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Dr. Sanat Joshi


Gynaecologist, Ahmedabad

100 at clinic
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Dr. Sanat Joshi MBBS Gynaecologist, Ahmedabad
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Sanat Joshi
Dr. Sanat Joshi is a popular Gynaecologist in Vasna, Ahmedabad. Doctor has completed MBBS . You can visit him/her at Dr Jivraj Mehta Smarak Health Foundation in Vasna, Ahmedabad. Book an appointment online with Dr. Sanat Joshi and consult privately on

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Dr Jivraj Mehta Smarak Health Foundation

Bakeri Medical Research Centre, Near Ayojan Nagar, Dr Jivraj Mehta Marg, Vasna,Landmark:Near Lavanya Society.Ahmedabad Get Directions
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I have irregular period. Always having period pain and sometimes I get period twice per month.

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Faridabad
I have irregular period. Always having period pain and sometimes I get period twice per month.
Keep a menstrual calendar to see how is the cycle duration and length for 3m get your serum tsh done along with ultrasound pelvis, if neede further evaluation ll be advised according to reports.
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I just want to know how much Rh factor is important for child birth. Can a husband having B positive blood group and wife having A negative blood group. Kindly tell me what complications can arise during Pregnancy and child and wife face any problem kindly Solve Respected Doctors.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I just want to know how much Rh factor is important for child birth. Can a husband having B positive blood group and ...
It has no relationship with child birth as such. But with each pregnancy there is small chance of mother getting sensitized by Rh positive cells which may cause problem to next child. However there are injections availbal to take during pregnancy and after delivery to decrease proble. Main thing is don't worry about it.
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My vagina pains when my husband & I ve sex. I am pregnant too. My last period was on 15/03/16*

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Failing to do Foreplay can ruin mood or leave you unsatisfied. Sex without foreplay means you’re not taking your needs into consideration, because foreplay is much more important to women than to men. Foreplay is a set of emotionally and physically intimate acts between couple meant to create sexual arousal and desire for sexual activity. Vagina secretes natural lubricating solution which is secreted by bartholin's gland. Foreplay also helps in secreting natural lubricant which will improve sex life.
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Diet Plan For Pregnant Women!

BHSC in Dietetics, Post Graduate Diploma in Sports Science and Nutrition
Dietitian/Nutritionist, Mumbai
Diet Plan For Pregnant Women!

Pregnancy is one of the most important phases in a woman’s life and it is at this time, that proper maintenance of health is of utmost importance; not only for the mother but also for the health of the fetus. What you eat during pregnancy is extremely important and plays a major role in determining you as well as your baby’s health.

A count of 300 extra calories per day is needed, particularly at the latter stages of the pregnancy when the baby grows at a rapid rate; the calories should be particularly derived from nutritious food items. This helps in contributing to the baby’s development and growth. The main source of nourishment for the baby comes from what you eat and drink. Hence, here are some easy tips that women can easily incorporate in their diet plan during pregnancy:

  1. Prenatal vitamins with folic acid and iron: Iron helps purify your blood and folic acid helps in preventing defects during birth. Hence, daily consumption of these nutrients is extremely important.
  2. Food rich in complex carbohydrates: Food items such as whole wheat atta, multi grain bread, brown rice, whole wheat pasta, potatoes, fruits and vegetables which are high in carbohydrates are required for the daily production of energy and hence, should be consumed in an adequate amount.
  3. Decaffeinated tea or coffee: Decaffeinated tea or coffee should be given as much preference as possible. Intake of soda should be limited and substituted with increased amounts of water. Restrict or if possible, abstain from alcohol completely during this phase.
  4. Shellfish and fish: Shellfish and fish such as swordfish, tilefish and king mackerel, that have high levels of mercury, should be avoided, as mercury levels have been found to interfere with the development of brain of the unborn baby. Some easily available and common fish with lower levels of mercury include shrimp, salmon and catfish.
  5. Boost immune system: The immune system (suppressed during pregnancy) can be boosted by having two spoons of sunflower seed butter containing vitamin E. This helps in building the red blood cells of the fetus.
  6. Control Cholesterol: Since cholesterol levels soar during pregnancy as well as breastfeeding, sprinkling ground flaxseeds on cereals and salads can help in controlling the levels of cholesterol, thus keeping various heart diseases at bay.
  7. Calcium: Calcium is needed during pregnancy for easing the muscle contractions as well as proper functioning of the nerves. Adequate levels of calcium are found in milk, yogurt, cheese, sardines and salmon.

