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Dr Jayesh Warade

Endocrinologist Clinic

F-4, Meenu Enclave, T. M. Nagar Madurai
1 Doctor
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Dr Jayesh Warade Endocrinologist Clinic F-4, Meenu Enclave, T. M. Nagar Madurai
1 Doctor
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Dr Jayesh Warade
Dr Jayesh Warade is known for housing experienced Endocrinologists. Dr. Jayesh Prabhakar Warade, a well-reputed Endocrinologist, practices in Madurai. Visit this medical health centre for Endocrinologists recommended by 88 patients.


07:00 AM - 11:00 PM


F-4, Meenu Enclave, T. M. Nagar
Madurai, Tamil Nadu - 625107
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Dr. Jayesh Prabhakar Warade

Diploma in Endocrinologist
3 Years experience
Available today
07:00 AM - 11:00 PM
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Know More About Infertility

BAMS, MD Ayurveda
Sexologist, Lonavala
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Causes and home remedies for Infertility

Hi my age is 61 and I am diabetic. When I am trying to sleep my nerves in head are beating and unable to sleep. I also have motion problem. Can you suggest me what to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi my age is 61 and I am diabetic. When I am trying to sleep my nerves in head are beating and unable to sleep. I als...
Mr. P lybrate-user, Thanks for the query. It is not clear what you are actually referring to by saying. When I am trying to sleep my nerves in head are beating and unable to sleep" Because nerves do not beat. What you saying may be related to some feeling of pulsation. This kind of a feeling may be there if your BP is high. Please tell me if you have hypertension and are you on treatment for that? If yes, what is the BP level now and the drugs with dosage. About the "motion problem" Due to diabetes some times there may be constipation as well as loose motions on some occasion. Please see that you take enough liquids every day. Plus consume a good deal of green leafy vegetables, salads and fruits (permitted. Ones, 100 g a day) that to with well controlled blood glucose. Ideally when in control fasting glucose should be <100 mg, PP 160 to 180 mg & HbA1c% <7. For reducing constipation drink a glass of hot water every morning after you are up in the morning. That will help in clear motion. Thanks.
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Hi. Before pregnant I have thyroid. Right nowI'm 5 months pregnant 3rd month thyroid was maintained by using thyronorm 87.5 mcg. Yesterday I Was tested TSH is much thyronorm should be increase to maintaintain TSH value. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. Following are the recommended TSH levels during the 3 trimesters of pregnancy: 1st Trimester: 0.1 to 2.5 mU/L, 2nd Trimester: 0.2 to 3 mU/L & 3rd Trimester: 0.3 to 3 mU/L. It is essential to maintain TSH levels as mentioned above for fetal development and proper outcome of the pregnancy. Higher levels are harmful for the growing fetus, plus those may affect the outcome of pregnancy. So it is essential for you to see that TSH is around 2 mU/L. SO you may increase the dosage by 12.5 mcg to 100 mcg from now on. Then check TSH after 4 weeks to see if the desired level is reached. If you have any doubts please come back. Thanks.
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I am 57 year old and I am suffering from high sugar level. Today my sugar level was 240 I want to consult you regarding that. I am also suffering from cancer Just want to ask you what documents should I bring.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 57 year old and I am suffering from high sugar level.
Today my sugar level was 240
I want to consult you regardi...
lybrate-user, Thanks for the query. As regards your blood glucose level (240 mg, np mention whether it is fasting or after food). STill it is high. If you are on anti-diabetic treatment, then that treatment needs to be upgraded. If not on treatment, then you have to initiate immediately. The drugs will depend upon following details: FBG, PPBG, HbA1c%,.Thanks.
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List of 10 Foods High in Uric Acid to Avoid

Ayurveda, Delhi
List of 10 Foods High in Uric Acid to Avoid

List of 10 foods high in uric acid to avoid

1. Red meat: Red meat is one of the certain foods that deliver more uric acid than other foods in your diet. However, poultry and white meats, like pork are also high in the uric acid, so it is best to keep your intake of meats and wild meat to an overall minimum. If you’ve high uric acid levels or gout, you should avoid these meats or at least limit to 4 – 6 ounces per day. Instead, you can maintain a steady mix of fruits and vegetables to go with your meals and snacks.

