Female infertility and its causes


Posted April 29, 2019 by soniyagupta000_1

Infertility is a medical condition which can be treated and both female and male suffer from Infertility worldwide.

 
Infertility is a medical condition which can be treated and both female and male suffer from Infertility worldwide. Female infertility is not being able to conceive after having regular unprotected sex for a year or not being able to carry the pregnancy till term and having repeated miscarriages. Female factor accounts for approximately one-third of all infertility cases.

Causes:

Fertility declines with age as ovarian reserve starts declining in the late 20s or after 30 years and the quality of the remaining eggs is lower than younger females.

In order to become pregnant egg must be released from ovaries i.e ovulation, the egg must travel through the fallopian tube to the uterus, sperm must join with egg in the fallopian tube and fertilized egg must get attached to the uterine wall.

Causative factors of female infertility can be many but the most common of them is the ovulating factor. A woman who is not ovulating due to age, early onset of menopause or maybe releasing inferior quality of eggs will suffer from infertility. PCOS( Polycystic ovary syndrome )in which multiple follicles are formed in the ovaries but they are not able to release eggs results in infertility. Thyroid problems like an overactive or underactive thyroid gland can lead to problems in ovulation due to hormonal imbalance. Lifestyle issues like smoking, obesity, drinking, stress also affects ovulation.

The ovary releases the egg into the fallopian tube. It is where the egg and the sperm meet and travels to the uterus for implantation. Sometimes due to blockage in the fallopian tube, the egg released by the ovary is unable to make its way through it or preventing the sperm from traveling towards the egg for fertilization. The fallopian tubes might get blocked due to reasons like PID (pelvic inflammatory disease). Sexually transmitted diseases (STD) like Gonorrhea or Chlamydia might cause an infection in the uterus and result in PID. When a fertilized egg gets implanted in the fallopian tube instead of the uterus is known as Ectopic pregnancy can also affect the passage of the fallopian tubes. Any previous surgery performed might cause changes in the tube and the uterus. Tuberculosis in the pelvic area is also a known factor in third world countries like ours. Scarring happens due to Endometriosis which made tissues grow outside the uterus and create a tubal blockage. It might also damage the lining of the uterus preventing the fertilized egg to get implanted.

In chronic conditions like Chemotherapy drugs or radiation given for cancer treatment close to the reproductive area also sometimes renders a woman infertile.

In some women, Uterine factors or cervical factors also leads to infertility.A congenital defect in the cervix might prevent sperm to travel to the fallopian tube for fertilization or uterine malformations can lead to female infertility. Polyps, fibroids in uterus results in distortion of uterine cavity making it difficult for implantation. Scarring or adhesions from previous surgery or infection also can cause infertility. Cervical mucus defect is also one of the causative factors.

In some women, the tests come clean but they fail to conceive. This is known as unexplained infertility.

Some couples are advised to go for Surrogacy in cases when the female partner is not able to conceive or carry the child to its term and uses the service of a Surrogate mother. People opt in to get their own child and complete the family. It is then we step in and provide you world-class facility of Surrogacy clinic in India



So to conclude, infertility can be treated if proper consultation and measures are taken at the right time.

How female infertility is diagnosed?

With the development of ART, treatment of infertility has improved a lot. Various tests are conducted to diagnose the problem.

Ovulation – A blood test is performed to understand the level of Luteinizing hormone (LH) to know the surge of this hormone which impacts ovulation. Another test involving Progesterone (a hormone produced after ovulation) level in the blood is also tested to confirm ovulation.

Hysterosalpingography – A dye is injected into the uterus and x-ray is taken to detect abnormalities. Whether the dye is spilling into the fallopian tubes is also checked. Sometimes this procedure helps to open the fallopian tubes and improves fertility.

Ovarian reserve testing – A series of blood and image testing is done to assess the quality and quantity of eggs. Tests like AMH(antimullerian hormone) and AFC(antral follicle count) are the best predictors of ovarian reserve. Production of eggs becomes less with age. In women older than 35 years the egg supply gets depleted and such women generally undergo these tests.

Imaging tests – Sometimes ultrasonography is performed around the pelvic area to rule out any fallopian tube or uterine disease.

Another hormone testing – Hormones produced by thyroid and pituitary glands control reproductive processes. Checking levels of these ovulatory hormones help in indicating infertility.

To diagnose infertility problems and depending on the situation some more tests are also performed. They are --

Hysteroscopy – A viewing scope is used to look for any uterine or fallopian tube disease or disorder

Laparoscopy – A minimally invasive procedure is performed through which a viewing device is inserted to identify scarring, endometriosis or blockages. It can also detect problems of the ovaries and uterus.

Genetic Testing – This test is conducted to rule out any genetic defect that might cause infertility.

We at Matrika Medicare have tie-ups with all the top ten hospitals of all the major cities of India. Visit our clinic and get your fertility level tested by well known medical practitioners to complete your journey of parenthood. We have brought smiles to thousands of couples born worldwide by our Surrogacy service.
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Last Updated April 29, 2019