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Infertility Tips

Male Infertility

Dr. Richika Sahay Shukla 88% (386 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Male Infertility

Dr Richika Sahay, IVF Specialist of India IVF Clinic Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive.

A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy.

Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male.

Having a successful pregnancy | fertility | miscarriage | pregnancy |

3 people found this helpful

Role Of Hysterolaparoscopy In The Evaluation Of Infertility

Dr. Jayanti Kamat 89% (542 ratings)
MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
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Hysterolaparoscopy is an effective and safe tool in evaluation of infertility, particularly for detecting adnexal adhesions , peritoneal endometriosis and septum in the uterus. Also it can detect various structural abnormalities in multiple sites like tubes,pelvis and the uterus in the same sitting in patients.

2550 people found this helpful

Infertility - Laparoscopic Surgeries That Can Be Of Help!

Dr. Anand Bhatt 92% (21 ratings)
MBBS, MS - Obstetrics and Gynaecology, Ultrasonography Basic Traning Course, Diploma in Minimal Access Surgery, Advanced Infertility & ART training, Advanced training in ultrasonography
Gynaecologist, Ahmedabad
Infertility - Laparoscopic Surgeries That Can Be Of Help!

Almost every woman wants to lead a healthy life with their loved ones and experience the joy of motherhood when the right time comes. However, as much as you detest it, the last decade or two has seen a steady rise in gynecological problems. While some of the gynecological conditions are minor and can be easily treated and taken care of, others may give you a hard time. From PCOS to Endometriosis, left untreated, some of these problems may trigger infertility, complicating things further.

Open surgeries have long been the only surgical option to deal with such critical problems. However, the advent of Laparoscopy has brought about a much-needed relief benefitting millions of women with gynecological problems worldwide. Based on latest technology and being minimally invasive, laparoscopy comes with a lot of benefits. In addition to surgically treating a condition, laparoscopy also ensures an accurate and better diagnosis. In this article, we will discuss the laparoscopic surgeries to deal with infertility and other related gynecological issues.

Infertility and Laparoscopic surgery

Identifying the underlying factor(s) responsible for infertility can go a long way to treat the condition successfully. Some of the factors that contribute towards infertility include

  1. PCOS: Polycystic Ovarian Syndrome is a medical condition whereby formation of a cyst(s) take place in one or both the ovaries. These cysts affect the ovulation process as the eggs either do not mature or the ovary fails to release the mature eggs. To deal with this situation, a surgeon often performs the Laparoscopic Ovarian Drilling or Ovarian Diathermy.
    • Here, the surgeon makes small cuts in the abdomen (belly button).
    • To inflate the stomach, the surgeon inserts carbon dioxide gas inside the stomach.
    • The Laparoscope along with the surgical instruments are next inserted inside through the incisions.
    • Parts of the ovary that are being affected are destroyed using Electrocautery.
  2. Ovarian Diathermy plays a significant role in normalizing the ovulation process, which was affected by PCOS.
  3. A blocked fallopian tube can also trigger infertility. In this case, Laparoscopic Fimbrioplasty (performed when there is a scar or a blockage in the part of the fallopian tube that is adjacent to the ovary) comes in handy. It is a laparoscopic reconstructive procedure that helps to open the tubal blockage, thereby restoring the fimbriae (finger-like projections located at the tube ends that aids in the transportation of the matured eggs from the ovary into the uterus).
  4. Endometriosis: This is a medical term used to define a condition whereby the endometrial cells grow outside the uterus, often in the ovary or the fallopian tube resulting in pain and infertility. Here also, laparoscopy comes as a savior, getting rid of any scarred tissues, endometrial implants or endometrioma (endometriosis cyst that forms in the ovary), thereby improving the condition.
  5. Laparoscopy can also be used to treat ovarian cancer, removal of fibroids (uterine myomas or uterine tumors), hysterectomy (uterus removal).
  6. Laparoscopy plays a significant role in reversing the tubal ligation (closure of the fallopian tube to prevent pregnancy).

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

1 person found this helpful

Infertility - Can It Be Due To Celiac Disease?

Dr. Pooja Choudhary 93% (342 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Infertility - Can It Be Due To Celiac Disease?

Celiac disease is a condition in which the small intestine becomes sensitive and reactive to gluten, leading to difficulty in digesting food. Gluten is a kind of a protein found in wheat or barley. In reality, if either of the partners is suffering from celiac disease then you are prone to fertility related issues.

