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Treatment Of Erectile Dysfunction
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Hi mam. Already I'm diagnosed with hypothyroidism. But every month I never missed my cycle. I'm planning for a baby. But still we never had a success. Tsh level 2.75/ml T3--- 0.91/ml T5----- 11.67/ml Daily morning I'm taking 75 mg of thyronorm. Kindly advise me.
Not being able to get pregnant can be an agonizing experience. The fertility of an individual can be affected by a host of physical and mental factors. The effectiveness of a fertility treatment is enhanced by several folds if there is an accurate diagnosis of the underlying cause of infertility. The In Vitro Fertilization (IVF) that first made its presence felt in 1978 (the first child born through IVF was on 25 July 1978) has been a revolution and is still continuing to change lives of millions of couples dealing with infertility issues.
When we talk about IVF, a question that often comes to our mind is whether IVF is the solution to all infertility problems? To answer this question, one needs to have a proper understanding of the IVF procedure. The IVF procedure essentially comprises of following things
- Stimulation of the ovary and development of the follicles involves a series of tests and ultrasounds to closely monitor the ovulation process, including the quality and quantity of eggs released along with the hormonal balance.
- In some instances, medications or hormones may be needed to ensure that the ovaries are stimulated enough to ensure proper development of the follicles (sacs filled with fluids where maturation of eggs take place) along with the release of two or more eggs during each cycle.
- Retrieval of the eggs: This step involves isolation of the eggs or the oocyte from the follicular fluid into a culture media and finally into an incubator.
- Fertilization: With the retrieval of the eggs, the sperm samples (from the partner or a donor) are also collected to facilitate the fertilization process (the chosen active sperm may be injected into the egg or mixed with it).
- Transfer of the embryo: From the embryos resulting from fertilization, a doctor selects the healthiest one and transfer it into the uterus of the recipient woman for implantation to take place.
- Following the implantation of the embryo, many women get pregnant within a few days or weeks. However, a pregnancy test can also result in disappointment for some.The failure of IVF treatment in some patients can be attributed to
- The embryo not being healthy enough to undergo the implantation
- Problems or severe damages to the uterine cavity.
- Abnormalities with the egg or the sperm (can be chromosomal or genetic aberrations).
Can IVF solve all infertility problems?
Having a clearer understanding of the IVF procedure, one can state that IVF does come as a ray of hope, especially for
- Males with a low sperm count
- Tubal damage in women. There may also be problems affecting the cervix and the vagina
- Women with ovulation problems (can be due to Hormonal Imbalance, PCOS, Endometriosis) or those who are above 35 years
In unfortunate cases, where IVF fails to produce the desired result, there are other fertility treatments available such as Intrauterine insemination, Gamete or Zygote Intrafallopian Transfer, Intracytoplasmic sperm injections, to put an end to the infertility problems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Hi. I am 9 years old on insulin human mixtard 30/70 my semen analysis sperm count 5.0 million/ml and motility is a 40% how a iui success is chance in %?
Infertility is defined as not being able to become pregnant after a year of trying—or after six months, if you are 35 or older . And it’s not just a woman’s problem. One-third of infertility cases are due to male-only problems, one-third to female-only problems, and the final one-third to a mix of male and female problems or unknown problems
What Causes Infertility?
To become pregnant, many steps in the reproductive process have to be precisely aligned:
A woman’s ovary must release an egg (ovulation).
The egg must then travel through the fallopian tube toward the uterus, which is also called the womb.
A man’s sperm must be in the woman’s body during this specific time. It must also meet and join with (fertilize) the egg as it is traveling through the fallopian tubes.
The fertilized egg must then reach the uterus.
At the uterus, it must push its way inside and implant itself (implantation).
If there is a problem with any of these steps, infertility can occur.
Infertility in Women
Female infertility is most often caused by problems in ovulation—marked by irregular or absent periods. These problems may be related to hormonal disorders, such as polycystic ovarian syndrome (PCOS), or primary ovarian insufficiency (POI), when a woman’s ovaries stop working before age 40.
Other causes include:
uterine fibroids, benign growths that can keep fertilized eggs from implanting properly in the uterine lining
scar tissue after surgery
blocked or scarred fallopian tubes, due to infection or endometriosis
Endometriosis is an often painful condition in which the uterine tissue that is supposed to line the inside of your uterus begins to grow outside the uterus, causing it to become trapped as it has no place to go (uterine tissue inside the uterus is shed each month during the menstrual cycle). The surrounding body tissues become inflamed, and scar tissue may form—sometimes inside the fallopian tubes.
Infertility in Men
Problems with sperm production and delivery, low sperm count, and low motility (the ability of sperm to swim and fertilize the egg) can all affect male fertility.
Varicocele is a disorder where the veins servicing a man’s testicles have incompetent or leaky valves. The backflow of blood can enlarge the blood vessels and can raise the temperature of the testicles causing a low sperm count or abnormal sperm. Testicles are generally slightly below the core body temperature.
Other lifestyle choices can impair healthy egg and sperm production, including:
heavy alcohol use
being overweight or underweight
an excessive amount of exercise
In men, environmental toxins, such as pesticides, and high temperatures (for example, in hot tubs) have also been shown to affect sperm count.