the embryos in the uterus of the woman and allow the pregnancy to take place.
IUI
IUI or intrauterine insemination is a comparatively reasonable infertility treatment than IVF, but the success rate of the treatment is also lower than IVF. IUI is a viable treatment for women/ couples with unexplained infertility, where the sperm has issues in traveling to the egg, where the sperm of the man has low motility. In IUI, the sperm of the male partner or a donor is directly implanted into the uterus of the woman.
Intracytoplasmic sperm injection (ICSI)
ICSI is an assisted reproductive technology in which a single sperm cell is introduced into an egg cell. This treatment is a good option for couples with serious problems with the sperm. The treatment can also be used in the case of older couples or in those where IVF does not give effective results. Once the embryo is formed, it is transferred to the uterus or the fallopian tube.
Intrafallopian transfer
Intrafallopian transfer is a good treatment option for couples with unexplained infertility, with low motility in sperm, or in cases where the woman has any damage or blockage in her fallopian tube. Intrafallopian transfers can be of two types:
Zygote intrafallopian transfer (ZIFT) or Tubal Embryo Transfer where the fertilization takes place in a laboratory. Later, the fertilized embryo is transferred into the uterus.
Gamete intrafallopian transfer (GIFT) – This treatment involves transferring the eggs and sperm into the fallopian tube and allowing the fertilization to take place inside the woman’s body.
In Our Doctor's Words
MBBS, MS - Obstetrics & Gynaecology, DNB, MRCOG (Part 1) FIRM
14 Years Experience
"Age is one of the primary infertility factors for females. With changing timelines in education, career, and marriage; an average age of conception in urban women has raised to more than 35 years of age. By this time, both- the egg number and quality declines steeply. And while this is only natural, when combined with stressed work life, pollution, improper diet and increasing dependence on junk food, the natural conception becomes harder than before. Now add to this the risks of smoking, tobacco and alcohol- the chances bleak even further! My honest advice would be, if you have been trying to conceive for more than 1 year, seek immediate medical help and get yourself thoroughly checked. Only an early diagnosis can help suggest you the best supportive method. Also, if you are not ready for a child yet, consult a good gynecologist and consider egg freezing. It might be one of your best decisions."
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Age is an important factor for any woman when it comes to fertility. As a woman approaches her 40s, her chances of getting pregnant start getting lower. For women above 45 years of age, the chances of getting pregnant are very low.
No, infertility is not just a woman’s problem. Both men and women can suffer from infertility.
The following foods can increase yoru risk of suffering from inefrtility:
The success of assisted reporductive technologies vary and depend on may factors including the diagnosis procedure, the performance of the fertility clinic, and the age of teh woman. The age of the woman plays the most important factor deciding the success of the procedure.
Infertility and being streile are two different conditions, although most often they are confused to be teh same. Being infertile does not mean you can never get pregnant. However, sterility on the otherhand is a condition in which the female does not have uterus, ovaries or any egg production.
Risk factors of female infertility may icnlude:
Your fertility specialist and IVF laboratory personnel will help you determine an approach that is most likely to result in egg fertilization. If not, you can resort to using donor sperm or donor eggs.
No. Masturbation has no direct association with the fertility of either the male or the female. Although many people have a belief around this, the truth is masturbation does not affect fertility.
Pristyn Care is one of the best clinics in Thane for female infertility treatment. We, at Pristyn Care, have experienced gynecologists and fertility specialists wo have treated plenty of cases where the patients have been told that they do not have a chance.
Female infertility is usually diagnsoed and treated by Gynecologists or Gynecologists with specialization in fertility treatments. During the first consultation, the doctor may ask you about your menstruation, preganncy, medical history and try to more about any issues that you might have such as pelvic pain, unusual vaginal bleeding and abnormal vagianl discharge. The infertility specialist or the gynecologist is also likely to run a pelvic exam to determine the exact complication and the best line of treatment accordingly. There is a possibility that the doctor might ask you any of the following questions:
It is important to understand that no can determine the line of treatment until both partners are thoroughly examined. After your consultation, the infertility specialist may ask you to undergo certain tests to know the exact cause of infertility and determine the best line of treatment.
Blood tests – If you are not able to conceive, the infertility doctor will conduct blood tests based on your health history. The blood test determines your thyroid level and prolactin levels, including other problems, if any.
Laparoscopy – In laparoscopy, the doctor inserts a thin, flexible monitoring instrument with a camera attached to it at one end to view the reproductive organs and determine the potential problem.
X-ray hysterosalpingogram (HSG) – In this test, the doctor injects a dye into the cervix and monitors via X-ray how the dye moves through the fallopian tube. The test can best help diagnose any blockages in the fallopian tube.
Transvaginal ultrasound – This test is done to get detailed images of the uterus and the ovaries. The test is done by inserting an ultrasound wand into the vagina.
Hysteroscopy – In this test, a hysteroscope is inserted into the vagina through the cervix. The doctor moves the hysteroscope into the uterus to get a proper view of the organ.
Saline Sonohysterogram – Commonly known as SIS, this test helps look at the uterine lining and check for polyps and other structural abnormalities. In this test, the uterus is filled with saline water which allows the doctor to get a detailed image of the uterine lining.
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