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Fertility Tips

Uterine Fibroids - How They Affect Your Fertility?

MBBS, DNB - Obstetrics and Gynecology, Fellowship In Reproductive Medicine
Gynaecologist, Bangalore
Uterine Fibroids - How They Affect Your Fertility?

Uterine fibroids are benign, muscular growths in the uterine wall which may grow within the wall of the uterus or may get attached to the wall. Uterine fibroids can be of many types depending on their location in the uterus – Subserosal fibroids are found on the outer surface of the uterus, just beneath the serosa which is the outer membrane lining the uterus; submuscosal fibroids are located inside the uterine cavity, beneath the endometrium; intramural fibroids are located inside the muscular wall of the uterus; and pedunculated fibroids grow on small stalks either inside the uterine cavity or on its outer surface.

Many women who have uterine fibroids do not show any symptoms and are often unaware of their existence till they have an ultrasound or medical check-up. But depending on the location and size of the fibroids, they can cause certain symptoms such as:

  1. Heavy bleeding during periods and pain
  2. Bleeding in between periods
  3. Frequent urination due to increased pressure on the bladder
  4. Constipation caused by pressure on the rectum
  5. Infertility or pregnancy complications
  6. Uterine fibroids and infertility

Depending on the location of the fibroid in the uterus and its size, uterine fibroids can negatively affect a woman’s fertility or lead to problems during pregnancy. More often, submucosal uterine fibroids, those that grow inside the uterine cavity and fibroids which are quite large in size (more than 5cm in diameter) cause infertility in women. This is because:

  1. Fibroids which are close to the cervix can block the entrance of or reduce the number of sperm that are able to enter the uterus
  2. Large fibroids which form near the opening of the fallopian tube in the uterus can block the fertilised egg from entering the uterus thus preventing implantation
  3. Submucosal fibroids which grow on the endometrium can reduce the total area available for the zygote to implant or reduce the space inside the uterine cavity thus interfering with normal development of the embryo.
  4. Multiple fibroid growths can deprive the endometrium of regular blood flow thus reducing the amount of estrogen received; this can lead to miscarriages in pregnancy as it compromises the structural integrity of the endometrium and as a result it cannot maintain its thickened state required for sustaining a pregnancy.

Most women with uterine fibroids do not experience problems with conceiving, however if you are experiencing fertility issues it is best to consult a doctor to determine if fibroids are causing the problem and pursuing their suggested course of action. In case you have a concern or query you can always consult an expert & get answers to your questions!

3490 people found this helpful

Complete Infertility Investigation - How Important Is It?

Khushansh Clinic 89% (55 ratings)
Orthopedist, Gurgaon
Complete Infertility Investigation - How Important Is It?

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term.

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below. 

 

  1. Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
  2. Tests for women: 
    1. Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
    2. Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
    3. Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
    4. Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
  3. Tests for men
    1. Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man’s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
    2. Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.

Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing. In case you have a concern or query you can always consult an expert & get answers to your questions!

4298 people found this helpful

Methods Of In-Vitro Fertilization!

Dr. Richika Sahay Shukla 89% (402 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi

Mini IVF, Natural IVF, Conventional IVF are the current practices of IVF Cycle.

 

1 person found this helpful

Pregnancy In 35 Plus Years - Things You Need To Know About It!

Dr. Nidhi Aggarwal 88% (17 ratings)
MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
Pregnancy In 35 Plus Years - Things You Need To Know About It!

Usually, when it comes to doing anything or trying something new, we say age doesn’t matter at all. But that is not the case with pregnancy. Pregnancy should be planned at earlier ages to keep your baby as well as the conceiving mother healthily. Although it has been observed that those women who conceive their babies at the age of 35 (or maybe even more than that), experience no difficulties but one should take precautionary steps before planning a baby so that no difficulties arise.

Increase in age can lead to increase in the potential risks when it comes to pregnancy. Along with age, the quantity of the egg cells produced in the female body decreases along with the reduced quality of eggs. Also, the fertility of the sperm in males gets declined with age which makes the pregnancy at the later ages more difficult.

There can also be certain risks associated with 35+ pregnancies such as genetic disorders like Down syndrome occurrences increases with the increase in maternal age. Recombination irregularities also take place because due to increase in age the regulation of recombination process becomes inefficient that may lead to many chromosomal abberities or abnormalities such as a change i60538n the number of sex chromosomes and increased chances of rearrangements of chromosomes.

