Doctor in Dr. Seema Jain's GynaeGalaxy - A Women's Specialty & Fertility Clinic
Patient Review Highlights
Dr Seema Jain is a wonderful doctor. Very professional, she knows her job well. Speaks less in visits which is good as she doesn’t gv any Inadequate information . Speaks what is required. She handled my delivery and pregnancy with utmost care. I am lucky n happy to hv her as my Gynac.
I found the answers provided by the Dr. Seema Jain to be very helpful. Tnq
Infertility is an increasing problem in contemporary times. More and more women and men are detected with infertility and opt for artificial and medical procedures to conceive a child. However, even today it is seen that the numbers of infertile women are more in comparison to infertile men. There are several reasons why infertility develops in women. Some of the major causes of infertility in women are discussed below.
- Ovulation disorder: There are several reasons as to why a woman may experience irregular menstrual cycles. Some of them are high-stress levels, weight balance issues, late marriages and the like. But in these cases, the underlying cause is absence or scanty ovulation. Thus, if you experience slight irregularity in your monthly cycles, it is best to consult a doctor and get evaluated. It is best to keep weight in normal range and reduce stress.
- Blocked fallopian tubes: These tubes are channels, which connect the ovary ( which produces eggs called ova ) and the uterus. During normal conception, the sperms travel from the vagina into the uterus and then reach the fallopian tubes in which the ovum is available after ovulation. At times, these fallopian tubes get blocked which results in the inability of the sperms to reach the egg. This leads to infertility. Blocked fallopian tubes can be treated and if you are diagnosed with the issue, it is best to start the treatment as early as possible.
- Endometriosis: This condition develops when the endometrial lining of the uterus is found abnormally spread in the pelvis over ovaries, and other organs. Due to this “ectopic” endometrium, in women with endometriosis, the periodic bleeding is also accompanied by bleeding from these abnormal sites, and this causes the pelvic organs to malfunction and get stuck to each other. Women who have endometriosis have severe dysmenorrhea ( periodic pain), dyspareunia (pain during sex) and constant tummy aches, chocolate cysts in ovaries, and infertility. This condition also needs urgent treatment otherwise, the stuck organs make infertility treatment difficult.
- Unhealthy eggs: The health of the egg is determined by factors such as hormonal levels, low or high-stress levels, anger and anxiety levels, environmental factors, hormone production in the body and the like. Thus, any of the said factors might affect the health of the egg produced and make it unhealthy in nature. Unhealthy eggs would render the woman infertile in the long run.
Thus, these are some of the causes of infertility in women. In case you are having trouble in conceiving, it is advisable to opt for a thorough check up by your gynecologist. Sometimes you may be required to take help of artificial reproductive technologies like IUI (Intra Uterine Insemination) and IVF (In Vitro Fertilitsation). In case you have a concern or query you can always consult an expert & get answers to your questions!
Infertility is defined as a condition where a woman is unable to conceive a child despite having 1-2 years of unprotected sexual intercourse with a male partner but help for conception can be sought after 6 months of trying pregnancy. In over half the cases, infertility is usually with the male partner which is characterised by a low sperm count. Infertility causes social anxiety as well as relationship problems among couples and can severely affect the self-esteem of the person.
Male infertility tends to have certain tell tale signs some cases or no apparent reasons in other cases. In some cases, male infertility occurs due to underlying medical conditions like genetic problems, widened veins around the testicle or hormonal imbalances and some of the symptoms could be like:
- Recurrent problems during sexual intercourse due to severe pain in the testicular zone.
- You might lose your ability to smell due multiple instances of infections of the respiratory system.
- There might be a reduction in the body hair.
- Abnormal sperm count.
- Lack of sexual desire
Some of the common causes of male infertility could be:
- past injury or surgery of the testicles.
- erectile dysfunction.
- premature ejaculation.
- sexually transmitted infections.
- testicular deformation along with low sperm count.
- Blockage of the ejaculatory
In other cases, the reasons could be:
- old age
- mental anxiety
- excessive alcohol consumption
- diabetes or as a
- side effect of radiation therapy
- prescribed medications to treat other existing ailments within the body
Diagnosis and Treatment
The infertility of the male partner is usually diagnosed by your specialist by evaluating the medical condition and past histories of surgical procedures, sexual practices etc. Infertility can also be diagnosed by analysing the semen.
The treatments for male infertility are varied and depend on the severity and the exact cause of the condition. Male infertility can be treated by hormonal replacement therapies and procedures, counselling or medication (for erectile dysfunction and premature ejaculation) and procedures to retrieve sperm which is then used for artificial insemination.
Being overweight can be as problematic as being underweight. Both the situations can have an effect on the infertility of a woman. Usually the body stores the sex hormones in the fat layers. That is why, if a person is underweight, she can have infertility issues, as there is not enough storage space for the hormones. In the same way if a person is overweight, then there is an excess of fat tissues and the amount of the hormone estrogen released is usually more than that the body can handle. This leads to a disruption of the chemicals and proteins, leading to adverse reactions and infertility.