Impact of Celiac disease

As compared to men, this disease is more common among women in general. Women suffering from the disease are generally more prone to infertility and other genealogical problems like preterm births and miscarriages. In the case of men, the disease causes the infertility problems including sperm abnormalities such as low count, abnormal shape, reduced function and such others. Additionally, men with the untreated celiac disease might also have reduced levels to testosterone.

Infertility and Celiac disease

Infertility is one of the lesser known effects of the celiac disease, which is relatively uncommon amongst people. The disease causes infertility by affecting the menstrual cycle among women either in a direct or indirect manner. Some of the infertility related problems caused due the disease are listed below.

  • Delayed occurrence of menstruation
  • Early menopause
  • Secondary amenorrhea (a medical condition associated with sudden cessation of menstruation for 6 months or more)
  • Hormonal disruptions and abnormal changes

Diagnosis

Celiac disease is usually diagnosed by its own set of underlying symptoms such as chronic fatigue syndrome, irritable bowel syndrome (IBS), iron-deficiency anemia, and such others. Additionally, the condition can be diagnosed if a person is having repeated miscarriages or inability to conceive for unidentified causes.

What can you do about it?

If you experience symptoms of Celiac disease, consult your doctor at the earliest and follow the treatments and preventative measures suggested. Additionally, you can also consult a dietician who will help you to move on to a low grain or no grain diet that would help you further to avoid the disease.

Tip: How Stress and a Sedentary Lifestyle Make You Infertile

5 people found this helpful

Infertility - Is There Hope For You In Ayurveda?

Dr. Sandip Patel 88% (277 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda, Ph.d Arthritic Disorder
Ayurveda, Surat
Infertility - Is There Hope For You In Ayurveda?

Fertility is a potential for reproduction. In other words, fertility is an ability to have babies or to reproduce. When fertility rate in a community, increases more babies are born. To produce an offspring it depends on age, health and other factors of the woman. When we talk about fertility rates it means the number of births that happen during a certain time period in a specific location. On the other end, lack of ability to reproduce is termed as infertility. There are various treatments to deal with fertility issues and one of the ancient and natural as well as a trusted treatment is Ayurveda.

Causes
Female infertility is caused due to structural problems like blocked fallopian tubes, a defect in cervical canal, uterine fibroids or polyps. Hormonal imbalance leading to ovulation problems too can cause infertility. In males. infertility may have anatomical, psychological, hormonal or lifestyle related causes. The cause of infertility in approximately 20% of couples can't be determined using the currently available methods of investigation. From Ayurvedic perspectives, shukra dhatu can get affected by various physical, mental causes and even by serious diseases. Poor quality shukra dhatu can cause infertility in males & females.

Symptoms

Failure to reproduce

Ayurveda For Infertility

Ayurveda is one of the world's oldest holistic healing systems. It is based on the belief that health and wellness depend on a delicate balance between the mind, body and Spirit. The primary focus of Ayurvedic medicine is to promote good health, rather than fight disease. Fertility problems are increasing these days for many young couples. There are many factors which account for this like Lifestyle, delayed marriages, diet, etc. But Ayurveda not only does explain how to increase fertility with herbal supplements, but it also focuses on how to have healthy children.

For a pregnancy to be healthy and successful, a couple needs to take care of the following four essential factors:

  1. Sperm/Ovum (Seeds)
  2. Uterus (Soil)
  3. Nourishment (Water)
  4. Time for Conception (Timing of Sowing)

Reproductive health, in both men and women, depends on the health of the reproductive tissue or shukra dhatu. In women, shukra creates the ovum as part of the monthly cycle, and in men, the semen is formed due to sexual stimulation. The shukra is created as part of a long chain of metabolic transformations. It starts with the digestion of food, then goes on to the transformation of food to nutrient fluid, blood, muscle, fat, bone, bone marrow, and finally, to shukra tissue. Healthy shukra tissue, then, according to Ayurveda, depends on the health of all the other tissues in the body.

