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Common Cause of Infertility in Females
- One of the two ovaries releases a mature egg.
- The egg is picked up by the fallopian tube.
- Sperm swim up the cervix, through the uterus and into the fallopian tube to reach the egg for fertilization.
- The fertilized egg travels down the fallopian tube to the uterus.
- The fertilized egg implants and grows in the uterus.
In women, a number of factors can disrupt this process at any step. Female infertility is caused by one or more of these factors.
Ovulation disorders, meaning you ovulate infrequently or not at all, account for infertility in about 25 percent of infertile couples. These can be caused by flaws in the regulation of reproductive hormones by the hypothalamus or the pituitary gland, or by problems in the ovary itself.
- Polycystic ovary syndrome (PCOS).In PCOS, complex changes occur in the hypothalamus, pituitary gland and ovaries, resulting in a hormone imbalance, which affects ovulation. PCOS is associated with insulin resistance and obesity, abnormal hair growth on the face or body, and acne. It’s the most common cause of female infertility.
- Hypothalamic dysfunction.The two hormones responsible for stimulating ovulation each month — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — are produced by the pituitary gland in a specific pattern during the menstrual cycle. Excess physical or emotional stress, a very high or very low body weight, or a recent substantial weight gain or loss can disrupt this pattern and affect ovulation. The main sign of this problem is irregular or absent periods.
- Premature ovarian insufficiency.This disorder is usually caused by an autoimmune response where your body mistakenly attacks ovarian tissues or by premature loss of eggs from your ovary due to genetic problems or environmental insults such as chemotherapy. It results in the loss of the ability to produce eggs by the ovary, as well as a decreased estrogen production under the age of 40.
- Too much prolactin.Less commonly, the pituitary gland can cause excess production of prolactin (hyperprolactinemia), which reduces estrogen production and may cause infertility. Most commonly this is due to a problem in the pituitary gland, but it can also be related to medications you’re taking for another disease.
Surrogacy is the method that is used for reproduction in which a woman other than the woman, who wants to have the baby, agrees to undertake pregnancy and give birth to a child for the couple that appoints her. A couple can opt for surrogacy in the following conditions.
In the case of females who cannot reproduce due to infertility or some other medical conditions that make the process risky for both the mother and the childlike heart diseases, liver infirmities and high blood pressure, surrogacy can opt for so that the couple can experience the bliss of becoming parents.
- If you are a single parent
A single parent can opt for surrogacy in order to fulfil his/her dream of having a child to live for.
- Other factors
There are several other factors when a couple might want to opt for surrogacy. For instance, in couples, where the female is too busy building a stable career for herself and she cannot take the risk of opting for pregnancy, surrogacy can come to their rescue. Also, repeated miscarriages, pelvic disorder, hysterectomy, an impaired uterus or the absence of uterus can act as reasons to opt for surrogacy.
There are a few factors that need to be considered before opting for surrogacy. They are listed below.
Type of surrogacy
Traditional surrogacy and gestational surrogacy are the two options available. In traditional surrogacy, the surrogate mother not only carries the embryo in her womb until childbirth but also donates the egg. However in gestational surrogacy, the egg is taken from the biological mother and impregnated in the womb of the surrogate mother through in vitro fertilization techniques. The intended parents need to take a decision regarding the type of surrogacy that they wish to opt for.
The intended parents must be aware of the surrogacy laws prevalent in their country so as to make sure that they can go through the entire process smoothly. For instance, in India, it is mandatory that the surrogate child should be biologically related to one of the two parents.
Cost of surrogacy
Another important factor that needs to be considered while opting for surrogacy is the cost of the undertaking. It can involve high costs due to the unpredictability of the situations surrounding the process, so the financial stability of the intended parents should be kept in mind. Also, choose the right agency or even if you choose an independent candidate to become the surrogate mother for your child, make a wise choice.
Sexually Transmitted Diseases (STDs) are the infections that spread primarily from unprotected sexual intercourse or any kind of sexual contact. Men, like women, are equally prone to contracting STDs on having unprotected sexual intercourse; anal, vaginal or oral. Having multiple sex partners just increases the risks of it. So, you need to consult a specialist sexologist if anything these sort of things happening to you:
Common STD Symptoms in Men
Blisters on or around penis
Spots, bumps or lesions on the penis
Discharge (clear, white, or yellow)
Oozing from the tip of the penis (thick or thin)
Itching on the tip of the penis
Rash on the penis, testicles, or groin
Here is a list of STDs for men
Chlamydia- Chlamydia is a type of bacterial STD transmitted during oral, anal or vaginal sex with an already infected person. Some of the symptoms of Chlamydia in men are swollen testicles, penile discharge or pain while urinating.
