Shrishti Fertility Care Center & Women's clinic

What to do if you have difficulty in Conceiving?

Hi, I am Dr Jayanti Kamath. I am an IVF consultant, practising at Srishti Fertility Care Center and Women's Clinic, Mumbai. So today, I will be talking about the physiology of conception or how babies are made. Before we begin I will tell you about few things about the female reproductive system.

So as you can see in this picture this is a picture of the uterus and these are the tubes, the fallopian tubes and this whitish structure over here it is called as ovary. Now this part is the vagina and this is the mouth of the uterus it is also called as the cervix so once again this is the uterus these are the fallopian tubes on either side this is the ovary this is the mouth of the uterus called as the cervix and this is the Vagina. so how babies are made first of all babies are made by the fertilization of an ovum or the female egg by a sperm from the male. So the female eggs are produced in a structure called as the ovary. So what happens every month, the egg is released from the ovary into the fallopian tube and the egg grows throughout his journey through the fallopian tube and after sexual intercourse, the sperms enter through the vagina and they meet the egg in the tube and the egg gets fertilized. It keeps on growing and then the embryo or the baby gets implanted inside the uterus and this baby grows up till nine months till the woman delivers. So this is the physiology of conception now why is this important cause when a woman cannot conceive there can be problems in this entire process. For example where the egg is manufactured that is the ovary.

There can be a problem in the ovary, the woman can have a hormonal imbalance such as polycystic ovarian disease where many eggs are produced but they do not grow or they do not become mature then there can be cysts in the ovary such as endometriotic cyst or any other cyst so these are the problems with the ovary. Then coming to the tubes. If there is any blockage in the tubes the oocyte or the XL will not be able to reach the sperm.

Why the blockage occurs?

Blockage can occur due to any infection called as pelvic inflammatory disease or tuberculosis which is a very common disease in our country. So because of that, the tubes can get blocked. So once the tubes are blocked the oocyte has a problem in meeting the sperm, then the main region that is the inside of the uterus, so there can be problems there also. There Can be fibroids, there can be a septum, there can be polyps or there can be the uterus itself can become a tumour called as adenomyosis. So these are the uterine problems which interfere with conception. Now coming lower down there is a mouth of the uterus which is very important. Suppose the mouth of the uterus is closed or there is a very narrow space over there then again the sperms will have difficulty in entering the uterus.

So these are the various problems in the female reproductive system which interfere with conception.

For more information about this or if you have a problem in conceiving please consult me at lybrate.com.

Thank you.

Causes, symptoms and treatment of Infertility

Hi, I am Dr. Jayanti Kamany. I am an IVF Consultant practicing at Srishti Fertility Centre and Women's Clinic in Mumbai. So, today i'll be talking about Infertility. The problem of infertility is on a steep rise. Some of the causes for the rise in inferility are increased age at the time of marriage for women, postponement of child bearing. Even if a women gets married earlier she postpones her child bearing for various purposes like her career.

Increased stress levels today, increased levels of sexually transmitted diseases and of course Tuberculosis, which is a very common disease in our country. So, who is to be blamed for the infertility. We have found that 3 out of 10 couples are battling with this problem of infertility. 30% of the faults is found in the female, another 30% is found in the male partner, again 30% is found in both partners and about 10-15% cannot be explained because inspite of all the tests being normal, there is no problem which can be found and we call it unexplained infertility.

There are two types of infertility:

1. Primary infertility- Primary infertility is when the couple has never conceived

2. Secondary infertility-  Secondary infertility is when the couple had a child but cannot conceive again, or the couple has conceived, has had an abortion but there is no conception again.

When should a couple consult or take treatment for infertility? 

Usually if the ovum is young, if she is below 28 years she can wait for one year after trying to consult an Infertility Specialist. Even after one year if the couple doesn't conceive inspite of having regular sexual intercourse without having birth control measures they should see an Infertility specialist.

Now there are certain conditions where a couple irrespective of the duration of marriage or age should see a doctor immediately. So, what are those conditions? In the female, if she is having any problems regarding her menstrual cycle, suppose her menstrual cycles are irregular or she is getting very scanty bleeding or scantimensis or she has very severe pain during mensis or otherwise if she had a surgery where her one ovary is removed or a problem of polycystic ovarian disease which is very common today the she needs to see a Gynaec immediately. If she has recurrent abortions, that is, she can conceive but cannot carry the pregnancy to 9 months then definitely there is something wrong with her so she has to consult an Infertility specialist.

What are the causes in a male?

A male, if he has had a surgery in the testes or if he has a history of a disease called mumps in his childhood, or if he has a low sperm count or he cannot feel his testis in his scrotum then he needs to see a Fertility specialist.

For further information on this topic of Infertility or if you are planning to conceive, you can consult me on Lybrate.com.