2. Organ meats: Like white and red meat, organ meats also deliver a high amount of the uric acid. Though you can enjoy having onions or livers for dinner, it is best to cut down on this meal as well as other foods which include organ meats such as sweetbreads, tongue, tripe, and pate.

3. Seafood and fish: If you are a seafood lover, you will be really disappointed to know that seafood and fish are off limits during gout flare-ups because they are other main sources of the uric acid (purines) in your diet. Besides, herring, anchovies, tuna, sardines and other oily fishes should also cut back on your dinner table because they not only aggravate gout symptoms but also trigger one. However, when your gout can be under control, it’s ok to indulge in scallops, shrimp, lobster, crab salmon, or eel. You need to be sure that you do not eat more than 4 to 6 ounces per day of whatever kind of seafood and fish you choose to eat.

4. Beer and alcohol: In fact, beer is twice as bad for people with gout than seafood and meats. That is because it will raise the production of the uric acid levels in the body and make the body more difficult to remove the excess uric acid. Although alcohol does not have much harm compared with beer, it can still raise uric acid levels. Hence, most doctors always recommend avoiding all beer and alcohol if you suffer from gout.

5. Drinks high in sugar: You should not reach for both soda and fruit juice with fruit sugar. These drinks deliver high fructose&nbsp;corn syrup that will stimulate the production of uric acid. According to studies, women and men who consume a lot of fructose and take many drinks with fructose corn syrup will get a higher risk of having gout. Instead of sugary beverages, you can stick with water, coffee, tea or pure, fresh-squeezed juice.

6. Asparagus and spinach: In fact, animal products aren't the only foods which are high in uric acid.

Certain vegetables such as asparagus and spinach can also trigger a gout flare-up. However, they do not seem to cause much harm compared with animal-based foods. Uric acid from vegetables is also excreted from your body more easily than uric acid that comes from seafood and meats.

7. Cauliflower: Cauliflower is a bland vegetable and is rich in the uric acid. However, vegetables can help your body get rid of the uric acid and purines, so you need not cut them out of the diet completely. Besides, they also have nutrients that can reduce insulin resistance that plays an important role in controlling the gout flare-ups.

8. Beans, peas, and other legumes: Beans, peas, and other legumes also have good sources of uric acid, which can make them become poor food sources for people who have gout. According to world’s healthiest foods, peas have a moderately high amount of uric acid, which is 5 – 100 milligrams of uric acid per 3.5-ounce serving. However, when peas, spinach, and asparagus are eaten in raw form, they will cause less damage than in cooked form, as long as you consume a small portion.

9. Mushrooms: If you’re thinking of eating mushrooms as a replacement source for meat, you should think of something else. Actually, like legumes, mushrooms are considered to contain a moderately high amount of uric acid.

10. Oats: Though there has been some discussion about the exact amount of uric acid that oats contain, oatmeal and other foods which contain oats deliver a moderate amount of the uric acid. Most doctors recommend that those who suffer from gout should limit their consumption of oatmeal as well as other oat-based foods.

Although this list can seem discouraging if you suffer from gout, many of these above foods can still be consumed, provided, as long as you only take the small portions and only have them when you aren't having a gout flare-up. Besides, other foods such as coffee, tea, citrus fruits, foods rich in complex carbohydrates, and foods rich in dairy can really prevent gout flare-ups and therefore, are recommended for those who have gout.

If you want to know more about super foods or other vitamins and minerals go to our main super foods&nbsp;page. After reading the article of top ten foods high in uric acid, hope that it can help you identify uric acid-rich foods to avoid eating them for your good health. If you have any question, or you know other foods high in uric acid, please leave them below.

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Male Fertility Surgery

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Male Fertility Surgery

Male fertility surgery


Male microsurgery also involves specialised operative techniques for the repair of very small structures, such as the tubes that carry sperm (the vas deferens). It is commonly used where there is a low sperm count, or no sperm at all.

Microsurgery can be used to:

  • reverse a Vasectomy
  • bypass a blockage in the epididymis,
  • cure a Varicocele (swelling of the veins about the testis), which allows the testis to produce better sperm,
  • In the case of azoospermia (absence of sperm in the testes), microsurgery is also used to perform surgical sperm retrieval so it can be used for Intracytoplasmic Sperm Injection (ICSI). The genetic make up of the sperm is tested first, before fertility treatment.