Pregnancy in thirty five plus years can increases the chance of miscarriage. One of the possible reasons could be the decline in fertility of the egg. The researchers have found that the risk of getting gestational diabetes, or the breeching position of the child. There could be an emergency delivery of the baby or postmortem hemorrhage can also occur. The baby born could have reduced birth weight or high birth weight, both can be dangerous for the health of the baby.

There are some of the prenatal tests which can be done in case of mothers who conceive at 35+ age. These tests can assist the gynecologists to determine whether there are any complications during the pregnancy or not. Hence, gynecologists always recommend the expecting ladies to maintain a properly balanced diet, take vitamins such as folic acid supplements, exercise on a regular basis, and refrain from taking drugs and regularly ask your doctors for prescribed medicines.

The women who are planning the pregnancy at such ages should go for regular prenatal checkups and further counseling. Also, one should take proper prenatal care for keeping your baby healthy and avoiding complications. In case you have a concern or query you can always consult an expert & get answers to your questions!

3466 people found this helpful

IVF - What is the Prognosis?

Dr. Sameer Pahlajani 89% (11 ratings)
MBBS
IVF Specialist, Raipur
IVF - What is the Prognosis?

In case the fertility odds are against your favour, you can undergo a procedure called IVF or in vitro fertilisation. It is a form of fertility treatment in which the sperms and eggs are combined in a laboratory. IVF is a very common fertility treatment procedure, involving modern technology. It is carried out by many women and couples worldwide. When you are facing ovulation problems and issues with the quality of eggs, have blocked fallopian tubes or if your male partner has a low sperm count, a sperm donor’s eggs are used via IVF to become pregnant.

The overall process of IVF involves several methods and steps:

  1. Ovarian stimulation: You will have to take a fertility drug called gonadotrophin eight to fourteen days before the beginning of your menstrual cycle. This will help to stimulate your ovaries for the development of multiple, mature eggs for fertilisation. You will also be given synthetic hormones like cetrorelix and leuprolide.
  2. Development of follicle: You should be visiting your doctor frequently while having the medicines for a check-up of your blood hormone levels. Your ovaries will also be measured using ultrasound. This will allow the doctor to monitor the follicle development.
  3. Trigger shot: You will be given a trigger shot injection when the follicles are prepared. This injection leads to full maturation of the eggs, making them ready for fertilisation. The eggs require a period of 36 hours for retrieval after receiving the trigger shot.
  4. Gathering of the eggs: An anesthetic will be given to you and an ultrasound probe will be inserted via your vagina for observation of the ovaries and follicles. A thin needle will be inserted through the vaginal wall with which the eggs are removed from the follicles.
  5. Fertilisation: The eggs will be observed one final time before being combined with your partner’s sperm. Then they will be incubated overnight. Fertilisation occurs during this period and the abnormal eggs do not get fertilised. Three days after the egg retrieval, some of the successfully fertilised eggs transform into embryos composed of six to ten cells. Within five days, some of these embryos turn into blastocysts composed of fluid-filled cavities and tissue. This separates into the baby and the placenta. The most viable embryos are placed in your uterus. One to five embryos are placed in your uterus by the insertion of a catheter through the cervix. The embryo implants itself to the uterus walls. Gradually, it develops into the baby. The chances of pregnancy are higher when there are multiple embryos.

Before thinking of undergoing IVF, you must consult a doctor to know about the entire process. You also need to know whether you are fit to undergo IVF as there are several criteria you should satisfy for IVF.  In case you have a concern or query you can always consult an expert & get answers to your questions!

3904 people found this helpful

Freezing and Storing Eggs - Know All About It!

Dr. Sameer Pahlajani 89% (11 ratings)
MBBS
IVF Specialist, Raipur
Freezing and Storing Eggs - Know All About It!

Childbirth comes within an age bracket. Women feel this more so than men. Career demands or other personal choices can delay the time to get pregnant. Thus, freezing your eggs can prove to be beneficial, if you delay childbirth to focus on your career or education, or if you have certain medical conditions such as cancer.

