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Infertility In Women - Know The Causes, Risks & Treatments Available!

Multi Speciality, Visakhapatnam
Infertility In Women - Know The Causes, Risks  & Treatments Available!
Infertility is the incapability of a couple to conceive after indulging in unprotected sex multiple times over a long period. It can also be referred to as the biological inability of a man to cause conception or a woman to conceive as well as being unable to carry the pregnancy for the whole duration. Research has shown that female problems contribute to over half of all the infertility cases.

Causes-

Causes of infertility in include:
Ovulation Disorders This is regarded as the most common cause of infertility in women. The disorders can be caused due to conditions like PCOS(polycystic ovary syndrome), Premature ovarian failure, poor quality of eggs, overactive or underactive thyroid gland and chronic conditions like cancer or AIDS.

Problems in fallopian tubes or uterus Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to conditions like Endometriosis, previous sterilization treatments or surgeries to correct past problems.

Medications or Treatments There is a possibility of some treatments affecting infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.

Diagnosis-

Usually, the initial steps for diagnosing infertility involve a review of the complete medical history of the patients as well as a physical exam. Post this check-up, some diagnostic tests are conducted for infertility. This might include-

Blood and Urine tests: For checking hormone levels.

Pap smear:For checking the health of your cervix.

X-ray: For outlining the internal shape of the uterus so that blockages in fallopian tubes can be identified.

Risk Factors:

Age Increasing age tends to lower the quality as well as the quantity of a woman's eggs

Smoking Besides damaging your cervix and fallopian tubes, smoking increases your risk of miscarriage. It is also believed to deplete your eggs at a premature stage, thereby reducing your chances of pregnancy.

Weight Normal ovulation is hindered by being overweight or even significantly underweight. This is because lower levels of BMI (body mass index) reduces the frequency of ovulation, reducing the chances of pregnancy.

Sexual history Sexually transmitted diseases like gonorrhea and Chlamydiacan cause damage to the fallopian tubes, resulting in infertility.

Treatments:

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

Intrauterine insemination (IUI): deliberately introducing sperm into the uterus of a woman for achieving pregnancy.

Stimulating ovulation with fertility drugs.

Surgery to restore fertility.

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve a pregnancy. It is any form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperm are manually combined in a laboratory dish, followed by transfer of embryo to the uterus.

Blocked Fallopian Tubes - Know Different Types Of It!

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Nagpur
Blocked Fallopian Tubes - Know Different Types Of It!
It's said that blocked fallopian tubes is the most common cause of female infertility in about 40% women who are infertile. Fallopian tubes are channels through which the egg travels to reach the uterus and blockage of these tubes can put a stop to this from taking place. Depending on the different parts of the tubes, this form of blockage is of several types.

What are the different types of fallopian tube blockages?

1. Proximal tubal occlusion

This form of fallopian tube blockage involves the isthmus (an area of about 2 cm long, this part of the fallopian tube connects the infundibulum and ampulla to the uterus). This problem occurs after an illness like complications associated with abortion, cesarean section, PID (pelvic inflammatory disease).

2. Mid-segment tubal obstruction

It occurs in the ampullary section of the fallopian tube and is most frequently a result of tubal ligation damage. The procedure of tubal ligation is performed to put a stop to pregnancy permanently.

3. Distal tubal occlusion

This is a kind of blockage wherein the section of the fallopian tube that is close to the ovary is affected and is commonly associated with a condition known as hydrosalpinx (a condition in which the fallopian tube is filled with fluid). The latter is often brought on by Chlamydia infection, leading to fallopian tube and pelvic adhesions.

The conditions that may give rise to this problem can include:

1. Genital tuberculosis (the TB infection that occurs in the genital tract)
2. Ectopic pregnancy (pregnancy in which the embryo places itself outside the uterus)
3. Tubal ligation removal
4. Complications related to surgery of the lower abdomen
5. Pelvic inflammatory disease (PID)
6. Uterine fibroids (benign growths that occur in the uterus)
7. Endometriosis (development of uterine tissue outside of the organ)

These disorders can lead to the development of scar tissue, adhesions, polyps or tumors to form inside the pathway. Additionally, the tubes can also get stuck to other body parts such as the ovaries, bladder, uterus and bowels. Two things can happen to the fallopian tubes, either they can become twisted or the tubes walls may stick together, leading to a complete blockage. Moreover, even if the fallopian tubes are partially damaged, they can remain open so as to enable pregnancy to occur, while increasing your risk for ectopic pregnancy.

