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Fertility Tips

What Is Premature Ovarian Aging?

Dr. Richika Sahay Shukla 92% (938 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
What Is Premature Ovarian Aging?

What is Premature Ovarian Aging?

Premature ovarian failure aging (POA) is defined as having low ovarian reserve, a low number of good quality eggs for one's age.  POA is one of the major, often overlooked, causes of female infertility.As women get older, their ovarian reserve declines. 

 Women attempting pregnancy after age 40 often have difficulty getting pregnant because of low ovarian reserve.  In some women this decline of ovarian function occurs much earlier than others, these women are considered to have premature ovarian aging (POA).  

POA negatively affects fertility primarily because of sub-optimal quantity and quality of eggs produced.  Unfortunately, quality of eggs declines with quantity.  Therefore, women with diminished ovarian reserve experience the highest miscarriage rates of any infertility diagnosis.  With appropriate aggressive treatment women with POA can have their own genetic children.

Premature Ovarian Aging (POA) and Premature Ovarian Failure (POF) – What’s the Difference?

The distinction between POA and premature ovarian failure (POF) is of importance.  POF is defined by an FSH level above 40 mIU/mL (post-menopausal range).  Premature menopause is a term used to refer to this condition.  Women with high FSH levels, but still below 40 mIU/mL are considered to suffer from POA.Pregnancy in women with POF is a rare event.  

Ayurvedic Remedies And ED!

Dr. B Chandra 88% (93 ratings)
Diploma In Traditional Siddha, B.H.M.S
Sexologist, Bilaspur
Ayurvedic Remedies And ED!


Ayurvedic medicine is a holistic, whole-body approach to health. It originated thousands of years ago in India. This practice promotes a combined use of herbal compounds, dietary guidelines, and specific exercises. It seeks to address the spiritual and social components of a person’s well-being in addition to their physical health.

Erectile dysfunction (ED) causes men to have difficulty maintaining an erection during sex. It’s a common problem, especially in men over the age of 40. Treating ED often involves addressing underlying psychological and physiological concerns that appear disconnected from sexual function. Research suggests that ayurvedic medicine approaches may aid the treatment of ED.

Indian ginseng-
Withania somnifera is an herb commonly used in ayurvedic medicine. It’s also called Indian ginseng and ashwagandha. It has been found to improve sperm count and fertility in men. Indian ginseng does this by regulating hormone levels and making your cells healthier.

The herb also is used to improve mental clarity and help reduce stress. Both factors can have an impact on ED symptoms.

You can purchase this herb from most drug stores and health food stores. It’s available as a powdered root extract and in capsule form. In order for it to be most effective, a high daily dosage (up to 6,000 milligrams per day) is recommended.

Asparagus racemosus-
Asparagus racemosus is a particular species of herb that grows in regions of India, Nepal, and Sri Lanka. It’s known as shatavari, or “curer of one hundred diseases.” The Asparagus racemosus root is used in many preparations of ayurvedic vajikarana mixtures: It’s meant to improve sexual function and health.

Some studies have shown its effectiveness on the male reproductive system in its capability to improve circulation and calm nerves. Both of these benefits should aid men with ED. In the ayurvedic tradition, it’s also believed to be an aphrodisiac that promotes love and loyalty in those who use it.

Asparagus racemosus extract is available as a tincture and as a powder, but there has been little to no research on what the optimal daily dosage for a person would be.

Safed musli-
Safed musli, or Chlorophytum borivilianum, is also a vajikarana herb. It has shown an aphrodisiac effect in multiple lab studies, and some research suggests that it boosts sperm count. The recommended daily dose of safed musli is 2 grams per day. It can be purchased in capsule or pure powder form.

Cassia cinnamon-
Cinnamomum cassia is a type of cinnamon extracted from the bark of an evergreen tree that grows in regions of India. The extract of the Cinnamomum cassia twig is sometimes called cassia cinnamon or Chinese cinnamon. It has been demonstrated to improve sexual function.

Cassia cinnamon is different from the species of cinnamon most typically used to season sweet foods. This means ground cassia cinnamon powder isn’t as easy to find. Be careful to make sure you’re purchasing the correct kind of cinnamon.

It’s also important to note that not much is known about the maximum daily dosage of cassia cinnamon, or how much someone should take to see improvement of ED.

Yoga
To really embrace the ayurvedic method of treatment for any health condition, physical activity should be part of your treatment. The practice of yoga is being researched more and more for its health benefits. Yoga combines stretching, concentration, and meditation, improving circulation and reducing stress levels.