Minimise morning sickness:

Morning sickness is most common in the early stages of pregnancy but sadly it’s not always limited to the morning! Help minimise the effects by:

  • Eating little and often, basing meals and snacks on starchy foods like whole wheat atta, multi grain bread, brown rice, porridge, plain biscuits, crisp-breads, oatcakes, pasta, rice or potatoes.
  • Minimising fatty foods which are harder to digest.
  • Choosing quick and easy recipes which need little preparation.
  • Keeping a couple of plain biscuits beside your bed – it can help to nibble on one before you get up. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.
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Resp. Mam my wife is pregnant her LMP was 24 of oct now a days she is feeling very hungry rather than before pregnancy. She feel hungry very much she take meal bt after half an hour she feels same .kindly suggest me what I do.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Resp. Mam my wife is pregnant her LMP was 24 of oct now a days she is feeling very hungry rather than before pregnanc...
Hello, Please let her whenever needed. It is common during pregnancy so there is nothing to worry about.
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I am 13 week pregnant. How much water should I take this time. Please help me with your valuable advice.

Homeopath, Delhi
I am 13 week pregnant. How much water should I take this time. Please help me with your valuable advice.
One glass is of 8 ounces. Pregnant women should take 12-13 glasses per day. Coffee, aerated drinks, milk, tea also have fluids and should be taken into consideration.
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Hello. Me and my wife both love to do oral sex as a foreplay. But after 1 - 2 mint after I start ,I feel salty taste some fluid. She also feel it on me and she even take inside while sucking .what's that? Is it harmful? How much time we should do oral.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), L.C.P.S, PhD,D.P.S.M
Sexologist, Ahmednagar
It's a mucus secretion of the vagina & penis it contains sodium chloride. That's why taste is little bit. It is not harmful. You can do oral sex till your stamina ends.
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My wife age 26 yrs having hypoechoic sol in her left breast (13mmx13mmx12.5mm). Having no pain. Kindly suggest me the best possible treatment option available.

General Physician, Faridabad
go for breast ultrasound, mammography, radiography for diagnosis, back with reports, i will guide you.
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Increasing Sex Power!

MD - Ayurveda
Ayurveda, Nagpur
Increasing Sex Power!

Increase Sex Power with 21 Ayurvedic Foods

  • You might don't know, 21 aphrodisiac  Ayurvedic Common Foods/ २१ पुरुषत्व वर्धक आयुर्वेदिक घरेलू आहार
  • People take lots of costly medications, and sometime face side effects and many times no effects.
  • Why to depends on medicine only, when you better choice
  • Aphrodisiac foods help to improve sex life and increase the sperm counts.
1 person found this helpful

