Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Infertility Tips

Infertility - Know The Treatments Available For It!

Dr. Kajal Mangukiya 88% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology, Diploma in Obstetrics & Gynaecology
Gynaecologist, Surat
Infertility - Know The Treatments Available For It!

Infertility is a condition, which is characterized by the inability to have a baby for over a year in spite of having planned and unprotected sex. It is a pretty common phenomenon for both men and women. However, there are several treatments available for both the sexes to help them recover from this problem. Here are some of the most common treatments available for infertility:

For Men:

1. Changing your lifestyle: Certain factors in your lifestyle, which may cause you to be infertile include the medications you take, lack of exercise or not having intercourse frequently enough or not at the right time. The solution for these problems is simply incorporating certain changes in your daily life, such as exercising more, sticking to a healthy diet or having intercourse more often at the right time.

2. Sperm retrieval: Sperm retrieval is the technique used when you cannot ejaculate or when there is hardly any sperm present in your semen. It is also used in case of a low sperm count.

For Women:

1. Intrauterine insemination: Intrauterine insemination is a process in which healthy sperm cells are put into the uterus so that the egg gets fertilized when it is released. The sperm cells have to be inserted at the time when your ovaries release eggs; therefore it is crucial to know your menstrual cycle as well as how fertility drugs are affecting it.

2. Fertility drugs: Fertility drugs are used to stimulate ovulation. This is done by administering medications which either regulate or cause ovulation to occur. There are several types of fertility drugs, so you should talk to your doctor about which should be the best for you.

3. Hysteroscopic surgery: This is the last resort, which is taken only when there are significant problems such as intrauterine scar tissue, uterine septum or endometrial polyps.

4. IVF: IVF is an assisted reproductive technology. During IVF, the sperm is first retrieved, after which fertility medications are given to the woman so that the egg can be retrieved. Finally, the egg is fertilized on a laboratory dish and injected back into the mother or a surrogate mother.

Blocked Fallopian Tubes - All You Should Be Knowing!

Dr. Puja Sharma 91% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
Gynaecologist, Delhi
Blocked Fallopian Tubes - All You Should Be Knowing!

It's said that blocked fallopian tube is the most common cause of female infertility in about 40% women. Fallopian tubes are channels through which the egg travels to reach the uterus and blockage of these tubes can put a stop to this from taking place. Depending on the different parts of the tubes, this form of blockage is of several types.
 
What are the different types of fallopian tube blockages?

  1. Proximal tubal occlusion: This form of fallopian tube blockage involves the isthmus (an area of about 2 cm long, this part of the fallopian tube connects the infundibulum and ampulla to the uterus). This problem occurs due to complications associated with abortion, cesarean section or PID (pelvic inflammatory disease).
  2. Mid-segment tubal obstruction: It occurs in the ampullary section of the fallopian tube and is most frequently a result of tubal ligation damage. The procedure of tubal ligation is performed to put a stop to pregnancy permanently. 
  3. Distal tubal occlusion: This is a kind of blockage wherein the section of the fallopian tube that is close to the ovary is affected and is commonly associated with a condition known as hydrosalpinx (a condition in which the fallopian tube is filled with fluid). The latter often happens due to Chlamydia infection, leading to fallopian tube and pelvic adhesions. 

The conditions that may give rise to this problem can include: 

  1. Genital tuberculosis (the TB infection that occurs in the genital tract)
  2. Ectopic pregnancy (pregnancy in which the embryo places itself outside the uterus)
  3. Tubal ligation removal
  4. Complications related to surgery of the lower abdomen
  5. Pelvic inflammatory disease (PID)
  6. Uterine fibroids (benign growths that occur in the uterus)
  7. Endometriosis (development of uterine tissue outside of the organ) 

These disorders can lead to the development of scar tissue, adhesions, polyps or tumors to form inside the pathway. Additionally, the tubes can also get stuck to other body parts such as ovaries, bladder, uterus and bowels. Two things can happen to the fallopian tubes, either they can become twisted or the walls of the tube may stick together, leading to complete blockage.

Moreover, even if the fallopian tubes are partially damaged, they can remain open so as to enable pregnancy to occur, while increasing your risk for ectopic pregnancy.