Gonorrhea- This is another bacterial infection, majorly affecting the urethra, anus or the throat and primarily spreads through vaginal, oral or anal sex with someone already suffering from it. The symptoms are quite similar to those of Chlamydia.
Hepatitis B- Hepatitis B Virus (HBV) is the cause of the disease Hepatitis B and can cause severe inflammation of the liver. It spreads from one person to the other on coming into contact with the bodily fluids or blood of the person affected. Few signs of Hepatitis B include jaundice, vomiting, nausea, body aches, mild fever, lethargy and appetite loss.
Herpes (Simplex) - It is a viral infection caused by the herpes simplex virus (HSV) and generally tends to develop on or near to the mouth and the genitals. Primarily, herpes spreads through direct contact with the genitals or mouth of a person already diagnosed with the same.
Syphilis- Another bacterial Sexually Transmitted Disease, unprotected oral, vaginal and anal sex are the primary carriers of this disease. It is considered to be one of the most serious STDs because the risks of contracting HIV (Human Immunodeficiency Virus) get magnified once infected with Syphilis.
Human Papillomavirus (HPV) - In men, HPV is capable of causing cancers in the throat, anus or the penis. It is either passed on through skin-to-skin or unprotected sexual contact with an infected partner.
Many people can be infected with an STD without experiencing any visible symptoms. This means that practicing safe sex is crucial if you want to prevent STD infection.
The only way to completely prevent an STD is abstinence from any type of sexual contact or contact with open sores and bodily fluids of an infected person. But there are other ways to prevent STDs too.
Condoms during intercourse and dental dams or barriers during oral sex are proven effective when used correctly. Refraining from sex with multiple partners and instead opting for a monogamous sexual relationship can also help to prevent STDs.To understand it better and get treated you can always consult a sexologist.
It is important for you to both take care of your body and love your body. At times due to certain factors our body does not perform the way we wants it to. There are various phases of sexual activity that include attraction, stimulation, excitement and peak. These stages usually come in close sequence and follow a normal course until the sexual peak ends in sexual orgasm. Yet, this process can be hindered by a condition known as premature ejaculation that many men suffer from. Premature ejaculation happens when a man ejaculates sooner than required or planned, in the process of sexual activity and intercourse. This usually happens within a minute or so of penetration. There are a variety of causes for this, starting from biological to psychological. Read on to know more about these causes.
- Erectile Dysfunction: This condition is one where the male patient experiences trouble during sexual encounters and experiences. As per this condition, the patient will have difficulty in mustering up and thereafter, retaining an erection for satisfactory sexual intercourse. This condition can also contribute to premature ejaculation.
- Chronic Health Issues: Many male patients who are suffering from chronic health issues are at
- serious risk of developing premature ejaculation in the long run. These health issues range from diabetes to heart disease. Due to these diseases and ailments, the patient may feel considerable stress or even may not be able to ejaculate later in the process of intercourse.
- Anxiety: Anxiety is one of the primary reasons for such physical problems that one experiences during sex. These patients may be suffering from anxiety due to their performance in bed, or they may be anxious about a new relationship or partner. This anxiety can lead to a state where the patient is not able to fully enjoy the act of intercourse and ends up ejaculating prematurely.
- Relationship problems: Another issue that many male patients suffering from this condition face includes relationship problems. These problems can create trouble in the sex life of the patient due to which sex may not be happening on a frequent or regular basis. Due to this, the ejaculation may also suffer, leading to further stress.
- Biological Issues: There are a number of biological problems due to which men may also experience premature ejaculation and other related health issues. Abnormal hormonal levels and an imbalance in the state of one's hormones can lead to this condition. Also, there are instances where the neurotransmitters of the brain enjoy an abnormal level of activity which can lead to an abnormal reflex reaction in the ejaculatory system of the patient. Nerve damage can also lead to this condition.
- Thyroid: Male patients suffering from thyroid problems have also reported instances where premature ejaculation becomes a problem.
This condition can also be an inherited one. It is best to take a professional opinion and seek therapy for treatment.
According to contemporary medical studies, loss of sexual desire is more common in women than in men. As many as 3 in 10 women have reduced or limited sexual interest in any kind of sexual activity. While the medical term for this problem is Hypoactive Sexual Desire Disorder (HSDD), it is generally understood as a loss of libido.
There are multiple factors that contribute to this problem including psychiatric or physical disorders, relationship issues, hormonal disorders etc. Let us look at the causes of this disorder at length:
1. Medical Disorders:
a) There are conditions such as endometriosis, fibroids and thyroid disorders that may have a negative impact on the sexual drive of a woman.
b) Certain medicines such as antidepressants, oral contraceptives, and medicines that lower blood pressure may also negatively impact the sexual drive in women.