 

3 people found this helpful

IVF or IUI - Which One Should You Opt for?

W Pratiksha Hospital 93% (3394 ratings)
IVF Specialist, Gurgaon
IVF or IUI - Which One Should You Opt for?

Intrauterine insemination (IUI) and in vitro fertilization (IVF) are two commonly used methods of fertility treatment, which increase a couple’s chance of becoming pregnant.

The Procedure

IUI - IUI is a procedure during which processed and concentrated motile sperm are inserted directly into a woman’s uterus. This procedure is timed according to a woman’s ovulation, and may be performed single/double IUI in the days immediately following the detection of ovulation. After ovulation a woman’s egg is picked up by the fallopian tube and waits there for the sperm. Since the IUI procedure deposits higher concentrations of good quality sperm close to where the egg is waiting, the chances that the egg and sperm will find one another are increased.

IVF - IVF is the most successful method of fertility treatment utilized today to help couples to conceive. The basic components of the IVF process include stimulation of the ovaries to produce multiple eggs at a time, removal of the eggs from the ovary (egg retrieval), fertilization of the eggs in the laboratory, and subsequent placement of the resulting embryos into the uterus (embryo transfer). The chance of pregnancy from IVF depends primarily on the age of the woman, the cause of infertility, and factors related to the quality of the IVF laboratory.

Success Rates

IUI Treatment - There is a marked difference between IVF and IUI pregnancy rates. IUI has a success rate between 5% and 20%, but it can even be as low as 1-2 %, depending on the woman’s age and fertility levels. The chances of conceiving through IUI is higher if fertility drugs are administered along with the treatment.

IVF Treatment - IVF has a high success rate – between 20% and 35% and it can even go as high as 40%. This may not seem like a lot, but it is very high, considering that an average young and fertile couple has only a 15-20% chance to conceive in a month. It is important to understand what IVF and IUI success rates mean and the factors that affect it before deciding on a fertility treatment. You can also use any reliable online IUI vs IVF comparison tool to determine your approximate success rates with each of these treatments, depending on your age, lifestyle, and medical history.

You should use online sources of information to understand more about fertility problems, how age affects fertility levels, and whether freezing your eggs is a good option for you. However, discuss all these issues with your doctor to ensure that you have the right information and that you have understood it correctly. Fertility specialists provide you with personalized fertility plans based on your health which is why you should always talk to them before you make any decision.

1 person found this helpful

Embryo Grading - For Successful IVF!

Dr. Richika Sahay Shukla 92% (938 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi

Many factors affect the success of an IVF cycle, but embryo quality may be the most important factor.  The majority of all miscarriages, about 60 percent, are caused by abnormalities in the embryo.  

If you’re having IVF treatment, transferring the best quality embryos increases your chance of a successful pregnancy.  Your fertility center’s embryologists play an important role in selecting which embryos to transfer to your uterus and which to freeze and store, so you have a second chance at IVF if you need it.  The process of embryo grading may sound mysterious, and it does require a huge amount of training and skill, but it’s a normal part of every IVF cycle.

Embryo Grading

The embryologists monitor the embryos and, prior to choosing which ones to transfer at the cleavage or blastocyst stage, grade them to determine which ones have the best chance of being healthy and resulting in a successful pregnancy.  Grading of embryos is a non-invasive method of selecting the best embryos for transfer. In addition, the embryologists look at the embryo growth rate as too fast or too slow can indicate the presence of chromosomal problems.

Embryo grading may be done at the cleavage stage or blastocyst stage.  Embryo grading at the cleavage stage includes the number and appearance of the cells and the degree of fragmentation, which is the presence of small pieces of cellular material which have broken off during division of the cells.

Can Condition Of Eggs Influence IVF?

Dr. Nalini Gupta 93% (263 ratings)
M.Sc, MD, MBBS
IVF Specialist, Delhi
Can Condition Of Eggs Influence IVF?

The concept of egg quality of a woman is derived from the belief that the embryo implantation probability is powerfully related to the age and ovarian reserve of the woman. Thus, it is regarded that the quality of the egg is almost synonymous with the chances of embryo implantation. Its quality cannot be assessed merely by looking at the egg or measuring its ability to receive the fertilization by sperm or simply observing the initial embryo division.