Foods to Nourish All Seven Dhatus (Bringhana)

  1. Fresh, organic fruits and vegetables
  2. Dairy proteins, including milk, lassi, and panir (a fresh cheese made of milk)
  3. Whole grains
  4. Mung dhal
  5. Soaked almonds or soaked walnuts
  6. Dried fruits such as dates, figs, and raisins
  7. Sweet, juicy fruits such as mangoes, peaches, plums, and pears
  8. If your digestion is strong, eat urad dhal (available at Indian grocery stores) cooked with equal parts turmeric, cumin, coriander, and fennel.
  9. A banana cooked in ghee, cinnamon and cardamom is a tasty and wholesome dessert for people with strong digestion.

Foods to Enhance the Reproductive Tissue (Vrishya)

  1. Asparagus
  2. Broccoli
  3. Milk
  4. Date-milk shake
  5. Mango milkshake
  6. Rice pudding

Spices such as ajwain powder, cumin (which purifies the uterus in women and the genitourinary tract in men), turmeric (to improve the interaction between hormones and targeted tissues), and black cumin.
In general, it's important to eat a wide variety of foods in order to receive all the essential nutrients. Keep trying new vegetables and fruits, and rotate your menus to make sure you're not eating the same thing day after day.

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

5335 people found this helpful

IVF: A Blessing To Infertile Couples!

Indira Ivf 91% (29 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
IVF: A Blessing To Infertile Couples!

What is In vitro fertilization?

In vitro fertilization (IVF) is a process of fertilization where an egg is combined with sperm outside the body. This involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova (eggs) from the woman's ovaries and then letting sperm fertilize them in a liquid in a laboratory. The fertilized egg (zygote) undergoes embryo culture for 2–6 days.It is then transferred to the same or another woman's uterus, with the intention of establishing a successful pregnancy.

What is the success rate of it?

The success rate depends on factors such as, maternal age, cause of infertility, embryo status, reproductive history and lifestyle factors.

  1. Maternal age: Younger candidates of IVF are more likely to get pregnant. Women older than 41 are more likely to get pregnant with a donor egg.
  2. Reproductive history: Women who have been previously pregnant are in many cases more successful with IVF treatments than those who have never been pregnant.

How is it a Blessing?

  1. Chemotherapy: IVF allows women who are being treated for cancer with chemotherapy to be able to have children. Chemotherapy can destroy or damage the eggs within the ovary. Prior to undergoing chemotherapy treatment, some women may elect to have eggs harvested, frozen, and saved for possible subsequent attempts to have a child after the cancer treatment is completed.
  2. Absent Uterus: IVF treatment can allow a woman to have a child if she does not have a uterus. The eggs must be harvested from the patient’s ovaries and are then placed inside another woman’s uterus.
  3. Low Sperm Count: When sperms are defective or counts are extremely low, IVF can be used to become pregnant. IVF can work for these conditions because sperm is  placed directly next to the egg, and, in some cases, sperm is injected into the egg (ICSI) to allow the pregnancy to occur.
  4. Absent Ovaries: IVF can be used for a woman without ovaries. The eggs must be donated from another woman.
  5. Older Age: IVF can be used for women over the age of 42 to become pregnant. To obtain this reproductive advantage, donated eggs (eggs from another woman younger than 30) must be used
  6. Unexplained Infertility: Some couples do not have a diagnosed reason for their infertility. This is called unexplained infertility. IVF allows egg and sperm to join together outside of the woman’s body.
  7. Severe Tubal Disease: Some women have extensively damaged fallopian tubes from pelvic inflammatory disease (PID) or from severe intra-abdominal infections. IVF is designed to bypass the tubes by allowing conception to occur outside the body.The fertilized eggs are then introduced into the uterus in the hope of pregnancy.

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

4191 people found this helpful

PCOS - How It Can Result In Infertility

Dr. Shalini Jain Nawal 84% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
IVF Specialist, Gurgaon
PCOS - How It Can Result In Infertility

PCOS tops the list of reasons for female infertility. A few women manage to conceive with PCOS but the pregnancy could be full of complications. Chances of miscarriages even during the 28th week are possible if a woman suffers from PCOS. This is also called as PCOD, which is an endocrine disorder. In this condition, the hormone levels are imbalanced and inflammation also occurs. This results in disruption of ovulation, and getting pregnant becomes a Herculean task. PCOS is not only the reason for infertility but also results in other discomforting symptoms such as weight gain, acne, hair fall, and skin darkening.

