Infertility In Female
Infertility is defined as inability to conceive in a couple having unprotected intercourse for over one year. Difficulty in conceiving & inability to have child in female can be due to many of below mentioned hormone diseases & other causes as discussed below.
Causes of Infertility
common causes for infertility are
- Male Factor infertility
- Female Factor infertility
- infertility due to minor defects in both couple
Causes of Female Factor infertility:
Hormone Disorder: thyroid hormone disorder, high prolactin, Estradioal deficiency LH, FSH deficiency, Polycystic ovarian disease (PCOD), defective egg formation, decrease in progesterone hormone, Hypothalmic & pituitary disorder, excess of various male, Hyperprolactinemia, Anavulation/oligoanovulation, Chronic anovulation (polycystic ovary syndrome), Hypothalmic amenorrhea-anovulation, Pituitary disease (including hyperprolactinemia), Adrenal disease, Thyroid disease, Luteinized unruptured follicle syndrome, Ovarian failure, Gonadal dysgenesis
hormone in female.
Vaginal Causes : Excessive acidity, chronic vaginitis
Cervical Causes : Hormonal, Inadequate estrogen, Infection : Chalmydia trachomatis, Ureaplasma urealyticum, Anatomic :Destruction by cone biopsy or cauterization, Immunologic.
Uterine causes : Leiomyomas, Polyps, Intracterine synechiaq (Asherman syndrome), Chronic endometritis, Ureaplasms urealyticum, tuberculosis.
Tubal Causes : Infectious, Chlamydia trachomatis, Neissaria gonorrhoeae, Mycobacterium tuberculosis, streptococcus, anaerobes, Inflammatory salpingitis isthmica nodosa.
Congenital Abnormalities : Diethylsitilbestrol exposure, idiopathic.
Endometriosis: Mild, Moderate, Severe
Ovulatory Disorders : Luteal phase deficiency, Hypoprogesteronemia, Pelvic Adhesions : After intrauterine device use, Associated with pelvic inflammatory disease, Associated with appendicitis, Associated with other bowel disease, Idiopathic
Immunological disorders - eg. SLE.
Infections eg TORCH infections.
Metabolic Diseases : Diabetes
Investigations & Diagnosis : We need detailed history examination , blood tests as LH, FSH, Prolactin, Thyroid test, testosterone, free testosterone, androstenidione,17-hydroxyprogesterone, Dheas, SHBG, .
Antisperm antibodyn sometimes also required to know the cause of infertility in females.
TORCH IgM for infection screening
USG for follicular/ Ovulation study, hysterosalpingography for uterus & tube status & Laproscopy
Transvaginal follicular monitoring with color Doppler for egg development
Hysteroscopy for diagnosos & treatment of uterine cavity diseases.
Treatment:
Understanding of High Prolactin Induced Infertility by Modern Medicine fails to impress most patients. Only AYURVEDIC MEDICINES HAVE PERMANENT CURE FOR High Prolactin Induced Infertility .WE AT Dr.S.K.Jain’s Burlington Clinic (P) Ltd Lucknow in valueable guidance of Dr.Saransh Jain Have Permanent Cure.
After a diagnosis of infertility, the best treatment plan based on the specific requirement is selected. Many times a combination of fertility treatments is necessary to achieve pregnancy. By correction of these disorders good egg formation occurs & leads to conception in three to six months time.