There are some factors that contributes to the success or failure of the embryo implantation, some of them are:

  1. Diminished ovarian reserve: A woman with an increased FSH level on the third day of the menses is regarded as having diminished reserve of ovary. This implies that her ovary is not competent in sending feedback signals to the pituitary gland and the body responds by producing an increased amount of FSH for stimulating the ovary. For more than 10 years, it has been found that in over thousands of fertility treatment cycles, women with an increased FSH level have a lower egg quality.
  2. Advanced age of maternity: Even though the FSH level is normal, the age of the mother who provides the eggs plays an important role to determine the quality of the egg. Quite like women with increased FSH levels, eggs obtained from women aged more than 40 years can have some problems at a later stage of fertilization. Normal FSH levels are not considered a reassuring factor, owing to the lower implantation rate in females aged over 45 years.
  3. Diminished quality of egg: With an increase in age, the capacity of the mitochondria in producing energy slowly decreases. The egg is linked to the circulation before ovulation, and it is linked again after the embryo implantation. But during the one week time ranging from ovulation to implantation, the egg and the resulting embryo are contained in the zona pellucida and function on the basis of mitochondrial energy supply. The older age of the woman doesn’t cause any problem at the initial stage of ovulation. Its fertilization and embryonic development are also normal. But soon, it runs out of energy and stops dividing before reaching the stage of implantation.

Therefore, it is important to have the eggs tested to find out any sort of chromosomal abnormality. In case the mother is deficient of producing high quality eggs, the best option is to have donor eggs.

3192 people found this helpful

Infertility!

Dr. N A Khan (Unani Specialist) 92% (819 ratings)
Doctor In Unani Medicine(D.U.M.B.I.M)
Sexologist, Delhi
Infertility!

When a man ejaculates, typically some 250 million sperm are released. To cause conception, a sperm cell has to swim all the way up from the vagina, through the cervix and uterus and into your fallopian tube to reach an egg which has been ovulated. Of those millions of sperm, only hundreds will make it up to the fallopian tubes. All of those sperm release an enzyme which helps clear the way to the egg. If all goes well, one sperm will swim up that pathway and fertilize the egg. The fertilized egg will move down the fallopian tube and travel to the uterus, where it can implant and grow.

Semen analysis is the first test a man will take when getting evaluated for fertility problems. It involves testing a sample of a man’s semen to estimate how many sperm there are (total count), what percentage of the sperm are moving (motility) and if they have a normal shape (morphology), according to the American Society for Reproductive Medicine (ASRM). Concentration of sperm per milliliter of semen is one of the measures. Total sperm count multiplies the concentration by the volume of semen in the sample.

3 people found this helpful

Homeopathic Remedies For Fallopian Tubes Bockage!

Dr. Swarup Kumar Ghosh 90% (82 ratings)
MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Homeopathic Remedies For Fallopian Tubes Bockage!

Homeopathic Remedies for Fallopian Tubes Bockage

The fallopian tubes, also known as, uterine tubes and salpinges, are two very fine tubes lined with ciliated epithelia leading from the ovaries into the uterus. In a woman’s body the tube allows passage of the egg from the ovary to the uterus and helps fertilization is sperm is present.

Causes—the most common causes of blockage are scar tissue and endometriosis.

  • scar tissue may occur flowing infection in the tubes. Infection can inflame the lining of the tubes. As the infection is healing, it may lay down scar tissue. This makes the inner wall of the tube thicker which decreases the opening. The open area may become partly or completely blocked.
  • endometriosis is a common condition where tissue that behaves the lining of the womb, endometrium may grow outside of the uterus. If the endometriosis is mild, this unusual tissue growth may not block the fallopian tubes. If it is a higher stage, then it is very likely that the fallopian tube will have been blocked.
  • previous pelvic surgery may be another cause especially when the fallopian tubes and ovaries are involved. The competence of the surgeon is crucial in limiting post operative damage.


Homeopathic remedies

Homeopathy today is a rapidly growing system and is being practiced all over the world. Its strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through promotion of inner balance at mental, emotional, spiritual and physical levels. When fallopian tubes blockage is concerned there are many effective medicines are available in homeopathy, but the selection depends upon the individuality of the patient, considering the mental and physical symptoms.