I have pcos for the last 10 years now, i'm 24. I took deviry to induce periods but it's been almost 10 days since the medicine stopped but there's no sign of anything. I don't even feel like i'm going to get periods. Please help!

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
I have pcos for the last 10 years now, i'm 24. I took deviry to induce periods but it's been almost 10 days since the...
You should wait and watch but i hope you are also taking the right medicines for pcos. Currently many non hormonal medications are available which help this condition.
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Uterine Polyps - Symptoms, Causes & Complications Related To It!

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Uterine Polyps - Symptoms, Causes & Complications Related To It!
Uterine polyps are growths attached to the inner wall of the uterus that extend into the uterine cavity. Overgrowth of cells in the lining of the uterus (endometrium) leads to the formation of uterine polyps, also known as endometrial polyps. These polyps are usually noncancerous (benign), although some can be cancerous or can eventually turn into cancer (precancerous polyps).

Uterine polyps range in size from a few millimeters - no larger than a sesame seed - to several centimeters - golf-ball-size or larger. They attach to the uterine wall by a large base or a thin stalk.

You can have one or many uterine polyps. They usually stay contained within your uterus, but occasionally, they slip down through the opening of the uterus (cervix) into your vagina. Uterine polyps most commonly occur in women who are going through or have completed menopause, although younger women can get them, too.

Symptoms

Signs and symptoms of uterine polyps include:

Irregular menstrual bleeding - for example, having frequent, unpredictable periods of variable length and heaviness
Bleeding between menstrual periods
Excessively heavy menstrual periods
Vaginal bleeding after menopause
Infertility
Some women have only light bleeding or spotting; others are symptom-free.
When to see a doctor
Seek medical care if you have:

Vaginal bleeding after menopause
Bleeding between menstrual periods
Irregular menstrual bleeding
Causes

Hormonal factors appear to play a role. Uterine polyps are estrogen-sensitive, meaning they grow in response to circulating estrogen.

Risk factors

Risk factors for developing uterine polyps include:
Being perimenopausal or postmenopausal
Having high blood pressure (hypertension)
Being obese
Taking tamoxifen, a drug therapy for breast cancer
Complications

Uterine polyps might be associated with infertility. If you have uterine polyps and you're unable to have children, removal of the polyps might allow you to become pregnant, but the data are inconclusive.
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Blocked Fallopian Tubes - What Should You Know?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Ghaziabad
Blocked Fallopian Tubes - What Should You Know?
It's said that blocked fallopian tube is the most common cause of female infertility in about 40% women. Fallopian tubes are channels through which the egg travels to reach the uterus and blockage of these tubes can put a stop to this from taking place. Depending on the different parts of the tubes, this form of blockage is of several types.

What are the different types of fallopian tube blockages?

Proximal tubal occlusion: This form of fallopian tube blockage involves the isthmus (an area of about 2 cm long, this part of the fallopian tube connects the infundibulum and ampulla to the uterus). This problem occurs due to complications associated with abortion, cesarean section or PID (pelvic inflammatory disease).
Mid-segment tubal obstruction: It occurs in the ampullary section of the fallopian tube and is most frequently a result of tubal ligation damage. The procedure of tubal ligation is performed to put a stop to pregnancypermanently.
Distal tubal occlusion: This is a kind of blockage wherein the section of the fallopian tube that is close to the ovary is affected and is commonly associated with a condition known as hydrosalpinx (a condition in which the fallopian tube is filled with fluid). The latter often happens due to Chlamydiainfection, leading to fallopian tube and pelvic adhesions.
The conditions that may give rise to this problem can include:

Genital tuberculosis (the TB infection that occurs in the genital tract)
Ectopic pregnancy (pregnancy in which the embryo places itself outside the uterus)
Tubal ligation removal
Complications related to surgery of the lower abdomen
Pelvic inflammatory disease (PID)
Uterine fibroids (benign growths that occur in the uterus)
Endometriosis (development of uterine tissue outside of the organ)
These disorders can lead to the development of scar tissue, adhesions, polyps or tumors to form inside the pathway. Additionally, the tubes can also get stuck to other body parts such as ovaries, bladder, uterus and bowels. Two things can happen to the fallopian tubes, either they can become twisted or the tubes walls may stick together, leading to a complete blockage.

Moreover, even if the fallopian tubes are partially damaged, they can remain open so as to enable pregnancy to occur, while increasing your risk for ectopic pregnancy.