2. Hormonal Disorders:
a) Dryness of the vagina and pain during sexual intercourse may affect sexual drive both mentally and physically.
b) After menopause, drop in the count of testosterone hormone also affects sexual drive which can result in loss of libido.
c) With advancing age, the level of androgens decrease, and hence results in a lack of sexual desire.
3. Lifestyle Disorders:
a) In some of the cases, lack of emotional support in a relationship plays a significant role in the loss of libido. Post baby 'coolness' may also act as a driving force for loss in libido.
b) In today's era, changing lifestyle is drastically affecting our lives. Following an unhealthy lifestyle may result in increased weight that may affect self-image, and indirectly may also affect the sexual desire.
c) Stress and job, family pressure and exhaustion may also influence sexual desire of a woman.
4. Psychological factors:
a) Increasing cases of depression, anxiety, frustration, stress is also an important cause of loss of libido in the contemporary society.
b) After childbirth, new moms tend to suffer from lack of sleep, insufficient lubrication of the vagina and exhaustion, which may affect her sexual desire.
The first and foremost step towards dealing with it is to make your partner understand your problem. Then, it is important to consult a doctor to find out the underlying cause, thereafter, treatment of the cause can normalize the condition. Since there are multiple causes of the problem, there are different ways by which the loss of libido can be easily managed and treated. Some of them are discussed below:
1. Treatment of Hormonal Disorders: The doctors will suitably treat problems like thyroids or recommend surgical treatment for fibroids to manage HSSD.
2. Change in Medications: Since some of the medications are responsible for the lack of libido, the doctors will replace the medications to reverse this lack.
3. Addressing the psychological factors: Your doctor will either arrange for suitable psychiatric sessions or ask your partner to coordinate mutually.
4. Sex Therapy/Relationship Counseling or Testosterone Therapy: While sex therapy or relationship counseling brings back the interest by effectively counseling the individual, Testosterone therapy involves off-label usage of testosterone hormone since it is not recommended by FDA.
Proper treatment and consulting a medical expert can reverse this disorder efficiently. So, talk about the problem more openly to seek proper guidance and cure. You can also submit your queries or seek for our advice in detail by writing to us.
The World Health Organization (WHO) calls infertility “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”
Infertility can occur in both women and men. Primary infertility is infertility in a couple who have never had a child, while secondary infertility is failure to conceive following a previous pregnancy. A woman who doesn’t conceive and/or is unable to carry a full-term pregnancy is labeled as infertile.
Causes of infertility in women
Infertility in women is caused by many factors like infections and ageing amongst others like the following:
- High FSH - Follicle Stimulating Hormone (FSH) is a hormone secreted by the pituitary gland in the body. It stimulates follicle growth in the ovary and causes the eggs to mature for fertilization. FSH levels increase with age and high FSH levels in blood can mean that the ovaries are not functioning too well and hence it can be a likely reason for infertility.
- Blocked fallopian tubes - Blocked fallopian tubes or ‘fallopian tube obstruction’ is the biggest reason for infertility in women. We all know that fertilization happens inside the fallopian tubes, so an obstruction here means an absence of fertilization and pregnancy.
- Endometriosis - Women with endometriosis experience a drop in fertility by almost 12-35%. It is a condition where the lining of the uterus starts growing, not in the uterus, but elsewhere in the abdomen i.e. ovaries, fallopian tube and the pelvic area.
- Fibroids- These are non-cancerous tumours inside or around the uterus.
- Age- The biggest reason for infertility in women is their age. If a woman’s age is 35 plus, her ovaries do not function properly and release less eggs, which are not very healthy.
- Hormonal imbalance - These cause ovulatory malfunctions and poor egg development.
- Polycystic ovarian syndrome (PCOS) - PCOS is a type of hormonal imbalance, which leads to production of excessive male hormones in a woman’s body, thereby causing infertility.
Can Ayurveda boost fertility in women?
According to Ayurveda, infertility arises when ‘shukra dhatu’, which produces eggs in women and sperms in men, is weak due to lack of proper nutrition. This could be due to poor digestion or an absence of a balanced diet or due to the presence of ‘ama’ or toxins in the body.
According to Ayurveda, sexual indulgence and promiscuity can also cause infertility due to the decrease in ‘shukra dhatu’.
Ayurvedic fertility enhancers for women
- Ashoka – It stimulates the endometrium found in the uterus and ovaries and aids in ovulation.
- Lodhra – It cures all female disorders that stop conception and regulates levels of reproductive hormones like FSH and LH, which are essential for conception.
- Shatavari – It nourishes the ovum or egg and enhances fertility as it contains estrogen-like compounds.
- Gokshura – This herb is helpful for both men and women. It works as a fertility tonic in women by stimulating the ovaries and thus cures PCOS, a leading cause of female infertility.
