The uterine cavity has a tissue base that is known as the endometrium. When this endometrium spills over or spreads to the other parts of the reproductive organ, it begins to punch through the uterine lining. Such a condition creates complications and even infertility, and is known as endometriosis.

Read on to know more about endometriosis and how it can cause infertility.

Endometriosis

When the endometrium tissue spreads to areas like the ovaries, and the abdominal cavity, it can lead to numerous complications. Apart from pain, this may also cause infertility. 5 to 10% of the women worldwide suffer from this condition and have trouble conceiving. Additionally, about 30 to 40% of the infertility cases are due to endometriosis, not all cases. These figures are all confirmed by various medical studies.

How does it cause infertility?

Endometriosis can prevent ovulation, which is the process that occurs every month. During the ovulation process, the ovaries release eggs that may be fertilised in order for the woman to conceive. In this condition, the fimbria of the fallopian tubes also has trouble in capturing the egg, which prevents conception from taking place. This leads to infertility in the long run. Endometriosis also interferes with the proper production of the hormones that are required for normal ovulation and fertilisation of the egg.

Diagnosis: The diagnosis of the condition can be done with the help of lab tests and ultrasounds as well as imaging tests that can create the image of the womb and the endometrium lining. This will help in showing the severity and damage caused by the tissue. A surgical procedure called a laparoscopy may be carried out by the doctor to ascertain whether the patient is suffering from this condition. In this procedure, a small incision will be made and a camera will be inserted to view the insides on a screen, to learn more about the tissue s spread and the kind of treatment that will be required. The doctor will also diagnose the condition on the basis of various symptoms like irregular and heavy bleeding.

Treatment:

Treatment for endometriosis associated with infertility needs to be individualized for each woman. There are no easy answers, and treatment decisions depend on factors such as the age of the woman, the severity of the disease and its location in the pelvis, the length of infertility, and the presence of pain or other symptoms. Some general issues regarding treatment are discussed below.

Treatment for Mild Endometriosis

Medical (drug) treatment can suppress endometriosis and relieve the associated pain in many women. Surgical removal of lesions by laparoscopy might also reduce the pain temporarily.

However, several well-controlled studies have shown that neither medical or surgical treatment for mild endometriosis improve the pregnancy rates for infertile women as compared to expectant management (no treatment).

For treatment of infertility associated with mild to moderate endometriosis, controlled ovarian hyperstimulation with intrauterine insemination - IUI is often attempted and has a reasonable chance to result in pregnancy if other infertility factors are not present.

Details about IUI success rates with endometriosis

IUI and endometriosis

Success rates with IUI for endometriosis have been variable in studies, showing:

A pregnancy rate of 6.5% for women with endometriosis vs. 15.3% per cycle for unexplained infertility
A pregnancy rate of 5.6% for women with advanced endometriosis vs. 22.7% per cycle for mild endometriosis vs. 25.7% for no endometriosis
Pregnancy chances with insemination for natural cycle IUIs (no drugs) with endometriosis are about 2% per cycle vs. 11% with injectables plus IUI for endometriosis
Treatment for severe endometriosis

Several studies have shown that medical treatment for severe endometriosis does not improve pregnancy rates for infertile women.

Unfortunately, the infertility in women with severe endometriosis is usually resistant to treatment with ovarian stimulation plus intrauterine insemination. If the pelvic anatomy is very distorted, artificial insemination is unlikely to be successful. These women often require in vitro fertilization in order to conceive.

Although the studies of in vitro fertilization for women with severe endometriosis do not all show similar results, pregnancy success rates are usually good if the woman is relatively young (under 40) and if she produces enough eggs during the ovarian stimulation.

Endometriosis - How It Results in Infertility?

Pregnancy is that period of time in a woman's life when she is excited about giving birth to her baby. She is not only responsible to keep herself healthy, but her baby is also her responsibility. What she eats, how she lives and her daily routine will affect the baby. Thus, to have a healthy pregnancy it is necessary that you exercise regularly and eat well. You should also avoid those things that may hurt your baby. 

Take care of what you eat
During pregnancy it is important to get proper nutrition so that you and your baby are healthy. For slow and gradual weight gain, it is necessary to pay close attention to the folic acid, calcium and iron intake. However, if you are obese, then your weight gain regime will be different from others. 

The diet during pregnancy should include
1. Intake of fruit and vegetables is important as they are good sources of vitamins, minerals and even fiber. They are good for digestion and also help in preventing constipation. Eat fresh fruits and vegetables daily.

2. During pregnancy carbohydrates are also important as they act as an important source of energy. Different food items that are rich in carbohydrates are potatoes, bread, breakfast cereals, pasta, rice, noodles, millet, maize, oats, yams, sweet potatoes, and corn meal. It is better to eat whole grains and potato with the skin on as they are rich in fiber. 

3. Intake of protein is very important during pregnancy, and thus you should take lean meat, pulses, beans, nuts, fish, and eggs. All these items should be cooked well so that you do not face any problem in digestion during pregnancy. 

4. It is also necessary to eat dairy products like milk, cheese, butter and yoghurt during pregnancy. They are important because they contain the calcium and nutrients that are necessary for the growth of the baby. 

