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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Hi, I am 32-years old female n not conceiving ,although my hormonal level is normal, n husband test is also normal, please suggest ?
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.
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 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 improving 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, 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. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
It's not that you feel the same responsiveness while having a sexual relationship with your partner like you used to have earlier; impotency in women can occur at any stage due to various reasons. Sometimes such problems may strain your relationship with your partner.
If you know what impotency in women is, it will be helpful for you to get it treated:
- Inhibited desire disorder: Most women who are impotent in sex have almost no desire to have sex. Different causes that lead to such a situation are illness, tiredness, depression, anxiety, stress, relationship disharmony, and drug or alcohol abuse. Apart from these reasons, there are certain days in the monthly cycle of women when they lose the sexual desire. Medication and child birth can also be another cause for this. It may not seem serious in the beginning but gradually with time, things will change and frustration and unhappiness creep in a lovely relationship.
- Pain during intercourse: Dyspareunia or pain during intercourse also sometimes leads to impotency among women. It can be a superficial or deep pain. The main cause of the pain is that the womb is not able to lift up, and the discomfort for this does not allow the walls of the vagina to swell and allow the penis to enter the vagina. Mainly lack of lubrication and endometriosis is an important cause for such a pain. You will have superficial pain when there are issues like genital herpes, muscle spasms and other such problems. With experience of such pain, many women fear the feelings of intercourse, and they start lacking the sexual desire in total.
- Lack of ability to reach orgasm: It is a common belief that women have an orgasm with the penile penetration. The truth is that it's not. Only 25% of women are found to get orgasm in this way and others need clitoral stimulation for having orgasm. Thus, most women while having sex do not reach the climax! Women who love their partner without getting orgasm during sexual intercourse may feel different. And gradually they lose their desire for having sexual relations. There are a few factors like poor blood flow to the vagina, hormone imbalance that create this problem.
If you are facing any of the above problems, you may be suffering from impotency. However, do not get threatened as you are not alone, and getting to your doctor will help you out of such problems. In case you have a concern or query you can always consult an expert & get answers to your questions!
If you feel that no one can help or guide you in channelising your desires, you are wrong. A relationship is subject to a lot of misunderstandings, especially when the sex life is disturbed or fading. Most people tend to keep quiet about such issues instead of seeking help. A sexologist is a therapist who specialises in sexual problems and knows how to deal with them. Here are the top reasons why you should consider visiting a sexologist:
- If you have low sex drive, you are bound to avoid physical intimacy with your partner. This might happen because of various reasons, such as hormonal changes, certain medications, stress, and fatigue. If you low sex drive has become a persistent problem in your life, you should consult a sexologist about it.
- If you experience intense sexual behaviour, urges and fantasies which involve strange objects, situations and activities, it is a genuine problem. It is likely to be associated with some psychological issue. This may lead to great distress in your social, personal and occupational life. Visiting a sexologist is very important during such situations.
- There are several physiological problems which may lower your sex drive or may disable you to perform in bed. In men, disorders such as erectile dysfunction, premature ejaculation and the inability to penetrate in spite of having an erection are common. Although these can be treated with medicines, visiting a sexologist will help you know about the condition and the different treatment modes available. Such problems in women include vaginal dryness, dyspareunia vaginal trauma or vaginismus.
- When your sexual needs and desires do not match with that of your partner’s, problems and issues are likely to surface. One of you may suffer from low sex drive as well. As a couple, it is important to communicate with each other and visit a sexologist.
- If you are obsessed and preoccupied with sexual thoughts all the time and your performance and functioning are being affected, a psychological issue is indicated. This needs immediate treatment and hence, you must visit a sexologist.
- It may be possible for you to feel guilty about having sex. This may happen on the account of a bad sexual experience in the past, such as being a victim of child abuse. You can solve the problem by talking it out with a sexologist.
You should also visit a sexologist if you are unable to achieve orgasms. This is more common in women than men. Ejaculation and orgasm are associated with each other. If you cannot attain an orgasm in spite of having a sex drive, you should be concerned and seek medical opinion.