Infertility Treatment

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    Medical Service Name – Infertility Treatment

    Infertility is the condition when a woman’s body does not support the conception process and is unable to carry a child. The reason for infertility in roughly 80% of couples is either a blockage of the fallopian tubes, ovulation issues, or a sperm problem. Also, there can be no apparent reason for infertility in certain couples.

    Possible Causes

    • Ovulation disorders: The egg inside the female body needs to be fertilized by the male sperm. However, sometimes, the lack of quantity or size of the egg does not allow the sperm to follow the process, leading to infertility. 
    • PCOD: Polycystic Ovary Syndrome is a widespread problem in females nowadays. At least 40% of females between the age group of 12-45 years face this problem. This problem occurs due to hormonal imbalance.
    • Issue with reproductive system: The egg moves down the fallopian tube and into the uterus when the sperm unites with the egg. If this procedure is completed successfully, pregnancy will ensue. However, issues with the uterus and fallopian tubes make this difficult. Blocked tubes, Submucosal fibroids, Endometriosis, and other matters can obstruct fertilization and lead to infertility.
    • Medication: Some medications or treatments like chemotherapy and radiation therapy make it harder to conceive. The drugs and medicines given to the patients during chemo and radiation therapy can lead to permanent damage to the ovaries.
    • Abuse of drugs and alcohol: Excessive use of drugs like cocaine, marijuana, etc., can shatter a woman’s dream to get pregnant. Smoking and boozing may also impact the quality of sperm in males. 
    • High level of cholesterol: Uncontrolled amounts of cholesterol can hamper the reproduction process and cause problems conceiving.

    Risk Factors

    • Age – Fertility diminishes progressively with age, notably in the mid-30s and dramatically beyond the age of 37. Infertility in older women is most usually caused by a decline in the quantity and quality of eggs but can also be caused by fertility-impairing health problems. Men beyond the age of 40 may be less fertile than their younger counterparts.
    • Tobacco consumption – Tobacco or marijuana use by either partner may diminish the chances of conception. Smoking can also affect the efficacy of reproductive treatments. Women who smoke are more likely to have miscarriages. In men, smoking can lead to erectile dysfunction and a low sperm count.
    • Use of alcohol There is no safe level of alcohol consumption for women during pregnancy or lactation. Infertility may be worsened by alcohol use. Heavy drinking can reduce sperm count and motility in males.
    • Being overweight – A sedentary lifestyle and being overweight may raise the risk of infertility in women. Being bulky might also have an impact on sperm count in males.
    • Being underweight – Women with eating disorders such as anorexia or bulimia and those who adopt an extremely low-calorie or restricted diet are at risk for reproductive difficulties.
    • Problems with exercise – Obesity is exacerbated by a lack of exercise, which raises the chance of infertility. In women who are not overweight, ovulation issues are less frequently linked to regular rigorous, intensive activity.

    Sign & Symptoms

    • Irregular Periods: A normal woman’s menstrual cycle lasts for four weeks, or 28 days, with +/- 5 days. However, if someone does not have consistency and gets her period at any time, she exhibits hormonal problems, also known as PCOD. This is an early indicator of infertility.
    • Extremely heavy and painful periods: Almost 80% of women feel pain during their periods. However, if it is too painful to get up from the bed, the condition should be taken as a red flag and see a doctor immediately.
    • No periods: Every female is supposed to get down with periods once a month. But if it is not happening for a long duration, it can be a sign of infertility if she is not pregnant.

    Diagnosis

    Our team of experts will inquire about your sexual habits and recommend the best possible solution to get pregnant. Based on the symptoms and conditions, the experts will ask you to undergo certain tests that can decide or rule out other ailments. Specific tests, such as the ones listed below, can also be recommended by our doctors:

    • Ovulation test to check if you are ovulating
    • Ovarian Reserve Testing to examine the quantity of eggs available for ovulation
    • Hysterosalpingography to rule out any uterus or fallopian tubes related issues
    • Imaging Tests to scrutinize the inside of the uterus when routine ultrasound proves ineffective
    • Physical check-up for men and/or a sperm analysis to determine the health of the sperm.
    Treatment Options at 7DMC

    Treatment options for men

    • Lifestyle Modification – Discontinuing some drugs, lowering or eliminating dangerous substances, enhancing frequency and timing of intercourse, exercising frequently, and optimizing other aspects that may otherwise affect fertility can all help to enhance chances for conception.
    • Medications – Certain drugs can help increase sperm count and increase the chances of a successful pregnancy. These drugs have been shown to improve testicular function, particularly sperm production and quality.
    • Surgery – Surgery may be able to cure a sperm obstruction and restore fertility in some instances. In some circumstances, treating a varicocele surgically might boost your chances of getting pregnant.
    • Sperm Retrieval – When ejaculation is difficult, or there is no sperm in the ejaculated fluid, several approaches are used to collect sperm. They may also be utilized when assisted reproductive procedures are anticipated, and sperm counts are low or otherwise anomalous.

    Treatment options for women

    Some women just require one or two treatments to increase their fertility. Other women may require a combination of treatments in order to conceive.

    • Fertility medications are used to stimulate ovulation – Fertility medicines are the most common treatment for women who are unable to conceive because of ovulation problems. Ovulation is regulated or induced by these drugs. Consult your doctor about your fertility medicine options, including the advantages and disadvantages of each.
    • IUI (intrauterine insemination) – IUI involves the placement of healthy sperm straight into the uterus around the time the ovary produces one or more eggs to be fertilized. The timing of IUI can be matched with your regular cycle or with fertility medicines, depending on the cause of infertility.
    • Fertility restoration surgery – Hysteroscopic surgery can be used to address uterine disorders such as endometrial polyps, a uterine septum, intrauterine scar tissue, and certain fibroids. Endometriosis, pelvic adhesions, and bigger fibroids may necessitate laparoscopic surgery or an abdominal incision.
    FAQs

    Frequently asked questions

    The three basic methods of fertility therapy include:

    • Medication
    • Operative techniques
    • Assisted reproduction – including intrauterine insemination (IUI) and in vitro fertilisation (IVF)

    Experts suggest that having intercourse once a day, every other day, during the fertile window just before and after ovulation is the most excellent method to get pregnant quickly. If you have too much intercourse, your partner’s sperm count may be reduced, and if you don’t have enough sex, the sperm may be old and unable to swim as quickly.

    A high FSH level on day 2 or 3 of an IVF cycle, a low AMH level, a poor antral follicle count (AFC), and a history of a disappointing response during stimulation are all signs of DOR (diminished ovarian reserve).