Female Infertility – Causes And Diagnosis

Posted By: admin | Posted on: 30 September, 2017 12:02 pm

Infertility - Sad couple with Negative Pregnancy Test
Infertility – Sad couple with Negative Pregnancy Test (Image Credits –  shutterstock.com)

 

Infertility In Women

In India, near about 30 million couples or 4-5% of the total population suffer from infertility and 2.5% suffer from childlessness. These figures are rising every day with the unhealthy lifestyle, stress and various other reasons. Female infertility is a major concern in India. But there is hope if infertility treatment are taken into consideration.

Although male infertility is also on a rise in the present time, a woman is first criticized for not having a child. Infertility in women accounts for 50% of the infertility cases and the causes of this problem varies.

As per World Health Organization (WHO), infertility in women refers to –

  • The condition in which a woman cannot become pregnant; or
  • Is not able to carry a child till the live birth of the child; or
  • Unable to maintain the phases of pregnancy and therefore miscarriage happen every time she conceives.

The reasons behind a couple not getting pregnant varies and are difficult to understand at certain times. Infertility treatment in women involve various simple techniques beside complex medical treatments. These medical interventions not only help the couple getting pregnant but also help in maintaining the pregnancy.

In this article, you are going to read about the various factors affecting the fertility in a woman or causes, diagnosis for infertility in women, treatments available, risk factors and certain myths about infertility in women and how to prevent infertility.

Causes of Infertility in Female

As mentioned above, the causes of infertility in women can be simple as well as complex. Here are some of the common as well as some rare causes of female infertility –

Common Causes

Many Reasons Responsible for Female Infertility
Female Infertility

(Image Credits – shutterstock.com)

Hormonal issues: 

The whole process of release of eggs from ovaries and fertilization depends on various hormones. Hormonal issue creates many other problems and out of them, infertility is a major one.

The body goes through different hormonal changes throughout the pregnancy period. If your hormones are not up to the required level or are in excess, you will face the problem.

Uterine issues:

Fibroids or polyps which are in present in the uterus interfere with the pregnancy. It might prevent you from getting pregnant. It is due to the growth of a huge number of cells in the lining of the uterus that is endometrium.

Cyst or tumor:

At the present time, young women who are in their reproductive age, having polycystic ovary syndrome. PCOS is increasing day by day due to the unhealthy eating habits and excessive stress level.

Some women also develop solid cysts and tumors which needs operation. All these conditions interfere with your pregnancy and prevent many women from conceiving easily. With infertility treatment, women can conceive even if they have PCOS.

Stress:

Stress is a regular thing in today’s busy life of women. Excessive stress is not at all good for health whether it is general health or reproductive health. Hormonal issues occur due to stress thereby preventing the women from conceiving.

Excessive weight or obesity:

Weight gain is common in women these days due to odd eating habits and no physical activity. Weight is a great manipulator of health and hormones. It affects hormones and creates issues in pregnancy.

Rare Causes

Alcohol or use of Drugs:

Alcohol addiction among young generation in India is the main cause. Women are consuming tobacco, alcohol and even drugs which are highly dangerous for their reproductive health. Continuous consumption of alcohol/drugs might cause infertility in women even without their knowledge.

DES syndrome:

If a woman is provided with DES medication to prevent miscarriage, the baby might face fertility issues in the future.

Damage of fallopian tubes:

Fallopian tubes carry the eggs from the ovaries where they are produced to the uterus. In the uterus, the process of fertilization and development of the baby takes place.

The fallopian tube can damage due to endometriosis or infections in the pelvic area or any surgery etc. This damage prevents the eggs getting in contact with the sperms, so no fertilization occurs.

Cervical problem:

Cervix plays an important role in passing the sperm to the uterus where the fertilization happens. If there is any damage in the cervix, sperms won’t pass to the uterus and thereby fertilization cannot take place.

Unexplained Infertility:

There are some unknown causes of infertility in women.

How to diagnose infertility?

In case of Female Infertility first the diagnosis is done followed by treatment
Diagnosis and Treatment of Infertility

(Image Credits – shutterstock.com)

Infertility in women requires thorough medical checkups for diagnosis. This process also includes assessing the medical history of the patient and other potential factors which might cause infertility in women.

  • It requires blood tests and urine tests to check hormonal problems. It is to check LH, TSH while determining the causes of infertility.
  • Examination of the mammary glands and pelvic region to assure the reproductive health of the woman.
  • To assure that the woman is ovulating, tests samples of cervical tissues and mucus are taken.
  • To check the condition of reproductive organs like uterus, ovaries, fallopian tubes etc., the doctor would insert a laparoscope into the abdominal area. It helps to determine any blockage of the fallopian tubes, scars or damage of the organs etc.
  • To specifically check the uterus and if any abnormalities are there, a hysteroscopy might be done.
  • Ultrasound is always mandatory at the beginning to understand the overall health of the reproductive organs.
  • Hysterosalpingography (HSG) is a process which involves ultrasound and X-rays or any one of these two to determine any blockage of the fallopian tubes. The doctor has to inject saline along with air into the cervix of the woman and check whether it is passing through the fallopian tubes or not.

 

What are the different fertility treatment women can undergo?

Below are the fertility treatments available. Compare the prices from different service providers near you by filling up the form on ChooseDoctor website.

Get Discounted price for female infertility treatment - ChooseDoctor
Fill Up the Form For Discounted Price To Treat Infertility – ChooseDoctor

 

With the advancement of medical science and progress of our society, different procedures are available to treat infertility in female. The process which you require for treating infertility will completely depend on the cause of infertility in you.

The doctor will also consider other health issues you have to determine which process suits you the best. For Infertility treatment, women can visit various local fertility clinics or government hospitals. The doctor will recommend any one of the below mentioned treatments for treating female infertility.