Most microsurgery is done as a day surgery procedure, and you will need up to a week to recover after the procedure. Occasionally we can cure obstruction to sperm passage in the urinary tract.

What is symptom of thyroid. My weight is increase so much last 6 month so I doubt I have thyroid please give advice.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Hair loss Constipation Tremors Inability to tolerate extreme cold or hot weather Unexplained weight gain Lethargy/weakness Irregular periods (females) Difficulty in conception (females)
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How Does Thyroid Affect Pregnancy?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Noida
How Does Thyroid Affect Pregnancy?

Thyroid disease is a condition that affects the thyroid gland, a small, wing shaped gland that secretes the thyroid hormone. The thyroid is controlled by the pituitary gland and its proper functioning. These thyroid hormones are responsible for the metabolism of the body and a slight tweak in the levels can also lead to the onset of thyroid diseases like hyperthyroidism (excessive production of the thyroid hormone) or hypothyroidism (inadequate production of the thyroid hormone), as well as other conditions. The thyroid hormone has a crucial role to play as far as pregnancy is concerned. Let us find out how.

  1. Estrogen and hCG: There are two distinct hormones that are related to pregnancy, the human chorionic gonadotropin (hCG) and estrogen. These hormones can cause an increase in the thyroid hormone levels that are contained in one's blood. The hCG is usually created by the placenta and is quite similar to the TSH or thyroid hormone. The hCG is known to mildly stimulate the thyroid gland, which causes greater production of the thyroid hormone. Also, once the estrogen in the body increases, it can lead to higher levels of globulin, which is a thyroid binding substance. This is a protein that takes the thyroid hormone to the blood and is also known as thyroxine binding globulin. When these hormones change on a less than normal basis, it can lead to difficulties in the thyroid reading during pregnancy.
  2. Nervous System: The thyroid gland is known to be especially important for the development of the baby's brain and nervous system. In fact, the thyroid hormone supplied by the mother in the first trimester will have a direct bearing on the development and growth of the foetus. This thyroid hormone travels through the mother's placenta. Once the first trimester has been completed, the baby will start to produce its own thyroid hormone.
  3. Enlarged Thyroid during Pregnancy: While the thyroid does enlarge slightly during one's pregnancy, it cannot really be detected merely with a physical examination. While a noticeable enlarged thyroid may point at the advent of thyroid disease, it will need to be properly evaluated as these problems are difficult to diagnose during pregnancy. This is due to the high levels of thyroid in the bloodstream during pregnancy, as well as an increase in fatigue and the other symptoms that are most commonly associated with thyroid disease.
  4. Hyperthyroidism in Pregnancy: This condition during pregnancy can cause congestive heart failure as well as the risk of preeclampsia, which can cause the rise of blood pressure during pregnancy.
  5. Hypothyroidism in Pregnancy: This can cause anaemia due to a low count of red blood cells which prevents proper oxygen supply for the baby.
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Diabetes Type 1 & 2 - A Complete Guide!

General Physician, Bhubaneswar
Diabetes Type 1 & 2 - A Complete Guide!

Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition which causes high or unstable blood sugar levels in the body.

When a patient suffers from low blood sugar it is called Hypoglycemia, and if the blood sugar levels are too high, it is called Hyperglycemia. Both are extremely harmful for a patient.

Type 1 and Type 2 and Gestational Diabetes-

Type 1

In Type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have Type 1 diabetes. Patients with Type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.

Type 2

Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from Type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.

Gestational Diabetes

Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.

Symptoms of Diabetes

  1. Frequent urination
  2. Extreme hunger or thirst
  3. Weight loss
  4. Problems with vision
  5. Tingling or numbness of the extremities.
  6. Unexplained fatigue
  7. Dry skin
  8. Cuts or sores that heal slowly
  9. High number of infections

Who is at greatest risk for developing diabetes?