Obesity And Infertility!

Dr. Preeti Jaiswal 93% (421 ratings)
BHMS, Diploma In Nutrition & Diet Planning , ICR, M.D. Alternative Medicine
Homeopath, Thane
Obesity And Infertility!

The prevalence of obesity and overweight are increasing and have become an epidemic worldwide. Obesity has detrimental influences on all systems, including reproductive health. The prevalence of obesity in infertile women is high, and it is well known that there is an association between obesity and infertility. The relationship between obesity and reproductive functions is still being explored. Overweight women have a higher incidence of menstrual dysfunction and anovulation. Overweight and obese women are at high risk for reproductive health. The risk of subfecundity and infertility, conception rates, miscarriage rates, and pregnancy complications are increased in these women. They have poor reproductive outcomes in natural as well as assisted conception. These poor reproductive outcomes include assisted reproduction such as ovulation induction, in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI), and ovum donation cycles. Weight loss has beneficial effects on the reproductive outcomes in these patients.

6 Ways How Alcohol Abuse Can Ruin Your Relationship

Usma Ayurvedic Clinic 95% (13722 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
6 Ways How Alcohol Abuse Can Ruin Your Relationship

You may think that it is just a harmless drink or two at the end of the day to help you relax. it's just a few drinks when you get together with friends. or it's just that you need to get rid of the office stress.. We all need to catch a break sometimes, which makes our favorite brand of drink our best friend. Trouble starts when 'a drink or two' moves to a level where you can't hold the drink anymore. It affects your ability to think straight and take decisions that you may regret in retrospect. Alcoholism not only has serious health consequences but also can ruin your life and relationships. Don't tread down the path of self destruction, or this is what you'll find

1. Conflict: It is not a coincidence that fights are common when one or both partners are caught up with alcohol abuse. It is said that if there is too much alcohol in your system, it hampers with your ability to make rational decisions. It allows you to become inconsiderate about others, and give more importance your addiction over their requirements. It, to an extent, numbs you to what others feel, and makes you drink even more.
 
2. Financial loss: Alcohol costs money. And the more you spend to keep up with your addiction, the more money flows out of your monthly household expenses, monthly savings and retirement plans. And this money literally goes down the drain. Like any other addiction, once you start alcohol abuse, you need it everyday. Drinking may go on to impact your ability to hold on to your job as no one will eventually want to hire someone who has alcohol on their breath at 9am during client meetings. Alcohol is a strict restriction in certain professions where you may put other people at risk. At the very best, you'll be left with a warning. At the worst, you'll lose your job and end up with no work and no money to support your addiction.

3. Accident prone: In 2014, 9,967 people died in drunk driving crashes - one every 53 minutes. This may sound only like a statistic to you - until you speak to the families who lost their loved ones or have to see them suffer through loss of limbs or brain function to bear lifelong suffering. And as far as you are concerned, you may end up seeing the wrong end of a prison. Such things have a profound impact on your relationship - many of which fail to last through the ordeal. 

4. Infidelity: You've seen it a thousand times in movies - which actually might get reflected in reality, if you wake up next to someone whose name you don't know. 

5. Infertility: Alcohols and babies don't mix. Too much alcohol intake can stop women from making and keeping a baby. 

6. Divorce: An alcoholic husband or wife is a valid ground of mental trauma applicable in a divorce. 

Want to get rid of your alcohol problem? Consult our specialists today.
 

Why PCOS Patients Suffer From Infertility?

Dr. Richa Singh 88% (113 ratings)
MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Why PCOS Patients Suffer From Infertility?

PCOS is a disorder characterized by enlarged ovaries and the formation of tiny cysts on the outer sides of the ovaries. Polycystic Ovary is a hormonal condition that stimulates surplus production of androgen in women. Androgen being a “male hormone,” causes development of muscle mass and hair in men, and it has similar effects on women as well when present in high amount. They trigger acne and excessive growth of body hair in women accompanied by irregular or lack of ovulation in the form of absent or erratic menstrual cycle. Hence, owing to troubles in ovulation (discharge of ovules from the ovaries), one may experience difficulties in getting pregnant.

