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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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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.
Last year I went for my regular check up. In the scan report, they mentioned I have got 1 inch fibroid. What should i do now?
I'm 6 weeks pregnant. I took mifepristone on 16th July. Bleeding started on 17th July evening. I took misoprostol on 17th July. Den I vomited after 20-25 min of taking misoprostol. Nd yesterday night I got a little Big clot. It was dark reddish in colour. Nd bigger Dan normal clots. So I want to know Wat was it? Nd when will I have an abortion?
It's more than two months I took I pill and no periods I am not pregnant my doctor suggested me meprate for 3 days and after meprate I am experiencing just a pink or brown discharge no proper periods please help.
After the eggs are collected and fertilised in the laboratory, the embryo transfer takes place. Usually and this entirely depends on your situation, about one or three embryos of the best quality are selected to be transferred to the womb. After introduction to the uterus, the egg attaches itself to the wall of the uterus for the pregnancy to come into effect. Embryo transfer is the last step in the IVF cycle.
The procedure chosen for transferring embryos usually depends on the clinic chosen. But most of them involve the following steps:
- The eggs take two or three days to fertilise. When they are ready, the embryos with the best quality are selected. These are then transferred to your uterus.
- A speculum is inserted into your vagina by the doctor. Then using ultrasound for guidance, a catheter is passed through the cervix. This catheter is used to pass down the embryos into the uterus.
- Your lifestyle after the transfer should be docile and cause you minimum stress.
- A pregnancy blood test will be given to you two weeks after the transfer. If the test comes out as positive, an ultrasound is scheduled after another two weeks.
In the process of transferring the embryo, there are no significant risks involved. There might be problems during passing the embryos through the catheter, if you never have had a baby before or your cervix was not assessed before the IVF cycle was initiated.
Chances of Successful Pregnancy:
With age, female fertility declines. It helps if you are younger when using your own eggs. After a survey it was found that women:
- aged below 35 have 40.6% chance of success
- aged between 36-37 have 35.5% chance of success
- aged between 38-39 have 28.1% chance of success
- aged between 40-42 have 21.2% chance of success
- aged between 43-44 have 11.2% chance of success
- aged 45 and over have 3.4% chance of success
I am previously suffered from anaemia and with infertility due to hypothyroidism. 1month ago I made all tests then I came to know that my haemoglobin % improved from 6.6 to 9.5 but t3 and t4 are normal but tsh is 8.86. I am taking eltroxin 50mcg daily since 1month. And my periods are also regular. My age -26y height -5.1 weight -46kg marriage -3 years other reports all are normal i. E mountax test etc. Please suggest me right way so that I rid of this problem and conceive.
When ever I see girl wid big breast I get attracted and want to have sex. What shall I do to reduce such things.
Hlo sir. Mujhe ek night me ek normal boy k sth kitne bar sex krna chahiye. Ek bar sex k bad kitni der bad dubara sex krna thik rehta h.Please tell.
Hi I am 19 week pregnant. I cant control my sex. I want to have it daily. What should I do? is it good or bad for me if I have sex daily?
I am 30 male and just got married, I and my wife want to make love without using pills or condom can you advice me is there anything safe time to make love without using any thing. As I used condom but we both were not much satisfied so please suggest is there as safe time to make love and do not get pregnant.
Hello respected doctors, my wife age is 28 we have 2 sons 7 and 3 years of age and 8 years married and I am 42 years old. Now a days use condoms for birth control, but my wife not happy with condoms, she said don't use condoms, so what is the best birth control method for her. Thank you.
Hi we had got married 8 months back we had sex on alternative days but 2 days back after intercourse blood came out from my wifes uterus and she is very afraid to do sex thereafter please suggest me solution for that.
My mother is suffering from typical gout problem. She is 51 years old. Due to this problem she is unable to stand for a longer period. I want to know what kind of foods will help her reduce the pain? She also has high blood pressure and regularly takes medicine for that. Please suggest whether she should intake a cup or two green tea a day?
The useful parts of green tea are the leaf bud, leaf, and stem. Green tea is not fermented and is produced by steaming fresh leaves at high temperatures. During this process, it is able to maintain important molecules called polyphenols, which seem to be responsible for many of the benefits of green tea such as anti-inflammatory and anti-carcinogenic effects.
In general, green tea contains a relatively small amount of caffeine (approximately 20-45 milligrams per 8 oz cup), compared with black tea which contains about 50 milligrams and coffee with 95 milligrams per cup.
Green tea is considered one of the healthiest drinks and contains one of the highest amount of antioxidants of any tea.
Some people use green tea to prevent various cancers, including breast cancer, prostate cancer, colon cancer, gastric cancer, lung cancer, solid tumor cancers and skin cancer related to exposure to sunlight. Instead of drinking green tea, some people apply green tea bags to their skin to soothe sunburn and prevent skin cancer due to sun exposure. Green tea bags are also used to decrease puffiness under the eyes, as a compress for tired eyes or headache, and to stop gums from bleeding after a tooth is pulled.