Common Weight Related Infertility Reasons
Being overweight is somewhat linked with the Polycystic Ovary Syndrome (PCOS) and an increase in estrogen hormone. Also, there is a greater chance of a luteal phase defect. Let us see how these can affect a woman:
- Estrogen: This hormone is produced by the fat cells, and if there is too much of estrogen production, then the body reacts to it in a similar manner when birth control pills are taken. Ovulation may or may not occur, and if it does, it might be inadequate. And the inadequate ovulation leads to luteal phase defect.
- Polycystic Ovary Syndrome (PCOS): This is basically an endocrine disorder with a combination of many symptoms. Symptoms are pain, irregular cycles, ovulatory pain, ovarian cysts, excessive body hair and heavy menstrual bleeding. Diagnosis for PCOS helps in determining the treatment for weight loss.
- Luteal Phase Defect: The luteal phase refers to the phase between the ovulation and the menses. The ideal time period for this phase is 14 days. LPD is generally caused by improper ovulation, and thus improving the quality of the follicles is necessary to correct the situation.
How Does Being Overweight Affect Conception Rate
As per a study which was published in the British Medical Journal, if women are too lean or too obese, they can have difficulty in conceiving and that fat distribution has an effect on the body. Women who have a large waist hip ratio have difficulty in conceiving, and apple shaped women also face the same trouble. Usually women who have PCOS have an apple shaped body.
Risk of Miscarriage Due To Being Overweight
Women suffering from PCOS and obesity have more chances of miscarriage as compared to others. The reason is that women with PCOS have increased LH, which tends to affect the pregnancy. However, it is noticed that even if excess fat does not play any role in pregnancy, women with PCOS have excess weight which creates high risk as compared to the others.
Finding Help for Overweight Issues is a Good Idea
Seeking help if you are overweight is always advisable. Consulting a good gynecologist can help along with weight management and fertility treatment. You shouldn't have any hesitations, and all the questions should be asked freely so as to get a holistic idea of the treatment. The doctor might suggest some tests and also conduct a physical examination of the lymph nodes and the abdomen, to feel the ovaries and the uterus. Post physical examination, an internal examination of the cervix to check for infections is done, and if need be, a pap smear might be collected and sent to the lab for culture. At times, a trans-vaginal or an abdominal ultrasound might also be done to rule out the possibilities of abnormalities or others cysts. Tests to check the levels of hormones are also done.
It is always a wise decision to know how being overweight can impact the chances of becoming pregnant. Working towards losing weight and getting it under healthy BMI levels, can lead to the restoration of the hormones and in turn make you healthier.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.
- Hormonal problems: Ovulation is linked with a complex balance of hormones and any disruption in the process can hinder ovulation. The disruption includes the fact that the ovaries are not producing normal follicles in which the eggs can mature. Ovulation is rare if the eggs are immature and there are no chances of fertilization. Polycystic ovary syndrome is the most common disorder responsible for infertility. Malfunction of the hypothalamus leading to failure in triggering hormonal stimulus to ovaries for egg maturation leading to immature eggs and ovarian failure. Malfunction of the pituitary gland leading to imbalance in hormonal secretion thus causing disturbance in ovulation. This can occur due to physical injury, a tumour or a chemical imbalance in the pituitary.
- Scarred ovaries: Ovulation failure can also be due to a physical damage to the ovaries. Invasive surgeries involving ovarian cysts leads to damaging or scarring of capsule of the ovary to become due to which follicles cannot mature leading to disruption of ovulation.
- Premature menopause: Early menopause or premature menopause before the normal age means that the natural supply of eggs has been depleted. This is most common in extremely athletic women with a history of low body weight and extensive exercise.
- Follicle problems: Infertility is also caused due to non-ruptured follicle syndrome in which women who produce a normal follicle, with an egg inside of it, every month but the follicle fails to rupture. This leads to disruption of ovulation as the egg remains inside the ovary.
- Others: Treating female infertility by chemotherapy is next to premature ovarian failure by loss of primordial follicles. Sexually transmitted infections are a leading cause of infertility. Tobacco smoking is detrimental to the ovaries and the amount of damage is dependent upon the amount and length of time of exposure of smoke in the environment. Nicotine in cigarettes interfere with the body’s ability to create oestrogen, a hormone that regulates ovulation. In addition, blocked fallopian tubes due to pelvic inflammatory disease or surgery for an ectopic pregnancy also causes infertility. Infertility can also be due to physical problems with the uterus or fibroids of uterus where non-cancerous clumps of tissue and muscle on the walls of the uterus.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Trying to get pregnant can go either ways for most couples that is it can be a breeze, or it can be a difficult process that ends up with lots of fertility clinic visits. While in some cases, the reasons for not being able to conceive may come down to male infertility, there are many cases where the reason may be female infertility too. In many other cases, both male and female infertility may be the cause.
