One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

Specialists for men

Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.

Specialists for women

Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

When Should a Couple See a Fertility Specialist?

Fertility is a potential for reproduction. In other words, fertility is an ability to have babies or to reproduce. When fertility rate in a community, increases more babies are born. To produce an offspring it depends on age, health and other factors of the woman. When we talk about fertility rates it means the number of births that happen during a certain time period in a specific location. On the other end, lack of ability to reproduce is termed as infertility. There are various treatments to deal with fertility issues and one of the ancient and natural as well as a trusted treatment is Ayurveda.

Causes
Female infertility is caused due to structural problems like blocked fallopian tubes, a defect in cervical canal, uterine fibroids or polyps. Hormonal imbalance leading to ovulation problems too can cause infertility. In males. infertility may have anatomical, psychological, hormonal or lifestyle related causes. The cause of infertility in approximately 20% of couples can't be determined using the currently available methods of investigation. From Ayurvedic perspectives, shukra dhatu can get affected by various physical, mental causes and even by serious diseases. Poor quality shukra dhatu can cause infertility in males & females.

Symptoms

Failure to reproduce

Ayurveda For Infertility

Ayurveda is one of the world's oldest holistic healing systems. It is based on the belief that health and wellness depend on a delicate balance between the mind, body and Spirit. The primary focus of Ayurvedic medicine is to promote good health, rather than fight disease. Fertility problems are increasing these days for many young couples. There are many factors which account for this like Lifestyle, delayed marriages, diet, etc. But Ayurveda not only does explain how to increase fertility with herbal supplements, but it also focuses on how to have healthy children.

For a pregnancy to be healthy and successful, a couple needs to take care of the following four essential factors:

Sperm/Ovum (Seeds)
Uterus (Soil)
Nourishment (Water)
Time for Conception (Timing of Sowing)
Reproductive health, in both men and women, depends on the health of the reproductive tissue or shukra dhatu. In women, shukra creates the ovum as part of the monthly cycle, and in men, the semen is formed due to sexual stimulation. The shukra is created as part of a long chain of metabolic transformations. It starts with the digestion of food, then goes on to the transformation of food to nutrient fluid, blood, muscle, fat, bone, bone marrow, and finally, to shukra tissue. Healthy shukra tissue, then, according to Ayurveda, depends on the health of all the other tissues in the body.

Foods to Nourish All Seven Dhatus (Bringhana)

Fresh, organic fruits and vegetables
Dairy proteins, including milk, lassi, and panir (a fresh cheese made of milk)
Whole grains
Mung dhal
Soaked almonds or soaked walnuts
Dried fruits such as dates, figs, and raisins
Sweet, juicy fruits such as mangoes, peaches, plums, and pears
If your digestion is strong, eat urad dhal (available at Indian grocery stores) cooked with equal parts turmeric, cumin, coriander, and fennel.
A banana cooked in ghee, cinnamon and cardamom is a tasty and wholesome dessert for people with strong digestion.
Foods to Enhance the Reproductive Tissue (Vrishya)

Asparagus
Broccoli
Milk
Date-milk shake
Mango milkshake
Rice pudding
Spices such as ajwain powder, cumin (which purifies the uterus in women and the genitourinary tract in men), turmeric (to improve the interaction between hormones and targeted tissues), and black cumin.
In general, it's important to eat a wide variety of foods in order to receive all the essential nutrients. Keep trying new vegetables and fruits, and rotate your menus to make sure you're not eating the same thing day after day.

Infertility - Ayurvedic Remedies are the Solution!

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

    Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
    Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

    Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
    Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

    Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
    Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
    Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
    Bromocriptine: Used when the infertility is caused due to excess prolactin production.
    Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

    Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
    Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
    Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

    Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
    Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

Treatments of Infertility

Can you imagine your life without your cell phone? Difficult isn t it, but did you know that these devices could be harming your sexual health? Most people keep their cell phones in their jeans or trouser pockets or clipped to a belt on their waist. While this does make the phone easily accessible, it also affects male fertility.

There are two main aspects to male fertility; the motility and viability of sperm cells. Motility refers to the sperm cell s ability to swim through body fluids and fertilise the egg. Viability refers to the number of living vs non-living sperm cells and sperm cell abnormalities.

Cell phones are constantly working even when we re not talking into them. They constantly send out and receive electromagnetic frequency radiation to keep your social media accounts updated. Given the close proximity of the cell phone and your body, this energy may be absorbed by your genitals. As a result, the sperm cells may change shape and lose their ability to attach themselves to an egg. The structural abnormality may impede the sperm s ability to swim and thus reduce motility. Semen exposed to this type of radiation also has a high level of free radicals.

In order to produce sperm, the testicles maintain a specific temperature that is ideal for sperm health. Smartphones typically also have a higher temperature than that of the room you are in. Thus, when you keep your cell phone in your pant pockets, they increase your skin temperature in the groin by approximately 2 degrees as well as the temperature within your testicles. This slows down the production of sperm cells and can even kill them thus, reducing sperm cell viability.

In the ideal world, a cell phone should only be carried in a bag, but almost all men may cringe at the thought of carrying a bag. Hence, take your phone out of your pocket whenever possible, for example while driving, at a restaurant etc. The use of Ayurvedic aphrodisiacs can also lower the harmful effects of cell phones. The dried roots of asparagus or safed musli can help increase sperm count and rejuvenate a man s libido. Ashwagandha, shilajit and kawach are also very effective Ayurvedic herbs to treat male infertility. Increasing your intake of food rich in vitamin C and E can also help deal with the stress in sperm caused by phone radiation. The use of these herbs has negligible side effects and hence can be safely used by men of all ages.

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Cell Phone in Pocket - Did You Know It Can Reduce Male Fertility?

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term. 

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
Tests for women: 
Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
Tests for men
Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.
Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing.

Complete Infertility Investigation - Why is It Important?

There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas, surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance
It is advisable to seek medical help if you have the following symptoms post abortion:
1. Persistent pain in the lower abdomen, which lingers even after taking medication
2. Excessive bleeding
3. A high temperature

Possible effects of surgical abortion on fertility
1. Infection after abortion: infections post abortion like pelvic inflammatory disease (pid), if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.

2. Damage to the cervix during abortion: damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.

3. Damage to the womb during abortion: there are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.

Apart from the above mentioned complications there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth rate, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check up with your gynaecologist.

Can Abortion Affect Fertility?

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