Category Archives: Female Infertility

Female Infertility Tests

Difficulty conceiving can cause anxiety, anger even depression. But don’t rush into expensive infertility treatments. Firstly you need to determine whether you are really infertile and what are the causes of that. For this purpose a physician can use various methods including ultrasound, hysteroscopy, hormone, postcoital testing, and so on. Below you will find detailed […]

3 Steps to Fertility

If you have been unsuccessful in conceiving a baby it is difficult to know where to start. This is the problem that researches for many years. There has been an enormous amount of literature written on the field of infertility. Even TV documentaries and chat shows are featuring women telling their heartfelt story as people are becoming more aware of the rise of infertility cases.

When collating the research, it became apparent that it fell naturally into three straightforward steps. Following these steps will give you a greater insight into infertility, how to approach your situation and what to do next to help you get closer to your dream of having a baby.

There are three simple steps. They are:

  1 Step. Gain a full understanding of the male and female body, the cycles involved in conception and the reasons for infertility.

Anyone having problems conceiving should have a better understanding than most about the reproductive cycle and how the body works so they can look at ways to increase their chance of getting pregnant.

  2 Step. Find out what the problem is by completing the necessary fertility tests at the appropriate time.

Fertility testing is a minefield. Firstly your doctor or gynaecologist will start examining both you and your partner. For mostly this stage can be humiliating, scary and daunting. Fertility testing starts with the least invasive tests such as hormone analysis. It includes a blood test and semen analysis. Generally doctor tries to discover why you have not become pregnant yet. From your perspective you will feel so much more at ease knowing what the fertility tests entail and what they diagnose. You should became an expert in understanding the process of fertility testing so stress levels are kept low and you are in a better position to move onto step 3.

  3 Steps. Choose the conventional or complementary treatment that will improve your chances of having a baby.

The last and most important step is to find a treatment that will maximize your chances of conception. In nowadays there is a diverse range of fertility treatment available to help couples having problems conceiving. Research has shown that in addition to conventional methods complementary treatments including those based around nutrition, reflexology, herbal medicine, acupuncture and even hypnotherapy can contribute to getting you pregnant.

By following these three steps there are no guarantees that you will conceive a baby but you will be more open to all treatments and be better informed to progress on your journey.

Endometriosis Treatments

Despite the fact that the cause of endometriosis remains unknown, doctors have developed effective enough treatment to help women suffering from endometriosis. But there is no medical evidence that one type of endometriosis treatment prevails over others.

The choice of a treatment depends on the individual womans needs, her symptoms, age, and her fertility wishes. She should discuss all these points with her physician so that they together determine duration and the most suitable for her needs type of the treatment plan. Usually it means combination of more than one treatment over longer periods of time.

Pain Relief
The most common presentation of endometriosis in many women is pain. Physicians may prescribe such pain killers as:
• simple analgesics (such as aspirin and paracetamol),
• compound analgesics (which are a combination of either aspirin or paracetamol and a mild narcotic such as codeine)
• narcotic analgesics (similar to morphine),
• non-steroidal anti-inflammatory drugs (such as nurofen, ponstan, voltaren, etc).

Hormonal Treatments
As it was proved by many researches oestrogen complicates symptoms of endometriosis. Hormonal treatments are called to regulate oestrogen production in a womans body and relieve her symptoms in that way.

Hormonal therapy may include birth control pills, progestins, a class of drugs known as GnRH-agonists, and danazol (though this is seldom used any more).
The combined oral contraceptive pills
– Progestins
– Mirena
– GnRH-agonists
– Danazol
– Aromatase inhibitors [still somewhat experimental]

Unfortunately hormonal therapies have different side effects, and achieved pain relief tends to be only temporary for many girls and women.

Surgery
As many doctors say laparoscopic surgery is the only conclusive way to diagnose endometriosis. It has additional advantage as the disease can be diagnosed and treated in the same procedure. The skill of the surgeon and the carefulness of the surgery play crucial role in the success of surgery. If all endometriosis lesions, cysts, and adhesions have been removed there are a lot of chances to get rid of the disease.
Modern endometriosis surgery is performed through the laparoscope. Nevertheless in rare cases for extensive disease or bowel resections surgeons apply a full abdominal incision called a laparotomy.
Unfortunately even such extreme surgery as hysterectomy doesnt guarantee complete recovery. Endometriosis can recur even after a hysterectomy.

Causes of Female Infertility

In opinion of 3000 polled women, which had to appeal for help in the treatment of infertility, it was related to the fact, that some young pairs didn’t want to have child on the moment they got married. And some married couples simply did not succeed to become pregnant.
The point is in the next: the longer the infertility takes place, the less changes you have to determine the reasons. After the appeal of the married couples on an occasion of treatment in the age less than 30 years each year is valued by weight of gold.

As a rule, a pair examined on infertility after 3-4 years of unsuccessful home treatment of infertility, after 2 months women squandered time on afterexamination of infertility and correction of failings – here is the lost time.