Let us discuss female infertility in more details here.
When can it be called Infertility?
When a couple is not being able to conceive even after trying for a period of over a year, then a case can be made in favour of infertility. Infertility can result from females in at least one third of the cases, as per various medical studies. While the actual cause may be difficult to diagnose, there are many available treatments that one can use in order to fix the underlying issues.
When to Start Worrying?
Female infertility comes with many symptoms, while the main symptom may be the inability to conceive, the other symptoms include excessively long menstrual cycles that show signs of slowing down only after 35 days or so, or even cycles that are too short where they appear within 21 days. Irregular and absent periods can point at the lack of ovulation which is the main sign of infertility. Other than that, there are no outward signs of infertility as such apart from pelvic pain and cramping or heavy bleeding during periods. If you are 30 years of age, or younger, then you may want to see a doctor regarding irregular and absent periods, or the lack of conception even after trying for a year. Also, if you are between 35 and 40 years of age, you can discuss the inability to conceive with your doctor, after efforts for six months. If you have been trying to conceive and you are over 40 years of age, then the doctor will put you through tests on an immediate basis.
The Requirements for Conception?
In order to conceive, you will need to ovulate on a normal basis and have regular menstrual cycles as well as intercourse. Also, your fallopian tubes and uterus must be in normal working condition without any infections and other conditions.
There may be many causes for female infertility including ovarian faults like polycystic ovary syndrome (PCOS), hypothalamic dysfunction, premature ovarian insufficiency and excessive prolactin in the ovaries. Also, pelvic inflammation disorders that lead to damage of the fallopian tubes and other uterus related issues like endometriosis can lead to female infertility.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 35 and we are trying to conceive. Dr. have done some test which is as under. Tsh 0.903 Prolactin 12.06 Amh 1.32 Hsg normal Hsa normal PCT normal Now Dr. is asking to do follicular Monitoring. Medications. ovaries plus and folvite for 3 months Letroz 2.5 5 days from periods day 2. Is there any complications? To undergo so many tests and medicine Dr. now advised to do follicular Monitoring. What for? Can pregnancy not happen naturally? I had one miscarriage 1 Yr back. Sonography had shown no heartbeats at 8 weeks Am I going to correct Dr. or should change the Dr. Pls advise.
The ovaries are an important part of the female reproductive system. In a normal scenario, a woman has two ovaries that lie on either side of the uterus. Their main function is to produce eggs and release them into the fallopian tubes. These eggs then travel to the uterus where they may be fertilized. The ovaries are also responsible for the release of estrogen and progesterone. These hormones help regulate the menstrual cycle.
The functioning of the ovaries is directly related to a woman’s age. When a girl is born her ovaries have approximately 2 million eggs. These are in the form of follicles. By the time she reaches puberty, this number would have reduced to around 400,000. It is believed that a woman releases only around 450 eggs during her entire reproductive period. This is less than 1% of the eggs she was born with. During each menstrual cycle, one of the follicles will mature into an egg and be released. At the same time, some follicles may die. Thus, as a woman ages, the number of eggs available reduces. By her 30th birthday, the rate at which eggs are lost increases. By her 40th birthday, a woman’s eggs will die rapidly. Without a healthy egg being released sperm cells will have nothing to fertilize. Thus, ovarian functioning decreases as a woman grows older. This implies that the risk of infertility also increases as a woman grows older.
Along with a decrease in the number of eggs available the quality of eggs also reduces with age. Thus, though the ovaries may release an egg even when a woman is in her 40s, the chance of these eggs being fertilized is very low. Even if the egg is fertilized, women who conceive a child after the age of 40 have a high risk of miscarriage. There is no direct way to assess the quality of a woman’s eggs but some tests may help indicate the chances of getting pregnant. This includes a Basal FSH to indicate the level of follicle stimulating hormones, tests to determine the amount of Estradiol and tests to determine ovarian reserve. Ultrasounds can also help assess the number of follicles in the ovaries. This test is known as an Antral Follicle Count.
Infertility caused by decreased functioning of the ovaries is usually termed as unexplained infertility. In such cases, IVF is often the most preferred form of treatment.
Pregnancy is something, which is quite divisive. The mere prospect of it can really go a long way in scaring people. At the same time, for some others, giving birth to a baby can be the primary cause for a lot of happiness. When a couple is having trouble conceiving, infertility is usually the reason why there is a relationship strain between the two of them. Considering this, doesn’t it make sense to learn a bit about infertility and the truth to all that is said about it so as to separate the wheat from the chafe?