People who:

  1. Are 45 or over
  2. Are overweight
  3. Are habitually physically inactive
  4. Have previously been identified as having IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
  5. Have a family history of diabetes
  6. Are members of certain ethnic groups (including Asian American, African American, Hispanic American, and Native American)
  7. Have had gestational diabetes or have given birth to a child weighing more than 9 pounds
  8. Have elevated blood pressure
  9. Have an HDL cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
  10. Have polycystic ovary syndrome
  11. Have a history of vascular disease

What is pre-diabetes?

Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing Type 2 diabetes and heart disease.

Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.

Diabetes is the fifth-leading cause of death by disease. Diabetes leads to the death of many people each year across the globe.

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I am 46 year old detected type 2 diabetes in the year 2003, taking allopathic treatment also tried lot of Ayurvedic treatment. Now allopathy and homeopathy treatment is in progress, however my sugar level are not in limit and hb1c is about 7to8, fasting sugar is in the range of 120 to 150 and post meal sugar level in in the range of 180 to 260. Recently I am facing gaseous problem. along with diabetes treatment I am taking allopathic tablets for BP and cholesterol. Pl advise me how I can control my sugar level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 46 year old detected type 2 diabetes in the year 2003, taking allopathic treatment also tried lot of Ayurvedic t...
Mr. lybrate-user, Thanks for the query. If you have T2 diabetes then it can be controlled quite well with oral hypoglycoemic drugs, in adequate dose, plus restricted diet and regular exercise. If oral drugs become less effective, newer compounds need to be added or in some Insulin injection has to be added to the treatment. So we will have to give a very close look at your current treatment and then decide what can be done to increase the efficacy. So if you are interested then please come in a private conversation with following details like Fbg, PP & HbA1c%, present drugs with dosage, dietary pattern and extent of daily exercise, then based on those details I will be able to guide. Ideally FBG should be <100 mg, PP 150 to 160 mg & Hba1c% <6.8. Thanks.
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Im diabetes, but in control conditions eventhrough im suffering from frequently urination about 10 to 12 times in a day. I diagnosed complete blood analysis, urine test about infection, but report is normal. There is absence of albumin, blood,microbes etc .please advice me in this issue.

General Physician, Jalgaon
Im diabetes, but in control conditions eventhrough im suffering from frequently urination about 10 to 12 times in a d...
Please Take Tab himplasia by Himalaya 11 Chandnasav 20 ml Twice a day Continue your current treatment Continue your current treatment Reconsult after 15 days.
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My husband is 48 years old. His uric acid level is 6.Which diet is gud for in this problem?

Ayurveda, Delhi
My husband is 48 years old. His uric acid level is 6.Which diet is gud for in this problem?
(1) lukee juice 5 leave pudina 5 leave Tulsi black salt take empty stomach (2) 1 glass milk add half Arjuna chal boil few minutes and filter all take before sleep.
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I am suffering from diabetes and my sugar level is increasing Day to day .I am also heart patient pzz suggest me that what should be done in this condition.

General Physician, Cuttack
I am suffering from diabetes and my sugar level is increasing Day to day .I am also heart patient pzz suggest me that...
1.Do regular aerobic exercise for 1 hour daily (brisk walking, jogging,running, swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango,litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) e) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment.
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Sex Life - 4 Ways Sugar Impacts It

FECSM ( spain), Fellow of European Society of Sexual Medicine., School of Sexual Medicine, DPM, MBBS
Sexologist, Pune
Sex Life - 4 Ways Sugar Impacts It

Sugar is an important source of calories in the body as it can provide immediate energy to the body after consumption. Sugar being a simple carbohydrate is digested quickly and released into the bloodstream to be used as energy. However, too much sugar in the bloodstream at once can cause a host of disorders in the body including affecting one's sex life. Outlined below are the ways how sugar adversely affects sex life-

1. Impairs the gene that regulates sex hormones - Glucose and fructose are synthesized in the liver, where the excess is converted into fat. When fat synthesis rate goes up in the body, it affects SHBG (sex hormone binding globulin) gene in the body. This gene is responsible for regulating the levels of testosterone and estrogen in the body. Hence, in this case, the affected person becomes highly susceptible to infertility.

2. Lowers testosterone levels - Indulging in a diet that consists of too much sugar affects insulin resistance. Due to this, testosterone levels drop in both men and women. This causes disorders related to sexual function such as erectile dysfunction and also reduces sex drive.