  • Cimicifuga racemosa 30- cimcifuga is considered to be one of the most effective medicine for fallopian tube blockage caused by endometriosis with pain during menses. There is severe pain across pelvis from hip to hip. Pain across pelvis to ovary to ovary or goes upwards or downwards along the thighs. Severe bearing down pain in lower abdomen and back ache during menses, more the blood flow, more pain. Menses are profuse, dark, coagulated, scanty with backache, nervousness, irregular in time. Great debility between menses. Many of the complaints of cimcifuga woman are due to ovarian or uterine irritation.
  • Eupionum 30- eupionum is another top remedy for fallopian tube blockage. Eupionum removes block in both sides of the fallopian tubes. There is burning in right ovary. Gushing leucorrhoea is found along with this complaint.
  • Lachesis 200- lachesis is another effective remedy for fallopian tubes blockage, especially of left side. Menses painful, black, scanty, lumpy, acrid, vicarious from nose. Less the flow, more pain. Pain is more on the first day. Desire to go in open air and run about before menses. Left ovary, swollen indurated and painful. Copious leucorrhoea is associated with this, which is smarting, staining and stiffening the linen greenish. Lachesis person cannot tolerate touch.
  • Mercrius sol. 30- merc sol is effective fallopian tubes blockage due to inflammation of the tubes. There is burning, stinging, cutting pains in the ovarian region. Endometrium is inflamed. There is a sensation of rawness and sore feeling in uterus due to excoriating leucorrhoea. Leucorrhoea is offensive, greenish, especially at night. Mammae are painful on every menstrual period
  • Pulsatilla nig. 30- pulsatilla is also found to be effective for fallopian tubes blockage due to inflammation of the tubes. Severe pelvic pain due to inflammation during menses attended with chills, restlessness and tossing in bed. Pulsatilla is adapted to patients who are gentle, submissive, tearful disposition. Patient is very emotional and wants company. Consolation ameliorates all complaints.
  • Platina 200- platina is effective for fallopian tubes blockage with pain during intercourse. The genitals are very sensitive to touch. Platina woman complains of marked pain during intercourse. There are burning and soreness in the genitals. Platina woman has an increased sexual desire.
  • Polygonum pun. 30—polygonum pun is effective for fallopian tubes blockage with cutting pain along the tubes. Aching pain in hips and loins. Sensation as if hips were being drawn together. Sensation of weight and tension within pelvis.
  • Sepia 30- sepia is effective for fallopian tubes blockage due to inflammation of fallopian tubes. Sepia woman experiences marked bearing down pains in the pelvis. Sepia patient may complain of gripping, stitching, clutching pains in the pelvis. Pain during intercourse. Menses too late, and scanty, irregular, early and profuse, with sharp cutting pains. Violent stitches upward in the vagina from uterus to umbilicus. Woman have a low sex drive. Sepia is effective for endometriosis with urinary urgency and frequency. A sensation of bearing down sensation in the pelvis. Pain while padding urine due to endometriosis. During menses aching, burning pain in the bladder. Sepia person has an aversion to family to those loved best to sympathy to company, yet dreads to be alone.
  • Selenium met 200- selenium is also useful for removing the obstruction of fallopian tubes. Menses copious and dark. Menses delayed about eight days. Menses early, scanty and painful. Menses painful on the first day. Awakened by pain of menses.
  • Silicea 200- silicea is effective foe fallopian tubes blockage due to serum or pus in the tubes. There are induration and inflammation of the the mucous membrane of the uterus and fallopian tubes. Menses too early, acrid and too profuse. Discharge of blood between two periods. Leucorrhea instead of menses. Increased menses with paroxysms of icy coldness over whole body.
  • Thlaspi bursa pas. 200- thlaspi bursa is effective for fallopian tubes blockage where a woman experiences bleeding in between periods that are accompanied by uterine pains that are colicky or cramping in nature. The cause may be inflammation of uterus or endometriosis. Large clots may pass along with the blood. The bleeding may be accompanied by backache.
  • Triticum rep. 30- triticum rep is prescribed when obstruction of the fallopian tubes occurs with urinary complaints.
  • Thiosinaminum 30- thiosinaminum is an effective remedy for fallopian tubes block when it occurs due to scar, stricture, or adhesions. Thiosinaminum dissolves the scar tissues and opens the passage of the fallopian tubes. 

Fertility Improvement Tips!

Dr. Richika Sahay Shukla 92% (938 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Fertility Improvement Tips!

“Your ovaries and your fat cells regulate estrogen, which affects ovulation. If you’re too thin, you may not be producing enough estrogen, and if you’re overweight or obese, you may be producing too much,”.

