Family & Children HealthThe Pregnancy › Cause of infertility and Fertility Miracles

‘Infertility’ is defined as not being able to get pregnant after at least one year of trying. Women who are able to get pregnant but then have repeat miscarriages are also said to be ‘Infertile’.

Pregnancy is the result of a complex chain of events. In order to get pregnant: a woman must release an egg from one of her ovaries (Ovulation). The egg must go through a fallopian tube toward the uterus (Womb). A man's sperm must join with (Fertilize) the egg along the way. The fertilized egg must attach to the inside of the uterus (Implantation). Infertility can result from problems that interfere with any of these steps.

Infertility is not always a woman's problem. In only about one-third of cases is infertility due to the woman (female factors). In another one third of cases, infertility is due to the man (male factors). The remaining cases are caused by a mixture of male and female factors or by unknown factors.

Problems with ovulation account for most cases of infertility in women. Without ovulation, there are no eggs to be fertilized. Some signs that a woman is not ovulating normally include Irregular or Absent Menstrual Periods. Less common causes of fertility problems in women include: Blocked Fallopian Tubes due to Pelvic Inflammatory Disease, Endometriosis, or Surgery for an Ectopic Pregnancy, Physical problems with the Uterus, Uterine Fibroids.

Many things can affect a woman's ability to have a baby.

These include: Age, Stress, Poor Diet, Athletic Training, Being Overweight or Underweight, Tobacco Smoking, Alcohol, Sexually Transmitted Diseases (STDs), Health Problems that cause hormonal changes.

Aging (usually after 35 years) decreases a woman's chances of having a baby in the following ways: The ability of a woman's ovaries to release eggs ready for fertilization declines with age; The health of a woman's eggs declines with age; As a woman ages she is more likely to have health problems that can interfere with fertility; As a women ages, her risk of having a miscarriage increases.

Doctors can find the cause of a couple's infertility by doing a complete fertility evaluation. This process usually begins with physical exams and health and sexual histories. If there are no obvious problems, like poorly timed intercourse or absence of ovulation, tests will be needed.

Finding the cause of infertility is often a long, complex and emotional process. For a man, usually semen Analysis is done to look at the number, shape, and movement of the sperm. Sometimes testing the level of a man's hormones will also be beneficial.

For a woman, the first step in testing is to find out if she is ovulating each month. Doctors can also check if a woman is ovulating by doing Blood Tests and an Ultrasound of the ovaries.

Evaluation of the female for infertility

The strategy for female infertility evaluation has evolved into an efficient, cost- effective investigation that can usually be performed during two menstrual cycles. Invasive procedures such as hysterosalpingogram and laparoscopy are scheduled during the proliferative phase of the cycle to avoid the risk of a procedure during a concomitant pregnancy.

The investigation assesses two main areas – those of ovulation and pelvic viscera normality. Ovulation is assessed first because it is less invasive and does not have the potential for morbidity that can be associated with assessment of uterine, ovarian and tubal normality.

EVALUATION IN FEMALE FACTOR INFERTILITY::

Detailed history
Complete physical examination
Tests to evaluate:A) Ovarian function B) Tubal patency C) Uterus

The cause of female infertility can be difficult to diagnose, but many treatments are available. Treatment isn't always necessary: Half of all infertile couples will go on to conceive a child spontaneously within the next 24 months.

Uncovere a wealth of valuable information that can significantly increase a couple's chances of pregnancy through IVF.

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