Many women suffering from PCOS are unaffected by the influence of the hormone ‘insulin’, which indicates, that it requires a larger amount of insulin to sustain a normal blood sugar level. High levels of insulin as a result of insulin resistance, in turn drastically boosts androgen production.

Symptoms of PCOS include:

  1. Irregular Menstrual Cycle. Women with PCOS may miss periods or have fewer periods (fewer than eight in a year). Or, their periods may come every 21 days or more often. Some women with PCOS stop having menstrual periods.

  2. Excessive hair. Excessive hair on the face, chin, or parts of the body where men usually have hair. This is called "hirsutism." Hirsutism affects up to 70% of women with PCOS.3

  3. Acne. Acne on the face, chest, and upper back

  4. Hair Loss. Thinning hair or hair loss on the scalp; male-pattern baldness

  5. Weight Gain. Weight gain or difficulty losing weight

  6. Skin Darkening. Darkening of skin, particularly along neck creases, in the groin, and underneath breasts

  7. Skin tags. Skin tags, which are small excess flaps of skin in the armpits or neck area

Treatment for PCOS:

The PCOD treatment is tailored as per the symptoms of the condition:

  1. A lack of ovulation and menstrual cycles hinders the secretion of progesterone (a hormone preparing the uterus for pregnancy), thus hampering conception. In this case, the treatment is directed at maintaining a regular ovulation and menstrual cycle which can be fixed by consuming birth control pills. These pills comprise both progestin and estrogen which aid to bring down androgen production.

  2. PCOS along with insulin resistance warrants the use of certain medications such as metformin which is prescribed to enhance insulin sensitivity.

  3. Another solution to the problem can be bringing changes to the lifestyle. Daily exercises and diet modifications help in weight reduction and increase your fertility potential.

  4. For regularisation of cycles, oral contraceptive pills can be used initially followed by OVULATION INDUCTION drugs which will help enhance your chances of conception.

  5. If all treatments of ovulation induction have failed, you should consider IUI or IVF as a next step as more your time increases your PCOS problem increases and lesser the chances of conception. So consult an infertility expert for the right guidance and support.

Know About Hypopituitarism And Its Symptoms!

Dr. Rajarshi Mukhopadhyay 85% (20 ratings)
FRCP (Edinburg), DM - Endocrinology, CCT (Endocrinology), MRCP - Diabetes & Endocrinology, MRCP (UK), MD & DNB - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Kolkata
Know About Hypopituitarism And Its Symptoms!

The pituitary gland is a small, pea-sized attached to the base of the brain. It controls growth, functioning and development of other hormonal glands. Deficit of one or more pituitary hormones is a state of Hypopituitarism. This clinical term is used by endocrinologists to mean that one or more pituitary glands are deficient. In hypopituitarism, the pituitary gland does not produce the normal amounts of hormones.

Causes-

Hypopituitarism has the following causes—

  1. Brain tumours

  2. Sarcoidosis (A lung disorder)

  3. Tumours in the pituitary gland

  4. Hemochromatosis (Too much iron in the body)

  5. Tumours in hypothalamus (Controls the production of hormones)

  6. Histiocytosis X (A rare autoimmune disease where the immune cells damage the organs)

  7. Tuberculosis

  8. Stroke

  9. Sheehan syndrome (Excessive blood loss during childbirth)

  10. Lymphocytic hypophysitis (An inflammation in the pituitary gland)

  11. Radiation treatments like chemotherapy

Symptoms-

Symptoms depend on which hormones is not being produced.

  • Adrenocorticotropic Hormone (ACH): Lack of ACH affects the adrenal glands (endocrine glands producing hormones) and cortisol (steroid hormone). Symptoms include—

    • Fatigue

    • Low sodium levels

    • Loss of weight

    • Pale skin

  • Thyroid-stimulating Hormone (TSH): Deficient TSH mostly affects the thyroid (produces growth-regulating hormones) gland. The symptoms are—

  • Luteinizing hormone (LH): Low luteinizing hormone in women affects their ovaries and ovulation. Symptoms include-

In men, lack of LH affects their testes and sperm production. Symptoms include-

  • Follicle-stimulating hormone (FSH): This hormone affects men and women the same way the luteinizing hormone does. Thus the symptoms are the same.

