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About Female Infertility

Female infertility is a health condition that prevents a woman from getting pregnant even after indulging in unprotected sex for 12 months and more. If a woman keeps having miscarriages every time she conceives, it is also called infertility. Female infertility is quite a common phenomenon. At least 10 percent of women deal with infertility issues of some or the other kind. As a woman ages, her chances of being infertile increase.

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Overview

know-more-about-Female Infertility-treatment-in-Kochi
Causes of Female infertility:
  • Ovulation disorders
  • PCOS
  • Primary ovarian insufficiency
  • Hypothalamic dysfunction
  • Too much prolactin
  • Tubal infertility (damage to the fallopian tubes)
  • Pelvic inflammatory disease
  • Infection in the uterus such as gonorrhea, chlamydia, or STIs
  • Previous surgery in the pelvis or abdomen
  • Multiple episodes of ectopic pregnancy
  • Endometriosis
  • Uterine or cervical problems
  • Benign polyps and tumors
  • Cervical stenosis
  • Abnormally shaped uterus
  • Cervix does not allow the sperm to travel
Symptoms of Female infertility:
  • Irregular periods Abnormal periods
  • No periods
  • Painful periods
  • Unusual facial and body hair growth
  • Low sex drive
Doctor-performing-Female Infertility-surgery-in-Kochi

Treatment

Treatment of female infertility

The treatment of female infertility depends on the cause of the problem. With advancements in the medical field in recent times, couples today can resort to any of the following methods to conceive a baby. It can also involve medication, surgery, non-surgery, and reproductive assistance such as ART.

  • Fertility medications: Fertility medications are often the first line of treatment for couples who have been trying to conceive for a long time but are facing difficulty. For the infertility specialist to determine the best medicines in your case, an accurate and thorough diagnosis is extremely important. The most commonly used fertility drugs are gonadotropins and Clomid. These medicines are used to induce ovulation. Gonadotropins are used to enhance ovarian stimulation in patients. Gonadotropins can be used as part of both IVF and IUI. Different types of gonadotropins for infertility treatments include:
  • FSH (follicle-stimulating hormone): Mixture of FSH and LH (luteinizing hormone) – also called hMG or human menopausal gonadotropin and hCG (human chorionic gonadotropin)
  • Surgery: Surgery is often recommended to correct abnormally shaped uterus, remove fibroids from the uterus, and unblock fallopian tubes.
  • Egg Freezing: Egg freezing, also known as ‘oocyte cryopreservation, is the best technology for any woman who does not plan to get pregnant immediately but wants to have a baby someday. In this method, the eggs from the ovaries are harvested and are frozen, and stored to be used later. Egg freezing is often combined with in-vitro fertilization and the fertilized egg is then implanted in the uterus of the woman. Infertility specialists recommend women freeze their eggs in their late 20s or in their early 30s. If the female has any disease or health condition that might decrease the quality or the quantity of the eggs, she should consider freezing her eggs even earlier.
  • Assisted Reproductive Technologies: Assisted Reproductive Technologies, commonly known as ART can include several forms of infertility treatments, from medications to surgery. But in the medical fraternity, ART refers to any treatments where the sperm and the egg are combined in an external environment. ART works best for women who have issues with the fallopian tube or in couples where the sperm cannot swim to fertilize the egg.
  1. IVF: IVF is the most common and most reliable form of ART. This treatment is often used for couples where the woman has a blockage or damage in the fallopian tube or where the male partner produces very little sperm. IVF stands for in-vitro fertilization, meaning the fertilization takes place in a petri-dish, outside the body. During this treatment, the infertility specialists treat the woman with drugs to stimulate the ovaries to produce more eggs. Once the eggs are matured, they are retrieved from the ovaries and put in a petri-dish along with the sperm of the man for fertilization. Once the fertilization successfully happens and embryos are formed, the doctors implant the embryos in the uterus of the woman and allow the pregnancy to take place.
  2. IUI: IUI or intrauterine insemination is a comparatively reasonable infertility treatment than IVF, but the success rate of the treatment is also lower than IVF. IUI is a viable treatment for women/ couples with unexplained infertility, where the sperm has issues in traveling to the egg, where the sperm of the man has low motility. In IUI, the sperm of the male partner or a donor is directly implanted into the uterus of the woman.
  3. Intracytoplasmic sperm injection (ICSI): ICSI is an assisted reproductive technology in which a single sperm cell is introduced into an egg cell. This treatment is a good option for couples with serious problems with the sperm. The treatment can also be used in the case of older couples or in those where IVF does not give effective results. Once the embryo is formed, it is transferred to the uterus or the fallopian tube.
  4. Intrafallopian transfer: Intrafallopian transfer is a good treatment option for couples with unexplained infertility, with low motility in sperm, or in cases where the woman has any damage or blockage in her fallopian tube. Intrafallopian transfers can be of two types:
  5. Zygote intrafallopian transfer (ZIFT) or Tubal Embryo Transfer where the fertilization takes place in a laboratory. Later, the fertilized embryo is transferred into the uterus.
  6. Gamete intrafallopian transfer (GIFT) – This treatment involves transferring the eggs and sperm into the fallopian tube and allowing the fertilization to take place inside the woman’s body.