Hi, me and my girlfriend did unprotected sex on 6th February at afternoon 12.30 like that. She is a virgin. We tried for Intercourse for three times not even more than 15 seconds because as she is virgin she is getting huge pain when I inserted my part into her vagina. Moreover as its hurting her I not even inserted my male organ completely into her vagina, only half of it and not more than that, and also its not even more than 15 seconds each time and I removed my organ from her vagina as she says it hurts a lot. I not even rubbed to and fro in her vagina and also I already mentioned I inserted only half of my organ into her vagina in all the three times. And as it only 15 seconds and I not even rubbed to and fro there no chance of ejaculation inside her vagina. And to mention I didn't ejaculate or cum inside her. Moreover it is no possible in 15 seconds span of time, in all the three times the same repeated. After the third time I haven't tried again as she is experiencing a lot of pain. Nothing happened after that. At that time I don't know exactly whether my precum existed or not because I thought that it will not cause any pregnancy. But while going through on the next day (i.e.7th February) I found that precum may also contain a small amount of sperm which also cause pregnancy if they are alive. I don't no if there existed precum during Intercourse. Moreover I washed all my bud and shaft with soap when I was bathing before Intercourse. But I'm not sure the precum existed or not during Intercourse or even if it existed I don't know if it contained a small amount of sperm content. Thats why after reading the article in Google the next day (i.e.on 7th February) I was so scared that she may become pregnant. So I said her to take an ipill in less than 24 hrs (i.e before 12 pm of 7th February). She took the pill between 11.30 to 12.15 on 7th February afternoon i.e.exactly after 22-23 hrs after our Intercourse (i remind you again that I didn't ejaculate or cum inside her vagina and what I did I explained clearly at the top of my query. And also ro mention you one thing that she do not have a regular periodic cycle of periods. It varies each time. Her last date was 26th January and it was a 22 day day period. Now I'm also afraid that when her ovulation took place and is it the date of our Intercourse (i.e 6th February) eventhought I didn't cum inside her I'm afraid of precum if it contains any sperm that she may be pregnant. She took an ipill in less than 24 hrs. 1) Will it work or she can be pregnant if it was exactly her ovulation date even she took an emergency contraceptive pill? 2) she may be become pregnant even with my precum without ejaculation inside her?  3) what will be her ovulation date if her date was 26th January and it is a 22 day period, will it be 6th February or even the day after or day before 6th February?  4) will the pill work for all those cases?  (note: she is experiencing a vaginal dryness from 6th February till today, is it any symptom for anything or its just the pills side effect?)  Whatever may be the case please tell whether she is going to been pregnant or not?  Please help me sir by replying fast, because I'm sooo scared?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi, me and my girlfriend did unprotected sex on 6th February at afternoon 12.30 like that. She is a virgin. We tried ...
Yes she can get pregnant, as sperm stays alive for a week inside a female genital tract, still would advise now to wait for the due date and if she misses her period, do a Urine pregnancy test to confirm pregnancy.
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Hi m 29 year old. Now pregnant and its my first month of pregnancy. I came from India to UK for work since 9 months. My doctor here in UK did not give me any supplement other than folic acid. No iron. Calcium or anything. Is it ok? I feel tired all the time.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Hi m 29 year old. Now pregnant and its my first month of pregnancy. I came from India to UK for work since 9 months. ...
If your hemoglobin and calcium levels are normal then eat right that's enough. Also this is first month, other things usually not given to avoid nausea in initial 3 months. Inform, if still have worries and problems.
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Parenting - No Soul Can Replace A Mother!

MD - Paediatrics, MBBS
Pediatrician, Faridabad
Parenting - No Soul Can Replace A Mother!

"No soul can replace a mother’s emotion. No individual can bestow the warmth of mother’s lap."

As a hen hatches the egg, we must warm, nourish, protect and feel the divine touch of our baby. In the early 1970s, motivated by problems arising from the shortage of incubators and also the impact of mother and newborn separation, Colombian pediatrician Edgar Rey developed a simple method later named ‘Kangaroo mother care’ (KMC). KMC has three main components including thermal care through continuous skin-to-skin contact by being tied with a cloth to the front usually of the mother; support for exclusive breastfeeding or other appropriate feedings; and early recognition and response to complications. As less number of people
tend to touch your baby, thus reducing the risk of hospital-acquired the infection

From various studies, it has been revealed that there are distinct benefits Celestial Love when babies share a bed with their parents compared to when they sleep in isolation. The physical closeness of your baby at night promotes increased secretion of the hormone prolactin in the mother. This encourages the production of breast milk. The physical proximity of the breast enables your baby to feed easily at night and this will promote optimal nutrition and healthy development. It has been found in a research that, mothers respond more quickly to the baby’s needs. Being physically close to your baby at night sharpens your intuition making you more responsive when your baby is in need. 