  • Growth Hormone: In children, the growth hormone affects their bone, fat and muscle. They have the following symptoms—

    • Lack of height

    • Increase in body fat

    • Abnormal peak bone mass (bone tissue present after the skeleton matures)

In adults, the whole body is affected. Body fat increases while muscle and bone mass decreases.

  • Prolactin: Prolactin deficiency only affects women. The prolactin hormone gets the production of milk started after childbirth. Lack of prolactin thus affects breastfeeding.

  • Antidiuretic Hormone (ADH): The kidneys are affected by lack of ADH. Symptoms include—

  • Oxytocin: Lactation and childbirth are affected by lack of oxytocin.

1 person found this helpful

Male Infertility - Ways To Manage It Well!

Dr. H.S. Bhutani 87% (11 ratings)
M.Ch - Urology
Urologist, Jalandhar
Male Infertility - Ways To Manage It Well!

Male infertility is when the male is not able to get a fertile female pregnant. Though not openly admitted, it is an extremely common condition. For a man, it is highly hurting to the ego when it is identified. Given the discrete nature of the topic, it is difficult both for a man to admit that he could possibly be the reason the couple is not able to conceive. If that happens, the next challenge is to get them to undergo treatment.
With times, things are changing and more men are open to getting tested. The changed lifestyles are also contributing to male infertility, and the incidence has risen by a couple of percentages.

Causes: Male infertility is caused by a variety of issues leading to poor sperm quality and/or quantity, ranging from:

  1. Sperm production, which can be reduced in numbers.
  2. The quality of the sperm could be poor, with reduced mobility being extremely common. When this happens, they are not able to travel up the uterus and penetrate the egg.
  3. Erectile dysfunction, where the erection is too soft or short for penetration into the female
  4. Premature ejaculation, where the sperms are released very soon before they can enter the female.
  5. In addition, lifestyle causes are another major cause of male infertility. These include smoking, increased stress levels, alcohol abuse, lack of exercise, poor dietary habits, and increased junk food.

Management: Male infertility is not as easily accepted as female fertility, though it is the cause for the couple’s inability to conceive in about 50% of the cases.
Once identified and accepted, treating male infertility is quite easy compared to female infertility. In order of progression, the treatment modes are listed below.

Counseling: In most cases, a sexual counseling session with the couple can help iron out performance anxiety and help build trust and frankness in the relationship. In many couples, this helps in overcoming the problem. Given the discrete nature of the topic, it takes time for a couple to get to know each other. There is also the male performance anxiety which can lead to poor performance. All this needs some time and some external help, which can improve the sexual compatibility and overall relationship.

Hormonal therapy: This is another simple and effective way to manage male infertility. Topical or systemic androgens can help in treating male infertility.

Surgery: In worse cases, where there are blocked sperm tubes, surgery may be required to unblock them.

In vitro fertilization: In couples whom none of the above work, IVF could be used to help in conception.

Male infertility needs to be accepted and then it becomes easier to treat.

3 people found this helpful

Know Everything About Infertility!

Dr. Beena Upadhyay 85% (10 ratings)
MBBS, MD - Obstetrics & Gynaecology, Fellowship In Minimal Access Surgery
Gynaecologist, Gurgaon
Know Everything About Infertility!

The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.

Ovulatory Disorders

One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-

  1. Disruption in the complex hormonal balance.

  2. Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.

  3. Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.

  4. Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.

  5. A rare case of premature menopause.

  6. Problems of the follicle.

  7. Poor functioning of fallopian tubes

Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-

  1. Infection caused by bacteria or viruses

  2. Abdominal diseases like colitis and appendicitis

  3. Previous pelvic or abdominal surgeries.

  4. A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.

  5. Rare congenital defects in which women may be born with tube anomalies.

Endometriosis

This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.

Other Factors

Other additional factors may include:

  1. Abnormal uterus

  2. Congenital diseases

  3. Behavioural factors like personal habits, lifestyle and health factors.

  4. Exercise and diet- extremely overweight or underweight women may have problems in conceiving.

  5. Cigarette smoking reduces the chances of conceiving by one-third.

  6. Alcohol increases the chances of birth defects.

Hence, pregnancy is tougher than it might really seem.