Except for the supposed reason of infertility, doctors interest wheather the infertility primary or secondary.
If a woman had never been pregnant, we talk about primary infertility. If there was though one pregnancy, subsequent infertility is considered to be the secondary one, regardless of how the pregnancy resulted – by birth, abortion.

Unfortunately, one of principal reasons of the secondary infertility is the first abortion, and abortion during the childbirth. The unprepared sexual system of young woman reacts on this interference more sharply, than after childbirth, and that is why there are inflammations of appendages or uterus, obstruction of salpinxs, change of endometry.

What are the reasons of female infertility?
1. Problems with ovulation
If menstrual cycle is less than 21days or more than 35 days, you have the risk, that an ovule does not ripen or unviable.
Thus, almost in the half of cases of ovulation absence, the reason is that ovaries do not produce mature follicles, from which ovules would then develop. Ovulation is impossible, mature ovules fail to appear, there is nothing to impregnate for spermatosoid. It is the most widespread reason of female infertility.

2. Dysfunction of ovaries
 The dysfunction of ovaries in 20 % cases is investigation of violations of hormones production in the system of hypothalamus-hypophysis. If activity of this system is broken, ovaries do not receive the proper signals that are why the rhythmic of hormones is violated. Accordingly, ripening of follicle is violated; ovule either does not ripen in general or unviable. Dysfunction of the hypothalamus-hypophysis system can happen as a result of trauma, from a tumour, at chemical violations in a hypophysis.

Endometriosis: what is it?

Endometriosis affected 5.5 million women and girls in North America alone and is common a cause of female infertility. Certainly not every case of endometriosis causes fertility problems, but women with the disease are more inclined to have problems with fertilization. Besides it is a progressive disease that gets worse over time and can reoccur […]

Cervical Cancer and Infertility

Cervical cancer does not usually mean that you will become infertility. But the possibility is extremely high. The enforced, involuntary removal of the womb is a very final act beyond which there is no going back. It may even feel as though one’s womanhood is being stolen. Many women find that if they allow themselves to grieve, as for the death of a loved one, it helps them to make sense of the loss and to integrate the experience into their sense of self.

Some pre-cancer treatments can untoward affect your fertility, as the cone biopsy for example. There is a small chance that the cervix can close very tightly after a cone biopsy procedure. And it will be so tightly that sperm isn’t able to enter it. It is known as cervical stenosis. Women who have had cone biopsies are also more likely to give birth before 37 weeks. The increased risk of early birth is because the cone biopsy weakens the cervix, which is really a muscle that keeps the entrance to the womb closed. In that way if the cervix has been weakened, the weight of the baby pressing down on the cervix may cause it to open too soon and induce labour.

LLETZ stands for large loop excision of the transformation zone. And it has coarsely the same effects as cone biopsies such as: low birth weight, early birth and increased caesarian sections. In a review it was revealed that the amount of cervical tissue removed had an impact on the risk of early birth. If the excision was more than 10mm deep then the risk for early birth increased. Laser therapy, cryotherapy and diathermy are unlikely to affect your fertility.

When you actually have cancer and have to go for treatment your chances of infertility are increased as the treatment becomes more aggressive and invasive. Chemotherapy causes infertility although for some people the effects are only temporary. The permanence of chemo’s infertility depends of many factors. But if you are still young and have your heart set on having children it may be possible to choose a chemotherapy that will least affect your fertility, but it also depends on the circumstances.

Radiotherapy can obviously lead to infertility and is more likely to be permanent. The risk is increased with the strength of the dose and the increased age of the patient. Body irradiation usually cause of permanent infertility.

Surgery to remove cancer does not generally affect fertility. But in the case of cervical cancer where it might be necessary to have the womb or ovaries removed, infertility is an inevitable consequence. Some types of surgery to the cervix, vagina and vulva also result in infertility.

Cervical cancer is not a death sentence. In fact it is one of the most curable cancers around. For many women it does mean the end of life, or the end of progeny. For many women this in itself is a death sentence. They need support and love to help them through this very difficult time and to enable them to see that they still have so much to offer the world.

Secondary Infertility

From medical point of view this diagnosis is applicable to the pair which after 12 months of unprotected sex was not able to conceive child. In addition, specialists plug in this circle women with chronic abortions. Surprisingly, but this true – about fourth from the common amount of pair treating oneself from infertility, are parents which already have one child. At some from them there were problems and with the first conception, but majority ran into this problem only then, when wanted to have the second child. That the favourable first conception is not guaranteed of successful pregnancy in the future.

In addition, people running into the second infertility are less inclined to come running to the medical help, than those, whoever can conceive initially. On occasion they simply renounce to believe in existence of similar problem! They consider that it is needed only to give up some harmful habits, to take off stress – and will all turn out! And although these measures can fix a health on the whole, they will not decide the problem of infertility. Little that, even some doctors advise such pair to wait and make attempt more and more, not explaining that such approach only aggravates the untreated problem, often converting her into incurable.