Babies tend to sleep better and are less likely to wake-up when another person is in touching distance. Comfort and security from co- sleeping help your baby to make the transitions between sleep stages more smooth without waking up. Maternal sleep cycles adapt to those of their babies. With more frequent light sleep cycles, it is easier for you to respond to your baby and then go back to sleep, then it would be to be roused out of deep sleep to deal with a crying, and more distressed baby. 

The closeness of your baby is the natural way to regulate the temperature when a baby is close to the mother he can never be cold nor be too hot. Mother is likely to know if the baby has a fever. Close baby contact, warmth, untouched at night helps to promote babies optimal physical and emotional development. Being fully satisfied at night will help your baby develop into an affectionate child with a strong sense of self-worth. 

Sharing a bed allows you to enjoy more contact with your baby and helps to alleviate anxiety about absence during the day. Father’s who are absent all day at work, benefit from the physical closeness and skin contact at night and the daily satisfaction of the strong protective instinct they may have for the baby. 

To sleep with the baby use a bed big enough for all of you. Position your baby so that, she may not fall or smothered by pillows or bedding. Place her on bed to sleep without pillow. Baby should not be dressed too warmly. Use several light weight blankets. Sleep naked or wear light clothes. Never fall asleep with baby lying on you. Never smoke or sleep drunk. Enjoy your baby’s presence, feel the touch and thank Almighty every moment for his blessings. If you wish to discuss about any specific problem, you can consult a Pediatrician.

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If there is no period from 1.5 month and she is not pregnant then what is the problem going with her? and now what she need to do? is it a serious problem?

Diploma in Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Dear . If you are sure of negative pregnancy test then probably its because of an anovulatory cycle (commonly due to a hormanal disbalance). She will get her period but if not or if this happens more often then please bring her for a checkup.
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I have got married in feb 16 but still after 5 months I haven't get pregnant where as me and my husband continuously doing sex without taking any precaution. Is it any serious matter. Actually I am 32. Is there any need to consult any gyno for further checkup or we can wait for our baby. Before marriage I have also done sex with some one numerous time.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I have got married in feb 16 but still after 5 months I haven't get pregnant where as me and my husband continuously ...
hi Amrita, you need to get evaluated as you are 32 and not getting pregnant please get a hormonal profile to identify cause. Now a days low ovarian reserve is common.
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I am 50 years old and having irregular periods. I had my periods in January which lasted for a week and was heavy and then had in February also. It was normal then. In March I had very little spotting for one day and then it has not come till date. I have heaviness of breast and other symptoms which we get before periods. Can you suggest homeopathic medicine.

Homeopath, Faridabad
I am 50 years old and having irregular periods. I had my periods in January which lasted for a week and was heavy and...
Hello, take single dose of pulsatilla 200 ch, 5 drops only, periods will appear within 2 - 3 days. But you should not take much medicines for it now because this is your menopausal period. Take care.
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Dr. Told Me, When I Do Sex In Unsafe Days To Pregnant A Women But I Can not Understand Clearly. Please Somebody Again Told Me About This?

MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Dr. Told Me, When I Do Sex In Unsafe Days To Pregnant A Women But I Can not Understand Clearly. Please Somebody Again...
When egg is ripe ,and sex is done that is the time when female can get pregnant ,that is usually middle of the cycle, this period 2 days before and 2 days after 14th day is safe for pregnancy and rest of the period is unsafe for conception.
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What is Infertility?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Jhansi
What is Infertility?

1. What is infertility?
Infertility is a term that is used to describe the inability of an individual to successfully contribute to the process of conception. In females, it refers to their lack of ability to conceive post having regular, unprotected intercourse. In some cases, it also refers to their inability to carry a pregnancy to its full term. A normal fertility helps conception in the first 12 months of trying for almost 86% of couples, with around 7-8% couples conceiving in their second year, depending on their age. Hence, many practitioners also treat an inability to conceive within the first 12 months as infertility. 