To start with, it is often said that when there is an infertility issue, it is probably due to the lack of fertility of the woman rather than the man. However, this is pretty untrue. It has been found that both men and women are responsible for infertility almost equally. In fact, according to a study, in about a fifth of the cases of infertility, the reason for it was that both the man and the woman were not fertile.
Many people say that, if a woman wishes to have a baby, she should do so before she crosses the age of 35. This is true to some extent as the chances of a woman conceiving do fall to a significant extent after the age of 35. As a matter of fact, a woman can expect to reach the peak of her fertility while she is in her twenties, itself!
Without a shadow of doubt, having sex around the time of ovulation is the key to getting pregnant. However, it is believed by a large number of people that there is no chance of getting pregnant if sex is had too soon or too late after ovulation as sperms only live for a few hours after an intercourse. The truth is that the sperms have the ability to live for several days.
When planning to conceive, many women believe that for about a quarter of a year or three months after they stop making use of the birth control pill, they will not be able to get pregnant. The good news for them is that as soon as the pill is stopped, the levels of a woman’s hormones return back to their pre-pill levels almost immediately and ovulation can be expected to occur at the time of their following cycle.
There can be a number of reasons that lead to infertility in women. Endometriosis is one of them. It is a benign condition where the endometrium, which includes the tissues that form the lining inside the uterus, grows outside the uterus. Apart from infertility, it may also cause pelvic pain in women.
There are no such symptoms of endometriosis apart from pelvic pain and it cannot be detected without surgery. Thus, it is very difficult to diagnose this disease and state how common it is. However, research says that the prevalence of this disease in women in their reproductive age is between 3 to 10 per cent.
It is found that endometriosis sometimes leads to infertility. Here is how:
Abdominal Adhesions and Infertility
Normally, the endometriosis implants develop in the abdomen. Then the body surrounds them with connective tissues. The reason for doing so is isolating the implants, so that they cannot harm your body.
Now, sometimes these adhesions can create a blockage in the opening of the fallopian tube or may also pinch off the fallopian tube. This will result in obstruction in the fertilisation of egg and the sperm and thus fertilization will not take place; so there are no chances of conceiving. These obstructions when diagnosed can be treated with surgery.
Secretions from implants
Prostaglandins are other hormones that are secreted by the endometrium normally. It helps in a lot of body processes that include various stages of menstrual cycle and pregnancy.
This hormone is required for a lot of functions such as ovulation, sperm mobility, and regression of corpus luteum, immune interaction, menstrual cramps and contraction of the uterus at birth.
Just like the endometrium, the implants also secrete these hormones. And the problem that is caused by the implant secreted prostaglandin hormone is that they are released in the abdomen and not in the womb. Moreover, they are not secreted at the right time, thus sending a wrong message to the brain.
A woman with a few days of pregnancy may face a miscarriage because the ovary will get a signal to start the menstrual cycle, and the womb lining where the egg is implanted will be expelled.
Infertility can be defined as the inability to get pregnant despite having unprotected sex for more than a year. Infertility can affect both men and women. There are many causes for this. Tubal infertility or infertility caused by blocked or scarred fallopian tubes accounts for around 25% of female infertility. Blockage in the fallopian tubes could also increase the risk of ectopic pregnancies.
The fallopian tubes connect the ovaries to the uterus. When an egg is released by the ovaries, it must travel through the fallopian tubes to reach the uterus. If the egg does not reach the uterus, it cannot be fertilized. There may be many causes for scarring of the fallopian tubes or blockage of the same. Some of the common causes are:
Infertility may be said to be caused by irregularities in the fallopian tubes if no other cause of infertility is found in standard infertility tests. To confirm this diagnosis, a hysterosalpingogram may be conducted. For this test, a dye is injected into the uterine cavity through the cervix. An X-ray is then used to follow the flow of this dye through the fallopian tubes into the abdominal cavity. However, this test does not indicate if the fallopian tubes are scarred. A laparoscopy may also be performed to detect the extent of scarring and damage within the fallopian tubes. In extremely rare cases, tubal catheterization may also be performed to assess the states of the mucus lining the fallopian tubes.
Tubal infertility can be treated in two ways; surgery to treat the fallopian tube scarring or clear blockage and IVF or In Vitro Fertilization. Surgical treatment for tubal infertility depends on the extent of the damage. In the case of scarred fallopian tubes, the scar tissue may be resectioned with lysis of adhesions. In case of blocked fallopian tubes, surgery aims at clearing the blockage so as to reopen the tubes. In some cases, reconstruction of the tubes may also be required.
IVF involves harvesting the eggs from the woman and introducing them to sperm cells in a laboratory. 3-5 fertilized zygotes will then be reintroduced to the woman’s womb. IVF has a much higher success rate as compared to tubal surgery. However, it involves the use of hormone medications and hence is usually considered a last resort. The IVF process can be repeated multiple times in case the pregnancy does not reach full term.