Nutrition is a key component of reproduction and pregnancy. Reproductive organs need to be healthy to initiate and maintain a pregnancy to full term. There is a constant requirement for nutrients at each stage of reproduction and the best source of these nutrients is from food. Supplementation can be useful if meeting these nutrients requirements is compromised in any way.

What to eat to make you more fertile?

For a fertility, diet to improve egg quality, load your plate with fruits & veggies. As per few studies, there is higher incidence of ovulation disorder in women who consume more of trans fats, carbs & animal protein.  Watermelon & asparagus, along with other fruits & vegetables give body a rich supply of glutathione, which is important for egg quality.

How can I boost my fertility?

Fresh vegetable juices and fruit juices contain phytochemicals which are beneficial for fertility. Taking plant-based fats & proteins in moderation is healthy in couples with fertility concerns. Bad carbs like cookies, cakes, white bread, and white rice should be avoided. Good carbs like containing fiber such as fruits, veggies, beans, whole grains can be taken.

Cutting back on gluten may be necessary for some suffering from PCOS. As gluten create an inflammatory response in body which heightens C-reactive protein & send signals that it's not an ideal time to conceive. It makes ovulation inhibited and implantation more difficult.

            If you’re having continued trouble conceiving, you need to consider limiting dairy.

            For men – More veggies and fruit for him too. Foods rich in zinc is helpful. Encourage him to take daily vitamins especially vitamin C, E, Selenium, Zinc & Lycopene.  

3 people found this helpful

IVF or IUI - Which One To Choose From ?

Dr. Ruchi Malhotra 94% (482 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
IVF or IUI - Which One To Choose From ?

Intrauterine insemination (IUI) and in vitro fertilization (IVF) are two commonly used methods of fertility treatment, which increase a couple’s chance of becoming pregnant.

The Procedure

IUI- IUI is a procedure during which processed and concentrated motile sperm are inserted directly into a woman’s uterus. This procedure is timed according to a woman’s ovulation, and may be performed one to two times in the days immediately following the detection of ovulation. After ovulation a woman’s egg is picked up by the fallopian tube and waits there for the sperm. Since the IUI procedure deposits higher concentrations of good quality sperm close to where the egg is waiting, the chances that the egg and sperm will find one another are increased.

IVF- IVF is the most successful method of fertility treatment utilized today to help couples to conceive. The basic components of the IVF process include stimulation of the ovaries to produce multiple eggs at a time, removal of the eggs from the ovary (egg retrieval), fertilization of the eggs in the laboratory, and subsequent placement of the resulting embryos into the uterus (embryo transfer). The chance of pregnancy from IVF depends primarily on the age of the woman, the cause of infertility, and factors related to the quality of the IVF laboratory.

Success Rates Of Both Treatments 

IUI Treatment: There is a marked difference between IVF and IUI pregnancy rates. IUI has a success rate between 5% and 20%, but it can even be as low as 1-2 %, depending on the woman’s age and fertility levels. The chances of conceiving through IUI is higher if fertility drugs are administered along with the treatment.

IVF Treatment: IVF has a high success rate – between 20% and 35% and it can even go as high as 40%. This may not seem like a lot, but it is very high, considering that an average young and fertile couple has only a 15-20% chance to conceive in a month. It is important to understand what IVF and IUI success rates mean and the factors that affect it before deciding on a fertility treatment. You can also use any reliable online IUI vs IVF comparison tool to determine your approximate success rates with each of these treatments, depending on your age, lifestyle, and medical history.

You should use online sources of information to understand more about fertility problems, how age affects fertility levels, and whether freezing your eggs is a good option for you. However, discuss all these issues with your doctor to ensure that you have the right information and that you have understood it correctly. Fertility specialists provide you with personalized fertility plans based on your health which is why you should always talk to them before you make any decision.

4371 people found this helpful

Can Abortion Affect Fertility?

Dr. Ruchi Malhotra 94% (482 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
Can Abortion Affect Fertility?

There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance ?

It is advisable to seek medical help if you have the following symptoms post abortion :

1. Persistent pain in the lower abdomen, which lingers even after taking medication
2. Excessive bleeding
3. A high temperature

Possible effects of surgical abortion on fertility :

1. Infection after abortion

Infections post abortion like Pelvic Inflammatory Disease (PID) if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.

2. Damage to the cervix during abortion

Damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.

3. Damage to the womb during abortion

There are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.

Apart from the above mentioned complications there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth rate, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check ups with your gynaecologist.
 

4364 people found this helpful
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