Ayurveda also recommends a diet rich in food items like ghee, milk, almonds, walnuts, sesame and pumpkin seeds to improve overall health and thus enhance levels of ‘shukra dhatu’ in the body. Since ‘vata’ dosha is closely associated with the reproductive system in women, Ayurveda also assigns a lot of value to its regulation for proper ovulation and stress control. If you wish to discuss about any specific problem, you can consult an ayurveda.
Pired me sex karane se pregnancy hoti he kya Hame or 1 sal beby nahi chahiye to pregnancy na hone ke liye kya kare. Condom chodke.
Penis seedha karne ka kya treatment hain, thoda tedapan hain. Koi medicine yaa exercise hain iske liye .kya isse sambhog karne main koi problem hogi.
My wife 27 years recently had a abortion on dt 21.05.17. Today she is saying that during bathroom small patches of blood oozing out and slight pain in lower abdomen. Is it normal since she has a abortion? Pls suggest.
Hello! Doctor. I'm suffering with big issue. The erection time is very less. It will discharge within 1.5 minutes maximum. Please help me giving the solution.
My question is related sex I'm 36 after 10 to 15 dsys when I come to home I only one time to sex with my wife if I try to once more but I failed.
I am 20 years old boy. I masturbate once a day daily. Sometime eveb twice a day. Does it have any side effect? Please tell me. I would be very thank full to u.
Ejaculation can be considered premature if it happens within 1 minute of penetration or if you are unable to control your ejaculation. There are several reasons that can contribute to premature ejaculation like performance anxiety, excessive excitement, relationship issues and hypersensitivity of the skin. To treat premature ejaculation, it is important to determine the cause and stress that can be a potent reason that is preventing you from 'lasting' long. Premature ejaculation can be life long or acquired.
The effects of stress on the mind:
Stress can create havoc in your life and it is closely related to sexual dysfunctions. It is caused not only by rigorous emotional turmoil, daily factors like work or school can also lead to continuous stress, which may pile up to have a profound effect on your mind and body. Stress tends to alter the brain chemistry by triggering hormones like Cortisol, Norepinephrine, Serotonin and many others that signal the nervous system and endocrine to put the body in a state of anxiety which leads to weakening of the ejaculation reflex arc.
The effects of stress on the body:
Increased level of stress causes the heart rate to drop and the body is stimulated to produce excess blood sugar, adrenalin and chemicals. If your stress is caused due to work, your body will respond to it by diverting blood towards the important organs like hands and legs and your concentration might also improve under stress. However, stress can diminish your ability to enjoy sex, heighten your sensitivity to stimulation and pain and increase impotence.
How stress causes premature ejaculation?
Stimulation of the sympathetic nerves and hormonal imbalance caused by stress create an urge to ejaculate. Generally, this urge is enhanced by mental and sensory stimulation till orgasm is reached. One is likely to engage in sex with an amplified urge to ejaculate because the nerves have already been exhausted which leads to an early climax. Men with premature ejaculation has shown significant impact on self esteem and self confidence and many people confirm high levels of anxiety connected to sexual or intimate situations with a partner.
In a recent-published survey investigating the female partner's perception of premature ejaculation and impact on relationship break ups, relationship quality and sexual satisfaction among females, many of them confirmed that premature ejaculation was the main reason for break ups.
Hormonal disturbances in Thyroid, Prolactine, Erectile dysfunction, Penile anomalies, Prostate disease, Lower urinary tract infection can also cause premature ejaculation.
Reducing stress is an important step to cure premature ejaculation. Premature ejaculation can be treated with medications, counseling, diet and exercises. If you wish to discuss about any specific problem, you can consult a sexologist.
Hi there while having sex I dnt ejaculate even I have for 45 min as such only if I masturbate I ejaculate! This might b a prob when I want to have kids!
I am 21 years old male, yesterday (23-may-2017) I had sex with my gf (21 years age) ,the condom breaks! within an hour she took an I-PILL (contraceptive pills) ,her periods ended on 21 -may-17 .is there any chances of her getting pregnant? And what about STDs?
I am going to get marry in next month. But I am having only one testicle will that effect my marriage life. Can I make my wife pregnant. Please suggest me doc.
Premature (early) ejaculation—also referred to as rapid ejaculation; also called as early discharge. Premature Ejaculation Treatment in Delhi (PE) is the most common type of sexual dysfunction in men younger than 40 years and seen across all age groups. In elderly men (60 years) erectile dysfunction is more common. A study conducted by the Journal of Sexual Medicine revealed that this condition is almost equally prevalent in sexually active men of all age groups. If a man experiences uncontrollable ejaculation (discharge of semen from your penis) either before or shortly after sexual penetration (usually within 1-2 minutes of penetration), he may be suffering from PE. The Mayo clinic at the United States defines PE as a condition in which a man “always or nearly always ejaculates within one minute of penetration."