2. Is infertility a global problem?
Sub-fertility as well as infertility are a global public health issue affecting approx. 8-12% couples, worldwide. It is prevalent in both males and females. While over 10% of women world-wide, who have been in stable relationships for over 5 years yet been unsuccessful in conceiving, have been estimated to be inflicted with this problem; the count is much smaller in the case of men, primarily because of non-acknowledgement, even though it contributes to almost 50% of reported cases.

3. Do infertility problems occur only among women?
No, infertility problems are as common in men as they are in women. Almost 50% of cases of infertility are attributable to male infertility related issues. However, due to the social structure prevalent, most of such male infertility related issues go unacknowledged.

4. What could be the probable symptoms that suggest a possibility of infertility related problems?
Though the process of conception and the possibility of infertility related problems could be time-driven factors, some symptoms could indicate a bent towards infertility and could be medically examined and addressed in time to curb the problem at the very onset. Some of these indications include:

Indications in Females:
Infertility symptoms in females can be related to either one of multiple of these problems:
Changes in menstrual cycle: Irregular or infrequent periods mean that the number of days between two cycles varies each month. This is a common indication of infertility as it reflects that the ovulation cycle is not stable, i.e. the body is not producing ovules (egg) regularly or at times not at all. 
Abnormalities in periods: Sudden changes in the bleeding pattern – heavier periods, no period or cramping and pelvic pain associated with periods – could also be indicative of an underlying fertility related problem.
Hormonal Disturbances: Sudden changes in skin like more than usual acne, changes in sexual drive, unexplained and sudden growth of facial hair, excessive weight gain/loss, etc. 
Other Symptoms: Other symptoms such as pain during sex, milky-white discharge from breast/nipples (unrelated to lactation) can also be indicative of infertility and one should seek medical advice at the earliest.
Age-related: As one advances in age, the egg count decreases rapidly along with a related deterioration in the egg quality. Hence, if a woman is in her early 30s and is failing to conceive, it could be related to a fertility problem. 

Indications in Males:
Infertility symptoms in men can be quite elusive as they are very closely related to the cause of infertility. These often go unnoticed until the point that the couple start trying for a baby. Some of these are: 
• Sudden changes in sexual drive.
• Pain, inflammation or lump in the testicles or if the testicles are small and firm.
• Problems related to ejaculation and erection
• Sudden, unexplained changes in hair growth patterns.
• Known semen abnormalities

5. Who are at risk of infertility problems?
Age is one of the most crucial risk involved in fertility related matters. For couples who start trying for a baby later in age, the chances of infertility increases manifolds. Couples where either partner is in their mid-30s or into 40s are at higher risk of infertility problems. While a man’s overall lifestyle, health and other factors can affect his chances of contributing to a successful conception, in a woman age and chronic health conditions play a major role.

6. What increases infertility risk in men?
While health and lifestyle are the most important factors that contribute to their fertility levels, including their sperm quality and count, there are many other factors that affect fertility and push towards higher infertility risk among men. Some of these include:
• Age
• Alcohol and tobacco consumption
• Excessive physical exercise, especially excessive cycling
• Weight related issues 
• Exposure to toxins at workplace or as part of a medical treatment like chemotherapy/radiation
• Surgical procedures like vasectomy or its reversal
• Family history of infertility or fertility related disorders or other genetic medical conditions like cystic fibrosis
• Medical history of sexually transmitted infections (STIs)
• Certain chronic problems like high blood pressure, diabetes, renal or hormonal problems 

7. What can increase the risk of infertility among women?
Ovulation related issues contribute to over 25% of female infertility cases, with tubal blockage and uterine problems coming in as the other infertility causes in women. However, some other factors like the ones enlisted below also put females at risk of infertility:
• Advanced age
• Frequent or heavy alcohol or caffeine consumption
• Cigarette smoking
• Weight-related issues
Eating disorders and lack of balanced healthy diet
• Intense and extended athletics or no exercise at all
• History of STIs, endometriosis, polycystic ovarian syndrome (PCOS) or fibroids
• Chronic health issues like high blood pressure or diabetes. 
• Hormonal problems like thyroid etc. 
• Mental stress and fatigue