In Our Doctor's Word

What-Dr. Janani Manoharan-Say-About-Female Infertility-Treatment

Dr. Janani Manoharan

MBBS, MD - Obstetrics & Gynaecology, DMAS

15 Years Experience

"Age is one of the primary infertility factors for females. With changing timelines in education, career, and marriage; an average age of conception in urban women has raised to more than 35 years of age. By this time, both- the egg number and quality declines steeply. And while this is only natural, when combined with stressed work life, pollution, improper diet and increasing dependence on junk food, the natural conception becomes harder than before. Now add to this the risks of smoking, tobacco and alcohol- the chances bleak even further! My honest advice would be, if you have been trying to conceive for more than 1 year, seek immediate medical help and get yourself thoroughly checked. Only an early diagnosis can help suggest you the best supportive method. Also, if you are not ready for a child yet, consult a good gynecologist and consider egg freezing. It might be one of your best decisions."

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Frequently Asked Questions

How does age affect fertility in females?

Age is an important factor for any woman when it comes to fertility. As a woman approaches her 40s, her chances of getting pregnant start getting lower. For women above 45 years of age, the chances of getting pregnant are very low.

Is infertility just a woman's problem?

No, infertility is not just a woman’s problem. Both men and women can suffer from infertility.

What foods can cause female infertility?

The following foods can increase yoru risk of suffering from inefrtility:

  • Caffeine products
  • Foods with increased sugar
  • Foods rich in trans fat
  • Along with these, high consumption of mashed potatoes, donuts, white rice, are also thought to contribute to infertility among women.
How often is assisted reproductive technology (ART) successful?

The success of assisted reproductive technologies vary and depend on many factors including the diagnosis procedure, the performance of the fertility clinic, and the age of the woman. The age of the woman plays the most important factor in deciding the success of the procedure.

I am infertile? Does that mean I can never have children?

Infertility and being sterile are two different conditions, although most often they are confused to be the same. Being infertile does not mean you can never get pregnant. However, sterility on the other hand is a condition in which the female does not have uterus, ovaries or any egg production.

What are the risk factors of female infertility?

Risk factors of female infertility may icnlude:

  • smoking cigarettes
  • increasing age
  • being overweight, obese, or significantly underweight
  • heavy use of alcohol
  • sexually transmitted infections (STIs) that can damage the reproductive system
What if my eggs don't fertilize?

Your fertility specialist and IVF laboratory personnel will help you determine an approach that is most likely to result in egg fertilization. If not, you can resort to using donor sperm or donor eggs.

Does female masturbation cause infertility?

No. Masturbation has no direct association with the fertility of either the male or the female. Although many people have a belief around this, the truth is masturbation does not affect fertility.

Which is the best clinic in Kochi for the treatment of female infertility?

Pristyn Care is one of the best clinics in Kochi for female infertility treatment. We, at Pristyn Care, have experienced gynecologists and fertility specialists wo have treated plenty of cases where the patients have been told that they do not have a chance.

Diagnosis of female infertility

Female infertility is usually diagnosed and treated by Gynecologists or Gynecologists with a specialization in fertility treatments. During the first consultation, the doctor may ask you about your menstruation, pregnancy, medical history and try to more about any issues that you might have such as pelvic pain, unusual vaginal bleeding and abnormal vaginal discharge. The infertility specialist or the gynecologist is also likely to run a pelvic exam to determine the exact complication and the best line of treatment accordingly. There is a possibility that the doctor might ask you any of the following questions:

  • How long have you been trying to conceive?
  • How often do you and your partner indulge in unprotected sex?
  • Do you have any history of miscarriages or abortions?
  • Have you suffered from any sexually transmitted infections?
  • Do you have abnormal vaginal bleeding or discharge?

It is important to understand that no can determine the line of treatment until both partners are thoroughly examined. After your consultation, the infertility specialist may ask you to undergo certain tests to know the exact cause of infertility and determine the best line of treatment.

Common tests to diagnose infertility in females include:

Blood tests – If you are not able to conceive, the infertility doctor will conduct blood tests based on your health history. The blood test determines your thyroid level and prolactin levels, including other problems, if any.

Laparoscopy – In laparoscopy, the doctor inserts a thin, flexible monitoring instrument with a camera attached to it at one end to view the reproductive organs and determine the potential problem.

X-ray hysterosalpingogram (HSG) – In this test, the doctor injects a dye into the cervix and monitors via X-ray how the dye moves through the fallopian tube. The test can best help diagnose any blockages in the fallopian tube.

Transvaginal ultrasound – This test is done to get detailed images of the uterus and the ovaries. The test is done by inserting an ultrasound wand into the vagina.

Hysteroscopy – In this test, a hysteroscope is inserted into the vagina through the cervix. The doctor moves the hysteroscope into the uterus to get a proper view of the organ.

Saline Sonohysterogram – Commonly known as SIS, this test helps look at the uterine lining and check for polyps and other structural abnormalities. In this test, the uterus is filled with saline water which allows the doctor to get a detailed image of the uterine lining.

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