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?

Top 5 signs you're ready to have a baby

Most couples dream of holding their first-born in their arms. But there are others who also dread the prospect of taking such a responsibility. Some are not sure and some cannot wait. It's important to know the fact that life certainly changes forever the moment a small bundle of joy enters your life. And there are many factors involved.

If you wish to know if you and your partner are ready to have a baby, check for these points:

1. You're excited

The first sign that you need to look out for, and which points out that you're ready to start a family of your own is you're eager and excited to welcome the newest addition. Reading baby books and blogs, thinking of ideas on how to decorate the room for your baby, or keeping yourself up-to-date on the latest parenting news may be certain signs that indicate your eagerness to have a baby of your own.

2. You're financially ready

Another indication that you may be ready to welcome a baby in your family is when you have every financial aspect sorted out, including investments and savings. The ideal financial plan should be such that you're able to add to your savings as well as build up a retirement corpus while still being able to sustain the lifestyle that you and your partner would like. Most importantly, sticking to the financial plan is as important as coming up with one.

3. You can empathise

A quality that every would-be parent needs to have is empathy. The ability to put yourself in another person's shoes is vital before you can bring another human being into the world. You and your partner may have different empathy levels, which you need to know beforehand as parenting also involves empathising with your child's pain fears, needs, and worries and so on. 

4. You're ready to make a professional sacrifice

Having a baby also calls for making a professional sacrifice as looking after a baby is not an easy task. You or your partner may have to take a long break from work. It's, therefore, vital to see where you and your partner stand in your careers.

5. You have support

Having experienced people around you or people you can trust can help ease the days that usually follow on the arrival of this newest visitor. Your support could be in the form of your parents or in-laws who can look after your child while you go for work or take rest. Other support systems that you can consider are day care. 

Above all, you need to be the best version of yourself before taking on this additional responsibility.

If you would like to consult with me privately, please click on 'consult'.

Related Tip: Title: 4 Worst Foods Ever To Feed Your Baby! #ParentingBlunders

Assessment for Young Couples: Top 5 Signs You're Ready to Have a Baby

In most diseases, early detection of the disease is the key to control the symptoms, cure, reduce progression and improve prognosis. This holds true for sexually transmitted diseases too. As soon as there is a mild degree of suspicious of having contracted a sexually transmitted disease, it is advisable to go for a test. Most of the STDs can develop into serious complications over a period of time, ranging from infertility to even death.

Complications: Why early diagnosis is important: When left undiagnosed and untreated, most STDs progress to cause severe damage from sterility to cancer to even death. Listed below are some complications associated with each of the common STDs.

Chlamydia: If left untreated, can lead to epididymitis and testicles shrinking and infertility in males. This is a condition where there is pus formation in the scrotum. In women, it can lead to pelvic inflammatory disease which is deep-seated and unable to cure completely. This brings with it symptoms ranging from abdominal pain to uterine infections to sterility.
Syphillis: Undiagnosed syphilis can lead to blindness and deafness. It can also be passed onto the newborn and lead to severe disabilities.
Gonorrhea: If diagnosed early, it can be cured completely with antibiotics. However, if left untreated, it can lead to infertility.
HIV/AIDS: Early diagnosis can help in curtailing the disease. If detected late, then the damage is quite extensive and treatment is both expensive and cannot help restore a lot of functions. 
Symptoms of Sexually transmitted diseases: If there is a doubt of having contracted an STD, then it is very important to get tested for the same. Some of the most common symptoms are listed below.

Women: The most common symptoms in women including painful urination, burning sensation, abnormal vaginal discharge (sometimes bleeding), warts, and abdominal pain.
Men: Testicular pain, urethral pain, painful urination, pain and inflammation in the prostate, sores, fever, and abdominal pain.
Prevention: Always practice safe sexual practices. When in doubt, refrain from sex until diagnosis and treatment is complete.

Testing for STDs: Some of the standard tests include:

1. Herpes- HSV I & II - 
2. Testing HIV-- Kits and ELISA available for testing 
3. Blood test for syphilis antibodies 
4. Chlamydia and Gonorrhoea - from urine as well as swabs for culture
It is understandable that getting tested for STDs is an embarrassing situation. However, there are options available where anonymity can be maintained when getting tested for STDs. This is a wise choice to make as the risk is not just for the person affected but for the partner and in some cases even for the fetus. Early testing can help prevent complications like infertility and cancer.