  1. Egg Retrieval: Before the eggs are harvested, there is a lot you have to do. The first month is spent taking blood tests and ultrasounds. In the second month, you will have to take medicines before your procedure for egg retrieval. Ultrasounds and blood tests are also conducted at this stage to monitor the growth of the eggs. Around the time of your ovulation, the eggs will be harvested. You will be lightly sedated during the procedure. After the procedure, you might feel bloated and experience cramping. At least 15 eggs are retrieved for optimum chances. The medicines prescribed are all hormone injections which you can self-administer.
  2. Freezing and Storage: The largest human cell is the egg. It is comprised mainly of water. When the eggs are frozen, crystals can form which can destroy it. So an anti-freeze replaces the water after the eggs are dehydrated. This prevents crystal formation. Eggs are frozen using vitrification. In this process, the eggs are either slowly or flash frozen. Eggs can be frozen for as long as 10 years. This does not hamper the quality.
  3. Risks: There is no guarantee that freezing eggs will lead to having a baby. Sometimes, eggs do not survive the freezing or the thaw.
  4. Advantages: For women who are suffering from cancer, freezing their eggs might be the best option. They might want to preserve their fertility before their cancer treatment starts. This is useful since radiation and chemotherapy can harm your chances of getting pregnant.

The obvious advantage of freezing your eggs would be the fact that it gives you time. It lets you decide and keeps you one step ahead of your biological clock.

3859 people found this helpful

What Is Oligospermia - How Homeopathy Can Help Treat It?

Dr. Nilesh Rathod 86% (91 ratings)
BHMS, CCAH
Homeopath, Ahmedabad
What Is Oligospermia - How Homeopathy Can Help Treat It?

Oligospermia is a medical condition wherein the sperm concentration in the ejaculation is low. As per World Health Organisation, a low sperm count is defined as a count of less than 15 million sperms/millilitres and is associated with problems in conceiving because of a lesser count of sperms in the semen.

Azoospermia, on the other hand, is the male fertility issue when the sperm count is zero, i.e. there are no sperms in the semen. The cause of azoospermia may include the obstruction in the reproductive tract or inadequate production of spermatozoa, problems with ejaculation, Kallmann Syndrome, Prader-Willi Syndrome and other genetic conditions. The diagnosis includes infertility investigation tests including hormonal evaluation, ultrasounds, analysis of urine and testicular biopsy. The procedure also includes past sexual health, sexual activities, libido, past fertility, etc.


Homeopathic treatments of Oligospermia/Azoospermia include:

  1. Acid Phos: Acid Phos is used to increase the sperm count in the persons suffering from unintentional and involuntary seminal loss, it also improves the quality of the sperms.
  2. Agnus Castus: Agnus Castus is an effective remedy for decreased sexual powers in the patient, including dysfunction in erection, relaxed, shrivelled and cold genitals. The patients also suffer from aversion towards the sexual intercourse. It also increases the sperm count.
  3. Arnica: This medicine is used to improve the sperm count when the cause of the lesser sperms is a varicocele. This is a natural remedy and cures the disease efficiently.
  4. Aurum Met: Aurum Met is used for treatment when the cause behind is a varicocele.
  5. Caladium: This is used for treating the patients with weak or reduced sexual powers, the reasons for which might include tobacco usage.
  6. Conium: This homeopathic medicine is effective to increase the sperm count caused by orchitis when testes swell and become enlarged.
  7. Hamamelis: This medicine is used to improve the sperm count when the cause of the lesser sperms is a varicocele. This is a natural remedy and cures the disease efficiently
  8. Iodum: Iodum act as a helpful medicine for treatment of hydrocele with the pain.
  9. Rhododendron: This medicine is helpful in case of severe painful and swollen testes, which becomes more painful with a slight touch.
  10. Selenium: If the patient has a history of excessive seminal loss, then Selenium is one of the effective homeopathic medicines for involuntary seminal loss during sleep, passing stools, or even urinating.
  11. Staphysagria: Staphysagria is used to treat Oligospermia caused by orchitis, varicocele, and involuntary seminal loss. It increases the quality and the quantity of the sperms in the semen and is widely used in the treatments.
  12. X-Ray: This medicine is used to treat the less sperm count which is caused by general debility.

Homeopathic treatment is the most effective treatment of Oligospermia and to treat Azoospermia, as it improves sperm count, motility, the quantity of semen, semen viscosity, the quality of sperms, erection dysfunctions, hormonal imbalances, and it has higher success rate and is safest and fastest procedure for the treatments.

1 person found this helpful

Freezing & Storing Of Eggs - Know What It Involves!