3. Fatigue and reduced energy levels - Foods high in sugar cause temporary spikes in blood sugar which in turn results in fatigue, thus reducing sex drive. It also decreases levels of Orexin, a neurotransmitter that regulates feelings of arousal in the body, causing fatigue and lethargy.

4. Increases stressIncreased stress levels as a result of sugar consumption occur when high insulin levels cause the body to produce cortisol, a stress hormone. Too much cortisol in the body decreases libido.

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Is adding sugar to the boiling tea (milk) is good or we should add sugar after getting the tea prepare? Which way is better for health?

General Physician, Mumbai
Is adding sugar to the boiling tea (milk) is good or we should add sugar after getting the tea prepare? Which way is ...
Dear lybrateuser, - You can add sugar anyway,when you add it after making the tea mix it well - limit your sugar intake to 1-2 teaspoons a day as extra sugar adds to empty calories & raises the blood sugar level.
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Sir, My Father 60+years old and Diabetic last 20+yrs, PP and Fasting normal. Abhi Tab. Gluconorm G1 le rahe hain iske pahle Dipride M2 le rahe the. Sir, but pichhle kuchh dino se right hand me kampan ho rahi hai, suggest me plz.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
Sir, My Father 60+years old and Diabetic last 20+yrs, PP and Fasting normal. Abhi Tab. Gluconorm G1 le rahe hain iske...
diabeto powder 1 gm twice a day basant kusumakar ras swarn yukta 125 mg BD gudmar kshar 500 mg bd for 60 days only
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Diploma in Obstetrics & Gynaecology - Ireland, MD - Obstetrtics & Gynaecology, DGO, MBBS
IVF Specialist, Delhi
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Infertility: Causes and Treatment

I am 30 years. Having Diabetes from last one year. Can I eat Mango? Is Mango good for diabetes?

Endocrinologist, Delhi
I am 30 years. Having Diabetes from last one year. Can I eat Mango? Is Mango good for diabetes?
Mangoe is high glycemic index food item means it will cause a rapid rise in your blood sugar. Please avoid it.
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Common Cause of Infertility in Females

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Common Cause of Infertility in Females

Common Cause of Infertility in Females

Damage to fallopian tubes (tubal infertility)

When fallopian tubes become damaged or blocked, they keep sperm from getting to the egg or block the passage of the fertilized egg into the uterus. Causes of fallopian tube damage or blockage can include:

  • Pelvic inflammatory disease, an infection of the uterus and fallopian tubes due to chlamydia, gonorrhea or other sexually transmitted infections

  • Previous surgery in the abdomen or pelvis, including surgery for ectopic pregnancy, in which a fertilized egg becomes implanted and starts to develop in a fallopian tube instead of the uterus

  • Pelvic tuberculosis, a major cause of tubal infertility worldwide, although uncommon in the United States


Endometriosis occurs when tissue that normally grows in the uterus implants and grows in other locations. This extra tissue growth — and the surgical removal of it — can cause scarring, which may obstruct the tube and keep the egg and sperm from uniting. It can also affect the lining of the uterus, disrupting implantation of the fertilized egg. The condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg.

Uterine or cervical causes

Several uterine or cervical causes can impact fertility by interfering with implantation or increasing the likelihood of a miscarriage.

  • Benign polyps or tumors (fibroids or myomas) are common in the uterus, and some types can impair fertility by blocking the fallopian tubes or by disrupting implantation. However, many women who have fibroids or polyps can become pregnant.

  • Endometriosis scarring or inflammation within the uterus can disrupt implantation.

  • Uterine abnormalities present from birth, such as an abnormally shaped uterus, can cause problems becoming or remaining pregnant.
    Cervical stenosis, a cervical narrowing, can be caused by an inherited malformation or damage to the cervix.

  • Sometimes the cervix can’t produce the best type of mucus to allow the sperm to travel through the cervix into the uterus.
    Unexplained infertility

  • In some instances, a cause for infertility is never found. It’s possible that a combination of several minor factors in both partners underlie these unexplained fertility problems. Although it’s frustrating to not get a specific answer, this problem may correct itself with time.

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