I am 26 years old and have been diagnosed with pcos and took normoz tablet for almost 2 months now. Should I be taking this tablet life long? What should I do next.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro
I am 26 years old and have been diagnosed with pcos and took normoz tablet for almost 2 months now. Should I be takin...
It is generally given for 3 to 6 months and then the response is judged. You may be aaked for a repeat usg and some lifestyle changes. So, continue the medicine and keep in touch with your doctor.
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मासिक धर्म में देरी के कारण - Masik Dharm Mein Deri Ke Karan!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
मासिक धर्म में देरी के कारण - Masik Dharm Mein Deri Ke Karan!
महिलाओं मासिक धर्म संबंधी अनियमितता एक सामान्य समस्या है. कई बार पीरियड नहीं आने या बंद होने के कुछ और भी कारण होते हैं, लेकिन महिलाओं को इस बात का डर बैठ जाता है कि कहीं फिर से प्रेग्नेंसी तो नहीं आ गयी. यह डर महिलाओं में तनाव को बढ़ाता है. माहावारी के दौरान महिलाओं में डिप्रेशन, पेट दर्द होना सामान्य है. इस प्रक्रिया में अच्छा व बुरा संकेत होना भी प्राकृतिक प्रक्रिया है. माहवारी अचानक बंद होने पर महिलाओं को घबराने की जरूरत नहीं है. यह कई अन्य कारणों से भी हो सकता है. शरीर में किसी भी प्रक्रिया का आनियामित रूप से चलना या उसका ठीक से काम नहीं करने के कई कारण हो सकते हैं. मासिक धर्म तो एक स्वाभाविक प्रक्रिया है जिसका शरीर पर कई तरह का असर देखने को मिलता है. आइए इस लेख के माध्यम से हम मासिक धर्म के रुकने को विस्तारपूर्वक समझें.

मासिक धर्म रुकने के विषय में क्या कहते हैं जानकार?
जानकारों का कहना है कि कारण जाने बगैर महिलाओं को तनाव नहीं लेना चाहिए. मासिक धर्म या मासिक धर्म महिलाओं में सामान्य प्रक्रिया है, इसके बंद होने के अन्य कारणों के बारे में सामान्यत: महिलाओं को जानकारी नहीं होती है. कम समय में वजन बढ़ा या घटा हो. शरीर में मलेरिया, टाइफाईड या जोन्डेस हुआ हों, तब मासिक धर्म बंद हो सकते हैं अथवा देरी से हो सकते हैं. इसके अलावा कोई बड़ा ऑपरेशन हुआ हो तो मासिक धर्म बंद हो सकते हैं. पिछले दो महीने में अगर वजन कम हो गया हो या 5-6 किलो बढ़ गया हो. कम समय में वजन में ज्यादा उतार-चढ़ाव से भी मासिक धर्म बंद हो सकते हैं. मानसिक तनाव या किसी की मृत्यु हो गयी या तलाक या किसी से बिछड़ने का तनाव भी इस समस्या को पैदा करता है. शादी के बाद ससुराल की चिंता या एन्जाइटी होने पर भी मासिक धर्म बंद हो सकते हैं.

थायराइड भी है एक कारण-
थाइराइड की समस्या बढ़ जाये या ओबेसिटी जैसी समस्या होने पर भी महिलाओं में पीरियड् बंद हो सकता है. इसके अलावा पोलिस्सिटिक ओवेरियन सिंड्रोम के कारण भी मासिक धर्म देरी से आते हैं. यह समस्या महिलाओं में ज्यादा दिखाई देती है. यह समस्या होने पर चेहरे व छाती पर बाल उगने लगते हैं. इसमें वजन बढ़ता जाता है. अगर महिला शादीशुदा है और बच् चा चाहती है तो उसे प्रेग्नेंसी में समस्या हो सकती है. कोई भी क्रोनिक समस्या हो जैसे लंबे समय तक लीवर या किडनी की समस्या हो. अपच या लूजमोशन की समस्या हो, तब भी मासिक धर्म देरी से आ सकते हैं.