Fertility Medicines

If a woman has problems with ovulation which is not that severe, it can be treated with medication. There are medicines like clomiphene citrate, gonadotrophin which cures problems of ovulation.

Gonadotrophin might help a woman to ovulate even when other medicines don’t. This drug help to produce and release multiple eggs from the ovaries. It boosts the ovulation process in your body.

This drug helps in the cases of unexplained infertility and used in other fertility treatment women can have.

Intra Uterine Insemination

This is commonly known as IUI. This treatment involves the collection of sperm from the male partner. In case, the male partner cannot produce sperms, donated sperms can be used with the consent of the couple.

The doctor monitors the time of ovulation in the female partner and injects the healthy sperm when ovulation occurs. Before injecting the sperms into the uterus, the sample is washed. It therefore, helps in separation of the healthy and fast moving sperms from the slow and poorer quality ones.

The fertilization process takes place inside the womb of the female partner. The doctor periodically monitors the development of the embryo also, health of the pregnant woman.

IUI is one of the most inexpensive treatments for infertility. Also, with ChooseDoctor, it costs around INR 10,000 to INR 15000 including the medication (price may vary with the choice of drugs advised by the doctor). Excludes follicular monitoring scans.

In Vitro Fertilization

This process is commonly referred as IVF and it is an artificial technique for pregnancy. This process involves fertilization of egg and sperm from the couple in a laboratory dish. If the couple are not capable then doctor would suggest use of donor with the couples consent.

  • Collection of eggs
  • Washing of the sperm sample
  • Separation of the better performing sperms and mixing with the egg.
  • Keeping it for several hours for fertilization to take place.
  • Checking of embryo formation after fertilization of the egg.
  • Insertion of the embryo into the womb of the female partner through a fine IUI catheter after growth of the embryo is seen.

If there is a severe medical problem with the couple, embryos of the donor can also be used if they ask or give their consent to the same.

The doctor periodically checks and monitors the growth of the baby. If you are having a baby through IVF, you must take extra care.

With ChooseDoctor, IVF treatment for infertility treatment costs ranges from INR 1,15,000 to 2,35,000. Most noteworthy, the price varies according to the type of IVF one is undergoing. It also varies as per the cities and fertility clinics or hospitals. The price includes medication (price of medicines may vary depending on the patients response), procedure cost, doctor charges, embryologist charges, OT Charges, ovum pickup, embryo transfer, consumables in lab.

However the prices excludes any added services, non IVF drugs/medications, pre-procedure services if any, ovulation induction medicines, egg donor charges.

Hysteroscopy

Execution of this process takes place if there are fibroid, polyps and other scarred tissues in the uterus. It removes those tumors, polyps etc. and also help to clear the blockage of the fallopian tubes and other reproductive organs.

Laparoscopy

If your infertility is due to pelvic disease then your doctor would suggest laparoscopy. It is a surgical procedure therefore, helps in reconstruction of the reproductive organs which were damaged.

It is effective in removing scars tissues, cysts, tumors, blockages and other deformities of the reproductive organs.

The process is a microsurgery therefore, has no or minimal life risk. This process requires few hours and the patient normally recovers within a week.

Woman Expecting Baby After Infertility Treatment
Happy Pregnant Woman After Infertility Treatment

(Image Credits – shutterstock.com)

 

Risks Involved

Infertility treatment in women might involve some common risks. IUI, IVF have similar risk factors which are –

  • Multiple births: This risk is there in both IUI and IVF. Since, both are artificial techniques of fertilization of the egg, fertilization of multiple eggs might take place.

Multiple births often risk the life of the babies as well the mother. Therefore, your doctor must take care of this factor and check the case of multiple egg fertilization.

If your body can carry multiple births, then you should take the risk otherwise not.

  • Hyper-stimulation of Ovaries: IUI, IVF, fertility drug for female infertility treatment can hyper stimulate the ovaries and could release excess number of eggs per month, hence, affecting the health of woman negatively.

Your doctor must prescribe those medicines which won’t affect your health in a negative way like this.

  • Miscarriage: The risk of miscarriage is similar to normal pregnancy. Although, the Infertility treatment women undergo, doesn’t reduce the chances of miscarriage.
  • The reaction of fertility Drugs: There are certain fertility drugs to increase your egg production. If you are not aware of the suitability of the drug for your body type, you might get different reactions which might cause a health problem for you.

Myths about Female infertility

In India, we are often driven by myths about infertility in women than the actual facts and reality. Here are some common beliefs which stand no ground in medical infertility women have.

  • The menstrual cycle is exact 28 days, but the fact is it ranges between 21 to 36 days.
  • Sperm live for many hours but in reality, it can only be alive for 5 days when it enters the fertile cervical fluids.
  • Infertility is a problem in women only whereas the studies show, men and women can be equally infertile.

Prevention of Infertility in women

You can prevent infertility in you by following –

  • A healthy lifestyle with proper eating habits and fresh food and exercise.
  • You must restrict yourself from toxic chemicals and avoid using drugs and tobaccos.

As a result of progress in medical science and people opening up to discussing their reproductive problems, it has become easier to treat them. With proper and effective infertility treatment, women can have their own child and a healthy life afterward.

To check the cost of treatment for infertility in your nearby clinics and hospitals Click here

Also, for quality and affordable medical services provided by best doctors near you, visit ChooseDoctor

Other Useful Links:

In-Vitro Fertilization-IVF Treatment Cost

Intrauterine Insemination-IUI Treatment Cost And Process

References:

  1. Infertility-WHO
  2. Your Guide to Female  Infertility
  3. Female  Infertility: Causes, Treatment And Treatment
  4. Why Infertility Is On A Rise In India