STD Testing - Why You Should Never Delay?

Often most couples face difficulty in trying to conceive and are distraught by the fact that they cannot have a child of their own by natural methods. Nowadays, there are countless alternative options for trying couples to find a solution to this pressing issue.

In vitro Fertilization or IVF is a procedure in which the doctor combines the sperm from the man and egg from the woman to develop an embryo in a laboratory. This step is carried out in a test tube and is therefore referred to as a test tube baby.

Afterwards, the embryo will be transferred back into the woman s womb. The in vitro fertilization procedure was advanced in order to help women suffering from dysfunctional fallopian tubes. In a situation where IVF fails to provide help to the concerned couple, surrogacy is suggested.

Procedure of IVF:

The IVF procedure begins with hormone therapy on the female candidate s body. This is done in order to promote the development of eggs within her ovary. The eggs are then collected and put in a test tube for fertilization. This facilitates the production of a number of embryos. After four days in the incubator, one of the embryos will be transferred within the mother s womb for implantation.

What is Surrogacy and How is it Different?

Surrogacy comes as the next obvious step in light of an IVF procedure failing to make the mother pregnant. In this procedure, the eggs are implanted within the womb of another woman who is referred to as the surrogate. The surrogate keeps the baby within her womb for nine months and gives birth to the child.

Compared to an IVF procedure surrogacy is a very complex process where there are a number of legal, emotional and financial factors involved.

Often couples might take the route to surrogacy as the first option after the woman experiences repeated miscarriages when both the partners have been trying for a number of years and have not met with any success. Other reasons for considering surrogacy include Hysterectomy and frail health condition of the woman that makes her prone to further complications and risks.

Basic Difference:

The basic difference between IVF and surrogacy is that in IVF the egg is fertilized outside the body of the woman whereas in surrogacy, the egg is implanted in another woman s womb and she carries the child for nine months.

The Major Differences Between IVF & Surrogacy!

One of the silent diseases in the female population, endometriosis can be symptomless for years and sometimes even decades, but can sometimes manifest itself quickly. The uterus is lined on the inner side by a tissue known as endometrium. When this tissue is found in other parts (fallopian tubes, abdomen, near the ovaries, etc., it is known as endometriosis.

Causes: The exact cause for endometriosis is not clear. There is a possibility that during the regular period, there could be spilling of the tissue back into the fallopian tube, from where it reaches the ovaries or other organs and gets implanted.

There are certain predisposing factors for a woman to develop this condition, including genetic correlation and non-menopausal women. The female hormone estrogen is essential for the development of endometriosis. There are also immunological reasons attributed to the development. It can range from minimal to mild to moderate to severe.

Symptoms: From being completely benign to causing severe pain, endometriosis can present itself in varying ways. The implanted tissue can be minimal like a small lump to large clumps. The symptoms are not dependent on the size of the implanted tissue, however, 

1. Painful menstruation: One of the most common causes of non-menstrual cramps, the pain is different from usual menstrual pain, starts a few days before the period and can last up to after the period.

2. Pelvic pain: One of the most common causes of pelvic pain, this can happen wherever the implanted tissue is. In severe cases, this tissue can also bind different organs, forming what are called adhesions. The bladder or the bowels may adhere to the uterus. These are more painful than individual lumps of tissue outside the uterus.

3. Intermenstrual bleeding: There could be spotting to severe bleeding between the regular cycles.

4. Painful sex: There is a deep pain within the pelvis and it can lead to losing interest in sex.

5. Infertility: The most severe symptom and complication is not being able to become pregnant.

Diagnosis: A detailed patient history, discussion on symptoms followed by ultrasound and laparoscopy can help in diagnosing endometriosis.

Treatment: If there is no symptom and fertility is not an issue, then it is possible that no treatment is required. However, depending on symptoms and complications, the following are done.
- If pain is the only main problem, painkillers are administered
- Surgical treatment may be required if there is severe bleeding and adhesions complicating the situation. 

This will also relieve other symptoms
1. Hormone therapy is also an option for treating endometriosis.
2. If you are having pelvic pain and irregular bleeding, bring it up with your doctor. Even if it is not endometriosis, a thorough check up will put your mind at rest.

Endometriosis and Complications Associated With It

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.

https://www.lybrate.com/health-package/127921944?lpt=PS-PPV

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

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