In today’s society, many women fail to get pregnant due to a number of reasons. Getting pregnant often takes a while. However, for the one in seven couples who has real trouble, it may be a sign of infertility. Female infertility is defined as not getting pregnant within a year of having regular sex without using contraception.
The underlying medical conditions or hormonal complications that contribute to female infertility treatment in India include damage to fallopian tubes, endometriosis, polycystic ovarian syndrome, premature ovarian failure, uterine fibroids and other environmental factors. Treatment options depend on the underlying problem. The causes and possible treatments to these medical conditions are described as :
Blocked or damaged fallopian tubes prevent sperm from getting to the egg and also block the passage of the fertilized egg from getting to your uterus. The major causes of tube problems include pelvic inflammatory disease, sexually transmitted infections (such as chlamydia), and previous sterilization surgery.
Possible symptoms : None
Possible solutions : Surgery which can open the tubes. If surgery fails, or if the tubes are too damaged to repair, they may be removed before having IVF in order to improve your chances of pregnancy. In fact, IVF is the most recommended treatment for blocked tubes.
Success rates : Conception rates with IVF are considerably higher than the normal surgery. Nowadays, women who with blocked tubes have more than 40 percent success rate with IVF treatment. However, IVF success rate largely depend on other factors including women’s age, egg quality etc.
Endometriosis occurs when the tissue that normally grows in the uterus starts to grow outside the uterus, usually in the abdomen or pelvis. The growth of endometrial tissue outside the uterus can block the fallopian tubes.
Possible Symptoms : Some women have no symptoms, while others have pain in the lower abdomen, painful intercourse, heavy bleeding or unusual spotting, pain in pelvis area.
Possible solutions : Laparoscopic surgery to remove endometrial tissue is done in the first place. Many women wanting to get pregnant in such a situation can undergo advanced fertility treatment like In vitro fertilization (IVF). IVF work wonders for most women and the effectiveness of such treatment is highly individualized. It is indeed the best option where by removing eggs from the ovaries prior to ovulation, fertilizing these outside of the body and then transferring the resulting embryo(s) to the uterus, bypasses the toxic pelvic environment and is therefore is the treatment of choice in cases of endometriosis-related infertility.
Success rates : Around 30 percent of women in early stage endometriosis conceived naturally after having laparoscopic surgery to remove endometrial tissue. However, 40 to 50 percent of women with endometriosis have resulted successful pregnancy with in vitro fertilization.
Polycystic ovary syndrome (PCOS)
Polycystic ovary syndrome is a condition in which a woman has an imbalance of sex hormones and often leads to infertility.
Possible Symptoms : Irregular menstrual cycles, cysts in the ovaries, difficulty conceiving and other health changes.
Possible Solutions : A procedure called laparoscopic ovarian drilling may help improve your chance of getting pregnant if the fertility problems are caused by polycystic ovary syndrome (PCOS). If the cause of infertility is more complex, ovarian stimulation alone may not be sufficient, and a more sophisticated approach may be needed. Some of these patients will require in vitro fertilization (IVF) to manage their infertility.
Success Rate : Majority of women with PCOS has success with IVF Treatment and the success rate is around 60% for a live birth rate (woman under age 35).
Generally, fibroids are benign tumors that originate in the uterus (womb) and typically found during the middle and later reproductive years. They can range in number and size from a single growth to multiple growths, and from very small to large. Fallopian tubes can be blocked by fibroids.
Possible Symptoms : The most common symptoms of uterine fibroids include heavy menstrual bleeding, Pelvic pressure or pain, difficulty emptying your bladder, constipation and backache or leg pains.
Possible Solutions : Though majority of women with uterine fibroids achieve normal pregnancy outcome, a lot many require treatment such as surgical option is available to remove fibroids. Fibroids are removed in a surgical procedure called a ‘myomectomy’. Larger fibroids can be removed with a larger incision or with a laparoscopy.
In some instances, a cause for infertility is never found. It’s possible that a combination of several minor factors in both partners underlie these unexplained fertility problems. Although it’s frustrating to not get a specific answer, this problem may correct itself with time.
Possible Symptoms : None
Possible Solutions : A lot of patients succeed with IUI only. But if the tubes are blocked, IVF is the best option. It is also the most commonly increasingly utilized treatment.
Success Rates : Fortunately there has been a significant improvement in the pregnancy rates in couples with unexplained infertility. Pregnancy rates for this complex procedure are improving nationally and it appears effective for the treatment of unexplained infertility.
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