What is the reason of the second infertility? Often women fertility depends on age. The most «fertile» age for women is a period from 15 to 30 years. Some slump of fertility begins in 30 years, and after 35 years fertility sharply goes down at most women, thus almost 25 % women in general become sterile. Many women do not realize this danger, putting aside birth of the second and even the first child to 30-35 years. One of reasons of it in that at the years in ovaries women begin to take place chromosomal changes resulting in infertility and diseases, and also to the risk of birth of inferior child. Many researches show also, that abortions at women after 35 years take place in 2 times more frequent, than at more young women. Although in a great deal it also depends on the health of woman and pregnancies and abortions present in anamnesis.

The second infertility can be caused by other factors:
• Violation of hormonal balance and other endocrine problems. Most often hyperfunction of thyroid conduces to the second infertility (thyrotoxicosis). At the enhanceable products of hormones of thyroid the products of making of hormones of hypophysis are repressed, hormones straight influencing on making by the womanish chaff of sphere, a menstrual cycle is violated, the risk of origin of endometryoza, hysteromyoma, syndrome of polykystoznykh ovaries appears, that straight influences on pregnancy, and similarly on ability to take away a healthy fruit.

Hypofunction of thyroid (thyroprivia) conduces to the enhanceable products of hormones of hypophysis, that in the turn, repressing operates on making of hormones of ovaries, violating the normal processes of impregnation and maturing of pregnancy. The treatment directed on normalization of functions of thyroid conduces to the offensive of long-awaited pregnancy. However, taking of some preparations (especially hormonal), can negatively infkuence on the health of mother and future child.

Symptoms of Endometriosis

For many women, but not everyone, the pain of endometriosis can unfortunately be so severe and debilitating that it impacts on her life significant ways.
Pain is the most common symptom of endometriosis. The pain can be in the abdomen, lower back, and pelvis and usually associates with menstrual cycle. Besides the severity of pain does not depend on endometriosis stage and size. The pain can even influence womens life.

Pain may be felt:
• before/during/after menstruation
• during ovulation
• in the bowel during menstruation
• when passing urine
• during or after sexual intercourse
• in the lower back region
• intestinal
Other symptoms of endometriosis include:
• heavy and/or long menstrual periods
• spotting or bleeding between periods
• infertility
• fatigue
• diarrhoea or constipation (in particular in connection with menstruation)
• abdominal bloating (again, in connection with menstruation)

Are You at Risk?
In general, women with endometriosis are of 27-years-old on average, get their monthly period and have symptoms for two to five years before finding out they have the disease. Usually women who have gone through menopause rarely still have symptoms.

Your chances to get endometriosis are higher if you:
• began getting your period at an early age
• have heavy periods
• have periods that last more than seven days
• have a short monthly cycle (27 days or less)
• have a close relative (mother, aunt, sister) with endometriosis

You may try to reduce your chances of developing endometriosis if you:
• exercise regularly
• avoid alcohol and caffeine

Thyroid Disorders and Infertility

Ordinary when people talk about infertility, it is usually associated with fallopian tube, sperm motility and court. And not so often people think that problems with the thyroid gland can lead to infertility. The thyroid is among the largest endocrine glands of the body. Signs of a thyroid problem are visible when the secretion of […]

Blood Test

The procedure of a blood test is conducted in the following order:
1) The first thing you should do is to stop the flow of blood. It can be done putting an elastic band around your upper arm to make the veins below the band larger and make the inserting of a needle into the vein easier.
2) Disinfect the sharp part of the needle with alcohol.
3) Insert the needle into the vein. Needle stick should be more than one. Then you should touch with a tube to the needle to fill it with blood.
4) When you have enough blood, you should take away the band from your arm.
5) As soon as you take away the needle, put a gauze pad or cotton ball over the needle site.
6) Then you should use pressure to the site and then a bandage.
7) To the examination of women’s luteinizing hormone (LH) levels more than one blood sample is required.

Some blood samples may be taken during one day or one sample may be taken daily during some days.
When the doctor insert a needle, it can be hardly noticeable or you may feel a brief sting or pinch at the moment of the needle’s pinching the skin. A stinging pain at the moment of the needle being in the vein can be available among some people. No pain or little discomfort is the most common things when the needle is inserted in the vein.

There are very little complications of a progesterone test when blood is taken from a vein. A small bruise may occur at the puncture site. To avoid having a bruise, you should keep pressure on the site during some minutes after the withdrawal of the needle.
In rare cases you may observe the inflammation of the vein after the blood sample is taken. The medical term for such procedure is phlebitis and its treatment is a warm compress that is to be put some times every day.

Patients, who have continued bleeding disorders, should be concerned. There are some medicines such as aspirin, warfarin (Coumadin) and other blood-thinning medications, that can cause bleeding. You should inform your doctor before blood test about bleeding or clotting problems and blood-thinning medications, taken by you.