Ovulation problems in PCOS: PCOS results in anovulation, which is the lack of ovulation or irregular ovulation. This can be due to various reasons. Estrogen is not produced adequately by the ovaries, hypothalamus does now secrete the gonadotropin-releasing hormone, and there is hypothyroidism or the excess of testosterone in the adrenal glands. PCOS can occur due to various reasons ranging from wrong food habits, inadequate sleep, fatty liver, negative thoughts, stress, no detoxification, poor fat metabolism, and genetic reasons. Women who have mother or sister suffering from PCOS have an increased risk of being affected by this disorder. Women who have excess insulin in their body, too, can develop this disorder. Insulin resistance can trigger high blood sugar levels, and this means pancreas keeps producing more insulin. This can also lead to PCOS.

Managing PCOS: PCOS can affect fertility in multiple ways. The major problem is irregular ovulation. Ovulation may not occur because the follicles are not mature or when the woman has more testosterone. The hormonal imbalance does not let pregnancy happen even if there is ovulation. This is because the uterus is inefficient to develop the lining, which is vital for implantation to occur. The menstrual cycle is irregular, and it is unpredicted. PCOS can only be managed but the good news is that one can increase the chances of fertility with medications. The symptoms vary from woman to woman, so doctors give treatment options to suit the specific requirements. The hormonal imbalance is corrected with birth control pills. But if you are looking forward to a child, these pills should be the last thing you need. The doctor comes up with other options in such cases.

Medications: PCOS also needs medication to control the blood sugar levels. Often, one can see the dietary changes are recommended when getting treated for PCOS. An exercise routine is emphasized and such women also advised to maintain a healthy weight. This is to ensure that the insulin levels and the testosterone levels are under control. Medications to regulate the menstrual cycle is also prescribed to women who want to improve their fertility and chances of conception. Based on the scenario, a surgery may be on the cards. Laparoscopic ovarian drilling is a procedure performed by a team of medical professionals to treat PCOD.
Chances are there that PCOS isn’t the only reason for you to not get pregnant. So, a complete checkup to diagnose and analyze the problems for infertility is done by the doctor. You may need a combination of medications so that your chances of becoming a mother are heightened.

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

3012 people found this helpful

Infertility - Know About Its Causes And Symptoms!

Dr. Surbhi Gupta 85% (145 ratings)
MBBS, MD - Obstetrtics & Gynaecology
IVF Specialist, Delhi
Infertility - Know About Its Causes And Symptoms!

Infertility is a condition where a couple, trying to conceive in a natural way is not able to do so even after one year of trying. It is also a matter of worry for patients who are over the age of 35 years and those who are not able to conceive naturally even after 12 months of trying constantly.

Causes: There are many causes of infertility. It may be down to a condition present in one or both partners. Ovulation and fertilisation are the main elements of the conception process and any condition in the female or male can upset either function, which can make it difficult to conceive.

While abnormal sperm production and transport may be a common condition that leads to infertility in males, other factors like side effects of cancer treatments and too much exposure to toxins and chemicals can also play an important role in this regard. For females, the causes of infertility may range from ovulation disorders, uterine and fibroid tumours, uterine and cervical anomalies, damage to or blockage of the fallopian tubes, endometriosis, primary ovarian insufficiency and pelvic adhesions.

Infertility Symptoms in Women

In women, changes in the menstrual cycle and ovulation may be a symptom of a disease related to infertility. Symptoms include:

Treatment: Female patients can turn to medication that will stimulate ovulation, intrauterine insemination, and surgical processes to correct a uterine septum and remove endometrial polyps, or even a hysteroscopy surgery. Male patients can go through a treatment for any existing infections, hormonal injections and medication, surgical options like vasectomy reversal and art or assistive reproductive technology.

If these methods fail, the patient or the couple can always turn to methods like in vitro fertilisation. For other mild reasons, lifestyle changes along with a stress free environment can help in increasing the chances of conception.

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

3132 people found this helpful

Genital Tract Infection - Know The Most Common Causes Of It!

Dr. Jayanti Kamat 89% (542 ratings)
MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Genital Tract Infection - Know The Most Common Causes Of It!

While genital infections are an uneasy topic to discuss and seek treatment for, ignoring them leads to severe complications like infertility and even death. Most of these can be treated with a regular course of antibiotics and some topical treatment when identified early. Genital infections can be broadly classified into sexually transmitted and non-sexually transmitted. Read on to know some more common infections in both the categories.