What to avoid?
Just as you should eat certain food items to be healthy, there are certain foods that must be avoided to be fit and healthy. Avoid the following during pregnancy

-  Drugs and alcohol
-  Medicines that are not prescribed by your physician
-  Smoking tobacco
-  Fried and oily food
-  Fishes those are rich in mercury like shark, tilefish, swordfish and those fishes that are caught in local waters are not considered safe. 
-  Too much intake of caffeine is also hazardous for a pregnant lady. 

Thus, by following the above-mentioned  diet tips you can keep your baby and yourself healthy. Always get advice from your physician for any decision that you take during pregnancy.

Are You Pregnant? Take Care of Your Diet

What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment 
The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:
1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.

2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.

3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare 
Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

Modes of Treatment for a Dry Vagina

Women with low or diminished ovarian reserve often have to hear that becoming pregnant with their own eggs may not be possible and they may have to rely on a donor s eggs. Poor or low ovarian reserve has always been considered to be an alarming ovarian condition among women. To have a better understanding regarding the seriousness of this particular condition, keep on reading the article.

What is a low ovarian reserve?
The term ovarian reserve refers to the pool of eggs that is present at any time in the ovaries of a woman. When a physiological decrease in the number of the eggs present there is observed, it is termed as poor or low ovarian reserve. The lower quantity of the eggs the lower gets the chance of conceiving or becoming pregnant. However, it doesn t hamper the normal function of the ovaries in any way.

What causes low ovarian reserve?
The low ovarian reserve can happen due to various reasons. Some of the most common causes are the presence of genetic abnormalities, undergoing ovarian surgery, having aggressive treatments such as radiation or chemotherapy for cancer, leading life in an unhealthy way such as smoking or constantly worrying or suffering from anxiety.

However, one must remember that this physical condition is very common in women who are in their 30s or 40s. But those who have children already, the low ovarian reserve may not be a problem for them at all which is not so in case of others.

Symptoms to look for-
There are no specific visible symptoms for women who suffer from the low ovarian reserve. However, with the progress of this issue, women may find their menstrual rhythm to become shorter. For example, the cycle of 28 days may become a cycle of 24 days. Women who are near their menopause can experience signs of low estrogen, vaginal dryness, trouble in sleeping and missing out on their period dates as symptoms of low ovarian reserve.

Are there any treatment options?
It's true that there's no particular cure or treatment solution has been invented yet, but early diagnosis of low ovarian reserve helps women in having a better chance of conceiving with their own eggs. Once diagnosed with it, such treatments are offered that works towards making the conception time a faster one or cryopreserve the woman's embryos or eggs for future use. As long as the ovary responds to the stimulation, maximizing the number of harvested eggs is possible. Once the ovary fails to respond to stimulation, opting for the eggs of young women to get pregnant becomes the only option.

With more and more young couples now running into problems regarding conceiving naturally, the low ovarian reserve has become a serious threat to having children with a woman s own eggs. However, by being aware and well-informed about this particular condition and its symptoms, women can better deal with the problem.


Not Able To Conceive? Low Ovarian Reserve May Be The Reason

Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourse. This pain occurs on penetration due to the contraction of the vaginal muscles.

Causes

The exact cause of Vaginismus is not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.

Vaginismus can be primary or secondary depending on the concerned woman s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause. The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.

Sometimes the pain might stem from underlying infections or any other underlying complications.

The symptoms of Vaginismus are as follows:

Severe pain during intercourse.

Severe pain during insertion of tampons or during any medical check-ups.

The following treatments can be useful to treat Vaginismus:

If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.

If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don t experience any pain during sexual intercourse.

Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax.

Vaginismus - Things You Should Be Aware of 

Our digestive system is made up of a complex set up of organs, enzymes, secretions and much more. In order to ensure that they all function in tandem with each other so that our digestion works properly, we need to take many measures. Solid food and liquids both go hand in hand when it comes to digesting your food properly. Water is one of the main elements that one must ingest regularly during the day so that the body remains hydrated and the stool also softens. It is also a digestive aid. Yet, there are two varied schools of thought when it comes to drinking water during one s meals. While some people say that it is good, there are others who say that it should not be practiced. So let us find out whether having water during your meals is a good thing or not.

Stomach Acids: If we are to look at water during a meal from the perspective of our stomach acids, then most doctors will tell you that there is no problem in having water with your food. The main doubt here is whether or not the acidic fluid flowing through our stomach may become too diluted with the consumption of water. However, this does not happen. Various medical studies conducted by reliable hospitals and sources under a controlled environment have shown that the stomach s oH balance is not affected by the consumption of water during a meal.
Digestive Process: While the stomach acids may not suffer due to consumption of water during a meal, there are other schools of thought where people refrain from drinking water with food so that better digestion may be achieved. But this is also not entirely true. Digestion is well-known for being a complicated process where many elements need to work together for its proper functioning. This function includes a comfortable and healthy body and state of mind after one has a meal. Therefore, it is more important to have the right kind of food at the right time in a proper environment instead of rushing through one s meals and eating junk all the time.
Constipation and Overeating: Drinking water during the meal can help in curbing constipation as it helps in softening the stool. It also helps in clearing the food from the digestive track in a better and timely manner so that the toxins and stool do not remain there. This is due to the fact that drinking water during meals keeps the digestive track well-lubricated. Also, when you drink water with your meals, you tend to avoid overeating as water fills up substantial portion your stomach. Further, water has important nutrients that can suffice for your nutritional requirements along with food.

Drinking Water During Meals: Good or Bad?

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