Treatment view of Ayurveda in infertility
It was not the first time, early marriage and after the marriage, there was a lot of determination.
1) According to Ayurveda, the age of the boy should be twenty-five years and the girl has sixteen years of marriage.after that they carry pregnancy
2) Now many people feel the injustice of this woman. Let's look at what is expected of physical and natural / Ayurveda, not only emotionally, but also here.
3) The female body gets more mature than men. In addition, the number of ovum/eggs that fall out in the body of a woman in pregnancy is limited to birth
4) Young age cuff sage, young pitta prakruti. After the 40 yrs, the Vata is predominant. It is under the influence of having babies, growing and exiting at the right time
5) As a result of increased age, high runway, poor eating habits and anxiety (stress), due to this, the full uterine and spinal cord, weakens the power of the new generation.
6) The timely, well-ordered, fresh, hot, appropriately oil-chilly-salt in the diet will improve the strength of the all dhatus in our body and uterine in the right area and at the same time, it will be very good.
7) *उत्तम बीजापोटी फळे रसाळ गोमटी This is all there is to know
8) Therefore, milk, ghee, amla, other fruits, such substances are essential for daily diet.
Age is a major factor affecting one’s ability to conceive and have a healthy baby. Although age-related infertility is more subtle in men, it does happen.
How Men’s Age Affects Fertility?
The effects of age on female fertility have been long known. However, recent studies have revealed that the age of the male partner could also be the reason for infertility.
How Women’s Age Affects Fertility?
Effect of Age on Pregnancy after One IVF Cycle-
Many people believe that IVF or In Vitro Fertility treatment can help one achieve pregnancy at any age. However, that is not entirely true. Your age has an influence on the success rate of the said treatment. A study conducted in 2014 reveals that women in different age groups had varying success rates.
• Women aged 29 years and younger – 32% chances of success
• Women aged between 30 and 34 years – 26% chances of success
• Women aged between 35 and 39 years – 18% chances of success
• Women aged between 40 and 44 years – 7% chances of success
• Women aged 45 years and older – 0.6% chances of success
For older women, the chances of conceiving increase if eggs donated by younger women are used.
With age, the risk of pregnancy-related complications also increases – miscarriage is the most common one. Another complication is the chance of chromosomal abnormalities in the foetus – this happens usually at the age of 35. Placenta previa, gestational diabetes, and stillbirth are some of the other common complications found in older women.
• Your age determines the success rate of IVF treatment. The older you get, the lower are your chances of getting pregnant.
• IVF success rates drop once you turn 35. Therefore, do not put off the decision.
• If you are in your 40s, a better option will be to use donor eggs.
IVF takes patience. Do not expect results as soon as you start with the treatment. You will likely require a few sessions before you are finally able to conceive. Keep in mind that undergoing IVF treatment is an important decision to make, so do your research meticulously before heading off to the clinic.
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?
The conditions that may give rise to this problem can include:
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 tubes walls may stick together, leading to a 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.
If a couple has been trying to have a child for 12 months via regular intercourse, but still not able to bear a child, then this is referred to as Infertility. Having a child, or fertility, is one of the biggest pleasures in the life of a couple. Most of the times, a child is considered as the next logical step after marriage. However, if a couple is not able to have a child due to infertility, then it can lead to all sort of psychiatric problems.
Despite the fact that infertility treatment has advanced by leaps and bounds, Infertility still impacts a lot of couples. There is a general notion nowadays that Infertility is on the rise. However, that is not the case; the reason that there seem to be a higher number of infertile couples is simply that more people are not in the childbearing age.
Who Causes Infertility: Men or Women?
Here is one statistic that we need to be clear about: there is no clear trend towards who is more infertile: men or women. In fact, in around 40% of the cases, infertility is caused by male, in 40% it is by female, and in the rest, it is either due to both the partners, or unidentified issue. This is an important statistic to know, especially in a country like India, where women are mostly blamed for infertility.
Causes of Infertility:
There are a lot of causes that can lead to infertility. Here are just a few of those:
Reasons for Male Infertility:
Sexual problems that lead to the problem in delivering sperms.
Excessive Smoking, drinking, or exposure to pesticides etc.
Inadequate sperm production. This could be due to genetic issues, medical problems like diabetes, or undescended testicles
Sometimes cancer, or the cancer treatment, can also lead to infertility.
Reasons for Female Infertility:
Sometimes there might be ovulation problems which can lead to problems in which eggs are not released from ovaries
Blockage of Fallopian Tube
Apart from the above, women are also affected due to cancer and environmental factors or lifestyle choices like excessive smoking.
Psychiatric Problems Due to Infertility:
Infertility can cause a lot of Psychiatric problems. Some of these are:
First and foremost, this can lead to constant frustration in couples. They might feel lacking and incapable and keep holding themselves, or each other responsible for it.