Freezing & Storing Of Eggs - Know What It Involves!

Childbirth comes within an age bracket. Women feel this more so than men. Career demands or other personal choices can delay the time to get pregnant. Thus, freezing your eggs can prove to be beneficial, if you delay childbirth to focus on your career or education, or if you have certain medical conditions such as cancer.

Egg Retrieval: Before the eggs are harvested, there is a lot you have to do. The first month is spent taking blood tests and ultrasounds. In the second month, you will have to take medicines before your procedure for egg retrieval. Ultrasounds and blood tests are also conducted at this stage to monitor the growth of the eggs. Around the time of your ovulation, the eggs will be harvested. You will be lightly sedated during the procedure. After the procedure, you might feel bloated and experience cramping. At least 15 eggs are retrieved for optimum chances. The medicines prescribed are all hormone injections which you can self-administer.

Freezing and Storage: The largest human cell is the egg. It is comprised mainly of water. When the eggs are frozen, crystals can form which can destroy it. So an anti-freeze replaces the water after the eggs are dehydrated. This prevents crystal formation. Eggs are frozen using vitrification. In this process, the eggs are either slowly or flash frozen. Eggs can be frozen for as long as 10 years. This does not hamper the quality.

Risks: There is no guarantee that freezing eggs will lead to having a baby. Sometimes, eggs do not survive the freezing or the thaw.

Advantages: For women who are suffering from cancer, freezing their eggs might be the best option. They might want to preserve their fertility before their cancer treatment starts. This is useful since radiation and chemotherapy can harm your chances of getting pregnant.

The obvious advantage of freezing your eggs would be the fact that it gives you time. It lets you decide and keeps you one step ahead of your biological clock. In case you have a concern or query you can always consult an expert & get answers to your questions!

3099 people found this helpful

Stress - Why It Is Bad For Your Fertility?

MD - Obstetrtics & Gynaecology, MRCOG
IVF Specialist, Mohali
Stress - Why It Is Bad For Your Fertility?

In today’s modern, fast paced society, it is easy for people to become stressed. In fact, one would almost think that being stressed is the “in” thing, and if you aren’t stressed it must mean there is something wrong with you! Realistically however, stress is not a good thing for our bodies in general, and has a very real impact on your fertility.

Can Stress Have an Effect on Your Fertility?

If your mind and body is under stress your body is signaled to release a hormone - Adrenalin. This is a stress relieving hormone and gives your body the rush to face the stress. This hormone inhibits the utilization of the hormone Progesterone, which is essential for fertility. Also during stress Prolactin, another hormone, is relapsed which also interferes with infertility. Hence to conceive its essential that your anxiety levels are under control.

How Stress Impacts Fertility?

Recent research tells us that stress boosts levels of stress hormones, such as adrenaline, catecholamines and cortisol, which can inhibit the release of the body’s main hormone, GnRH (gonadotropin releasing hormone), which is responsible for the release of sex hormones. Subsequently this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men.

Chronic Stress also decreases libido:

Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become such a common issue that they have created a name for it Stress Induced Reproductive Dysfunction. These facts are very important to consider if you have been trying to conceive with no results. It also shows that stress relief should be a part of every couple's conception plan even if they are going through IVF.

Ways to reduce stress & improve fertility:

If you are having difficulty to conceive, it's imperative that you get fertility tests done and also evaluate your life. Look out for the stress points that may be hindering a relationship. Remember defeating the stress may be the solution to your worries.

  1. Reduce stress in your life: The issues in your life may be work or result related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.
  2. Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering so much about the future.
  3. Let few things be the way they are: Stop getting bothered about people. Remember by nature everything will fall in place. Let few things be the way they are.
  4. Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose options where there is less stress.
  5. Sleep well: A good rest is essential for a healthy mind and body. Meditate, do yoga or seek counseling. Go for facials if it sooths you.

Please note that if your fertility reports are normal, then it's just a matter of time. Give you, your partner and your body time. There are certain medical complications or disorders that can also be responsible for infertility. Be calm and composed so that you are able to face the rough waters clearly with your partner.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1694 people found this helpful

How Does Age Affect Egg Quality?

Fellowship in Reproductive Medicine & ART
IVF Specialist, Bangalore
How Does Age Affect Egg Quality?

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 a few important factors that contribute to the success or failure of the embryo implantation and 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.
 

3274 people found this helpful
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