8. How is age related to a woman’s ability to conceive or infertility aspects?
A woman’s fertility rate begins to recede with her age. As a woman nears her mid-30s, her natural fertility starts to fall and many experience difficulties in conception as well as multiple pregnancy failures. The reason for this is that the ovarian reserve in women is fixed since birth and as they age it starts to fall drastically as the follicles keep leaving the reserve in a continuous flow (menstrual cycle). This follicular depletion accelerated as she approaches 40s and decreases not just her egg count but its quality too, as she ages. For men, this progressive drop in fertility rate hits after the age of 40. 

9. What are common causes of infertility in men?
One of the most common causes of infertility in men are semen disorders. The semen comprises a milky white fluid and sperms that are ejaculated during orgasm. Abnormal semen contributes to over 75% cases of male infertility. The common semen related disorders include:
i. No sperm presence in semen
ii. Low sperm mobility
iii. Abnormal sperm shape/size
iv. Low sperm concentration (under 10 million/milliliter) in the semen (Ideal: 20 million/milliliter of semen)

The major causes of these abnormalities and a consequent infertility in men are:
1. Ejaculation Disorders
2. Frequent use of saunas, hot baths etc. that lead to overheating of testicles.
3. Testicular infections
4. Testosterone deficiency
5. Deformed or undescended testicles that usually happens as a birth defect or abnormal fetal development.
6. Genetic disorders like Klinefelter's syndrome that lead to abnormally developed testicles.
7. Very frequent intake of medications like Sulfasalazine, Anabolic steroids (frequently taken by athletes), etc. or exposure to chemotherapy/radiation.
8. Conditions like hypospadias (a condition where the urethral opening is not at the tip of the penis but at its underside) or cystic fibrosis.

10. What are common causes infertility in women?
There are a number of conditions that lead to fertility among women, such as:

1. Ovarian Disorders: The most commonly reported reason for infertility among women is a disorder in the ovulation process. 
Ovulation involves the production and release of egg. This cycle happens on a monthly basis. However, certain situations lead to a malfunctioned ovulation. These causes include:
i. Polycystic ovary syndrome (PCOS) which lead to mal function of ovaries
ii. Very high prolactin levels in non-lactating females
iii. Damaged or abnormal eggs – Poor egg quality is common in older women
iv. Thyroid disorders
v. Medical conditions like cancer, diabetes, AIDS, etc. 
vi. Premature (before the age of 40) ovarian failure 

2. Uterine Disorders: Once fertilized, the egg travels from the ovary to the uterus and it is important that the uterus be healthy to receive and nurture the fertilized egg. However, at times, disorders of the uterus lead to infertility problems in women. Uterine disorders can be attributed to one or more of these reasons:
i. Pelvic or cervical surgery that may cause scarring or damage of the uterus or fallopian tubes or at times shortening of the cervix which serves as the mouth of the uterus.
ii. Endometriosis – a condition where the cells that line the uterus start growing outside the uterus.
iii. Sterilization treatments like tying of tubes, etc.
iv. Uterine fibroids or endometrial polyps

3. Medications: Certain medications like those used in chemotherapy or certain NSAIDS like aspirin and ibuprofen lower fertility rates in females.

3 people found this helpful

I married women. Since 7-8 months I have problem in intercourse with my husband. After intercourse I have so much pain in my vagina for 2 -3 days after intercourse. Me and my husband intimate once a month only. This problem is not regular but when we have sex then after this problem occur. Please tell me what I do?

General Physician, Mumbai
Dear lybrateuser, - Apply lox gel 2% about half an hour before intercourse on the inner entrance of vagina - also relax yourself during the act as getting tense or anxious contracts the muscles & can lead to pain after the act.
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