गर्भनिरोधक गोलियों का लगातार सेवन-
गर्भ निरोधक गोलियों के लगातार सेवन से या एक साल से ज्यादा तक ये गोलियां लेने से दो तीन महीने तक मासिक धर्म बंद या एकदम हल्के हो सकते हैं. यह प्रक्रिया धीरे-धीरे सामान्य हो जायेगी. गर्भधारण करने में भी कोई समस्या नहीं आयेगी. प्री-मेच्योर मैनोपोज महिलाओं में कभी-कभी 40 साल की उम्र में भी आ जाता है. ऐसी स्थिति में अंडाकोश में अंडा बनना बंद हो जाता है. तब इसको प्री-मेच्योर ओवेरियन फेलियोर कहते हैं. इसमें मासिक धर्म बंद होने के साथ-साथ मैनोपोज के लक्षण भी दिखाई देंगे, जैसे बहुत तेज गर्मी लगना. पसीने अआना, वैजाइना में सूखापन लगना. यह संकेत बहुत कॉमन नहीं हैं. सही स्थिति की जानकारी डॉक्टर ही बता सकता है. इसके लिए हारमोन टेस्ट भी कराया जा सकता है. किसी अनुभवी/ स्त्री रोग विशेषज्ञ से सलाह लेने के बाद ही वास्तविक समस्या समझी जा सकती है. महिलाएं सही कारण जानें बगैर स्ट्रेस न लें.
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Hi, I got hcg injection prior 5 days, today it was 3rd monitoring scanning and egg ruptured in the report and I got prescribed by doctor regarding myoinositol, d cure inositol, l methyl folate and vitamin d3 tablets. Will this help in pregnancy. Will it helps in positive result?

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Chandigarh
Hi, I got hcg injection prior 5 days, today it was 3rd monitoring scanning and egg ruptured in the report and I got p...
These medicines are dietary supplements. Helps to have healthy pregnancy but doesn’t help i’m getting pregnant or maintaining it. These are to help you be healthy.
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Treat Infertility In Women - Why Homeopathy Is Your Best Choice?

CME Course In Diabetes For Family Physicians, Certificate In Child Health, BHMS
Homeopath, Gurgaon
Treat Infertility In Women - Why Homeopathy Is Your Best Choice?
For a married couple, having a child is the next step to completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep-rooted causes for this issue, and homeopathy aims in treating the root cause and not just infertility. A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc., and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member s recommendation is best avoided.

Infertility in females is often caused by the following reasons:

Irregular menstruation
Hormonal imbalance
Advancing age
Emotional stress
Obesity
Excessive smoking
Alcohol consumption
Sexually transmitted diseases (Chlamydia, gonorrhoea)
Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
Endometriosis
Polycystic Ovarian Syndrome (PCOS)
Pelvic Inflammatory disease
Thyroid disorders
Diabetes
With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with your doctor to identify what would work best for you. Self-medication is best avoided.

In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.
These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms.
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PCOS Symptoms And Treatment!

MD- Ayurvedic Pathology
Ayurveda, Amritsar
PCOS Symptoms And Treatment!
PCOS is a disorder characterized by enlarged ovaries and the formation of tiny cysts on the outer sides of the ovaries. The polycystic ovary is a hormonal condition that stimulates surplus production of androgen in women. Androgen being a" male hormone, causes the development of muscle mass and hair in men, and it has similar effects on women as well when present in high amount.

They trigger acne and excessive growth of body hair in women accompanied by irregular or lack of ovulation in the form of absent or erratic menstrual cycle. Hence, owing to troubles in ovulation (discharge of ovules from the ovaries), one may experience difficulties in getting pregnant.

Many women suffering from PCOS are unaffected by the influence of the hormone insulin , which indicates, that it requires a larger amount of insulin to sustain a normal blood sugar level. High levels of insulin as a result of insulin resistance, in turn drastically boosts androgen production.

Symptoms of PCOS include:

Irregular menstrual cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.
Excessive hair. Excessive hair on the face, chin, or parts of the body where men usually have hair. This is called" hirsutism" hirsutism affects up to 70% of women with PCOS. 3
Acne. Acne on the face, chest, and upper back
Hair loss. Thinning hair or hair loss on the scalp; male-pattern baldness
Weight gain. Weight gain or difficulty losing weight
Skin darkening. Darkening of skin, particularly along neck creases, in the groin, and underneath breasts
Skin tags. Skin tags, which are small excess flaps of skin in the armpits or neck area
Treatment:
Ayurveda and panchakarma treatments can work wonder in improving such health issues.

Reduction of weight can be done with udwartan therapy.
Vaman and virechan should be suggested as per the requirement of a patient and it helps in menses.
Internal medicines are tailor-made to improve the health of an individual.