Women, in particular, might be more impacted by it. Especially in a country like India, women are almost looked down upon, even if they might not be the one responsible for infertility.
Relationships can suffer as the couples might get into constant bickering, or even fighting, due to infertility.
Not just relationships among couples, but the relationships with family and friends might also get impacted. The affected couple might deliberately try to stay away from social gatherings.
This can also lead to financial problems as the couple might spend money on falsely advertised Infertility treatments, instead of consulting a good infertility treatment specialist.
How to Avoid Psychological Issues?
Infertility is already a stressful situation, and having psychological issues can further escalate the problem.
The best way to avoid such issues is for couples to support each other during this phase. Even though one of them could be responsible for this combined situation, still the other partner must understand that the situation is not caused by choice, and both the partners are being equally affected by it.
Furthermore, whenever going for a consultation with an expert, both the partners should go, so that the partner can understand what other partner is going through.
Infertility can cause many psychological problems, but they should be dealt with maturely. Couples need to understand that ultimately, they need to support each other, as they might not be able to get similar support from society or even friends. Being there for each other during this stressful situation can go a long way in getting over this.
Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:
- Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy which includes stillborn and miscarriage.
- Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.
The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:
1. Genetic: Some genes can lead to mutation leading to infertility like, in the case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
2. Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.
The treatment of infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.
Fertility Restoration through medication: This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:
- Gonadotropins - These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
- Clomiphene citrate - This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
- Metformin - This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
- Bromocriptine - Used when the infertility is caused due to excess prolactin production.
- Letrozole - This also induces ovulation
Fertility Restoration through surgery: Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:
- Tubal ligation reversal surgery - In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
- Hysteroscopic surgery - This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve the chance of getting pregnant.
- Tubal surgeries - In case of blocked fallopian tubes laparoscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.
Assistance in reproduction through techniques
The most common used techniques for reproduction assistance are:
- Intrauterine insemination or IUI - In this about million healthy sperms are put in the uterus at the time of ovulation.
- Assisted reproductive technology - In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.
Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.
What is In- Vitro Fertilization?
In Vitro fertilization (IVF) is a process of fertilization where an egg is combined with sperm outside the body, in vitro ("in glass"). This process involves stimulating a woman's ovulatory process, removing an ovum or ova from the woman's ovaries and fertilizing them with sperms in a liquid in the laboratory. The fertilized egg (zygote) undergoes embryo culture for 2–6 days, and is then transferred to the same or another woman's uterus, to establish a successful pregnancy.The success rate depends on various factors such as maternal age.
Cause of infertility
Ways to increase the success rate of In-Vitro Fertilization:
Infertility treatment is common among couples, who are unable to conceive children through the natural process, due to health or hormonal problems. Among the infertility treatments, In Vitro Fertilisation is one of the most common methods used to help couples get rid of the problems and allow them to conceive children in an unconventional manner. This artificial treatment was successfully performed for the first time in 1978. Now let’s take a look at some of the different types of IVF Treatment:
Natural Cycle: This particular type of variation in IVF does not require stimulation of woman’s ovaries for producing several eggs for collection. Only the egg which is produced during her normal menstrual cycle gets collected and it is then merged with the man’s sperm to successfully achieve fertilisation and in the process, an embryo. This method carries with it certain advantages, like this does not involve the risk of ovarian hyperstimulation and it is accepted by certain cultures and religious groups due to the fact that no spare embryos are created, which might require to be disposed of or get it frozen.
As far as disadvantage for this type of treatment is concerned, the success rates are not that high. The statistics published by the United Kingdom’s Human Fertilisation and Embryology Authority, show that only one out of 26 women under the age of 35 could get pregnant in 2008 due to the natural cycle in vitro fertilisation.
Mild Stimulation In Vitro Fertilisation
This process is carried out just like standard in vitro fertilisation. Only exception is that the hormones used to stimulate the ovaries for producing a number of eggs, get used for a short span of time. This helps to narrow down the risk of ovarian hyperstimulation syndrome in women, who had developed this particular risk in previous cycles of in vitro fertilisation.
Mild stimulation might help get rid of the initial treatment to suppress the menstrual cycle, as a result of which one may not find this phase of treatment to be an uncomfortable one.
Like any form of treatment, this type of in vitro fertilisation treatment is not without certain disadvantages. One of them is the fewer number of eggs available for collection and hence lesser number of embryos to choose from for transfer. Still, due to the fact that stimulation of ovaries is not done in a similar manner, one does not require to wait for so long to repeat the particular cycle of in vitro fertilisation.
The low cost of mild stimulation IVF makes it a more desirable mode of infertility treatment as compared to the standard procedure followed for bringing for the desired results.
Hence, we have discussed about the two types of in vitro fertilisation for treating the problem of infertility among males and females along with their advantages and disadvantages in great detail.