Sexually transmitted diseases:

  1. Chlamydia: Caused by the bacteria Chlamydia trachomatis, it is the most common STD and affects about 10% of 20 to 30 year olds. It is often asymptomatic, but in few cases, there could be increased vaginal discharge. Left undetected, it can lead to pelvic inflammatory disease (PID) and subsequently infertility.
  2. Gonorrhea: The bacteria Neisseria gonorrhea causes this STD, which is very common. There could be some irritation or discharge, but is mostly asymptomatic. Like Chlamydia, if not treated, it can lead to PID and infertility.
  3. HIV: The most dangerous of all, it causes AIDS, with immunosuppression as a major effect and affecting overall health. The women affected by HIV are more prone to candida and other genital infections.
  4. Genital warts: This viral infection is caused by human papilloma virus (HPV) and manifests as multiple warts on the vulva, vagina, and cervix and can cause cervical intraepithelial neoplasia (precancerous).
  5. Genital herpes: This virus again causes multiple small vesicles and ulcers around the vagina, painful urination, and swelling of the lymph nodes. Caused by type 1 herpes virus more commonly than type 2, it has a high chance of recurrence.
  6. Trichomonas: This STD manifests with very few symptoms and can go undetected for a long time. It can lead to PID and infertility.
  7. Syphilis: Caused by Treponema pallidum, there are 3 stages. The primary stage presents with an ulcer. The secondary presents with a rash, multiple genital warts, and oral warts/ulcers. It then goes into a latent phase and may subside without progression. In some cases, it reaches the tertiary stage and can affect various body organs including the liver, heart, or brain.

Non-sexually transmitted diseases: There two major genital infections not transmitted by sex are bacterial vaginosis and candidiasis.

  1. Bacterial vaginosis (BV): Constant change in the bacteria mix present in the genital area produces an imbalance and leads to altered pH and therefore BV. Pregnancy, intrauterine device, and frequent douching are proven risk factors for developing BV.
  2. Candidiasis: The genital tract usually has yeasts, and Candida vaginalis is present in the vagina. An overgrowth of this leads to infection. This can be caused by use of antibiotics (which destroy the good bacteria), diabetes, pregnancy, and birth control pills.

Early diagnosis and intervention of these infections can prevent severe symptoms in most cases.
 

2 people found this helpful

The Stigma Attached To Infertility!

Indira Ivf 91% (29 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
The Stigma Attached To Infertility!

Infertility is a condition that can be caused due to a variety of reasons, for both males as well as females. Yet, it also comes with plenty of emotional baggage because there is a great deal of social stigma attached to childless parents, especially in the developing countries like India, where we still hold on to traditional thinking which does not really justify modern day realities.

Understanding Infertility in the Developing World: As per medical science, infertility is defined as a problem that is faced by couples who do not manage to conceive even after a year of trying without any birth control measures. In countries like ours, there is a great social stigma that is attached to being childless. As per many studies by the World Health Organization (WHO), about 15% of couples the world over are affected by infertility. Also, such cases go undetected because there is a great social stigma attached to the same. Further, there may be underlying conditions like Tuberculosis which may have been undiagnosed because people do not like to talk to doctors about the symptoms. The main problem in countries like India, and others areas is that people do not open up about such problems and they consider doctors and other medical practitioners as strangers.

Still in the Dark Ages: Even though we have made the transition from an agricultural country where we would pray to the elements and wait for signs for all our everyday activities from harvesting to childbirth, to an industrial country we are still in the dark ages as far as our social setup goes. There are many educated and well-heeled families where being childless is considered as an issue. And many people tend to go to astrologers and temples to change their fate, where a simple visit to a doctor and procedures like IVF, or adoption as the last resort, can also work out.

Infertility Stigma for Males and Females: For an infertile couple, the problem may stem from the male, or the female or both partners. There are still many social stigmas that are attached to this and many people in countries like India tend to call the woman barren, if she is unable to bear a child. In many cases, the male partner does not even go in for a check up as it is not even considered as an option that the problem might lie with him. Male erectile dysfunction, ejaculation problems, and general infertility can cause a range of issues for the couple when it comes to conception. So it is imperative to have the same checked by the doctor so that a sperm test can also be conducted and the treatment can carry on accordingly with the help of IUI or IVF.

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

4050 people found this helpful
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