What Are The Causes And Risk Factors Of Inferility?

Dr. Anju Ahuja 92% (619 ratings)
DGO, MBBS
Gynaecologist, Delhi
What Are The Causes And Risk Factors Of Inferility?

In simple terms, infertility is the inability of a couple to bear children when using no contraception. This could be due to the male not being able to contribute to conception or the female not able to carry a pregnancy to term. Though the female is attributed to be the reason very often, almost 50% of infertility cases are due to issues with both the male and female.

Causes: Some of the main male and female causes of infertility are listed below.

  1. Women: Poor egg quality, thyroid abnormalities, polycystic ovarian syndrome, endometriosis, pelvic surgery, chemotherapy, radiotherapy, and uterine prolapse.
  2. Men: Erectile dysfunction, hypogonadism, low sperm count, poor sperm quality, testicular infections, ejaculation disorders.

Risk factors: Infertility is on the rise and some of the risk factors are identified to be:

  1. Advanced maternal age: With females choosing to have children later in life, even as late as 40 years, infertility is on the rise. As per studies, female fertility is believed to reduce after 32 years.
  2. Smoking: This is the biggest contributor of infertility in recent times, the effect is more severe when the woman is also a smoker
  3. Obesity: With changing lifestyles, obesity has become an epidemic in both women and men, leading to infertility.
  4. Increased stress levels: This leads to strained relationships. Impotence in men, poor egg quality, and erectile dysfunction are all caused by increased stress levels, leading to infertility.
  5. Eating disorders: Leads to obesity and poor health overall, leading to infertility.
  6. Alcohol consumption: This again causes erectile dysfunction, leading to infertility.
  7. Excessive or lack of exercise: Lack of exercise leads to obesity and overall lethargy. Over-exercising, on the other hand, leads to erectile dysfunction.
  8. Environmental pollution: Exposure to toxins and chemicals has increased, reducing overall sperm and egg quality.

Infertility is often caused by a combination of these factors. Changing lifestyles with smoking among women on the rise is a major cause of infertility.

Diagnosing infertility: The reason for infertility should be identified so that treatment can be directed appropriately. Most often, women are cited as the reason for a couple’s infertility. That is not necessarily the case, and in about 30% of the cases, the male also could be contributing to infertility. The following methods are useful:

  1. Physical exam
  2. Semen analysis
  3. Blood tests
  4. Ultrasound
  5. STD testing
  6. Laparoscopy
  7. Thyroid function tests

Treatment: Once the cause is identified, then targeted treatment can be done, including:

  1. Sexual counseling for the couple
  2. Treatment for erectile dysfunction and hypogonadism
  3. Hormonal treatments for women
  4. Fallopian tube surgery
  5. Laparoscopic surgery.
  6. Intrauterine insemination
  7. In-vitro fertilization
  8. Sperm donation

Infertility - How Does Homeopathy Help In Treating It In Women?

Dr. Mounika Kasam 92% (83 ratings)
MD - Homeopathy
Homeopath, Hyderabad
Infertility - How Does Homeopathy Help In Treating It In Women?

For a married couple, having a child is the next step to completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep-rooted causes for this issue, and homeopathy aims in treating the root cause and not just infertility.

A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc., and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member’s recommendation is best avoided.

Infertility in females is often caused by the following reasons:

  1. Irregular menstruation
  2. Hormonal imbalance
  3. Advancing age
  4. Emotional stress
  5. Obesity
  6. Excessive smoking
  7. Alcohol consumption
  8. Sexually transmitted diseases (Chlamydia, gonorrhoea)
  9. Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
  10. Endometriosis
  11. Polycystic Ovarian Syndrome (PCOS)
  12. Pelvic Inflammatory Disease (PID)
  13. Thyroid disorders
  14. Diabetes

With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with doctor to identify what would work best for you. Self-medication is best avoided.

  1. In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
  2. In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
  3. In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
  4. In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
  5. In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.

These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms.

Icon

Book appointment with top doctors for Infertility treatment

View fees, clinic timings and reviews