Infertility In Female
1) Infertility In Female
Infertility is defined as inability to conceive in a couple having unprotected intercourse for over one year. 
Being born a human is blessing, and able to reproduce is double blessing. In our society to a woman, unable to bear a child is an unbearable suffering. And suffering knows no barrier, no caste or creed no religion or region, that is living suffering, the suffering of human race. Without children, loss of fertility may the loss of women's hope for future. Infertility/childlessness causes, great personal suffering and distress. Most of the agony and misery is hidden from the public gaze, and that is why this topic is still not talked about openly. The reasons for the lack of public support for the childless couple include the dismal ignorance about the causes of infertility and its treatment. Infertile couples are socially isolated and emotionally very vulnerable. More and more couple is showing up at fertility clinics these days, searching for answers, hope and eventual parenthood. All most all the couples expect to have their own babies, once they get married.
But getting pregnant is like a game of odds, or game of luck. It is impossible to predict when an individual couple will succeed in achieving pregnancy. There are many reasons for this, including the fact that some eggs do not fertilize and some of the fertilized eggs do not grow well in the early developmental stage. However over a period of one year the chance of achieving a successful pregnancy is between 80% and 90% in other words. 7 out of 8 couples will be on their way to becoming parents within a year. These are the normal "fertile" couples and the rest are labeled as "infertile". Couples who have never had a child are said to have "primary infertility", those women who have become pregnant at least once, but are unable to conceive again said to have "secondary infertility" Dr.SARANSH JAIN describes that the chances of achieving pregnancy for a couple in a given cycle will be depend upon many factors, Research today shows that 40% infertility emanates directly from the man. 
The commonest reason for this, is what modern medicine/allopathic calls "idiopathic" which simply means we do not know. In allopathic this is one on the reasons why the diagnosis of male infertility is so frustrating for both patients and doctors of modern medicines. In modern medicine medical treatment for male infertility does not have a high success rate and has unpleasant side effects. This simply reflects the modern doctor's ignorance about male infertility. They know very little about what causes it, and their knowledge about how to treat it is even more pitiable. Unexplained infertility simply means the doctors do not know why the couple is infertile. It is a confession of ignorance of modern medicine. 
But the time tested, age-old traditional medical system 'Ayurved' has evolved very effective treatment for infertility in male & female. Dr.S.K.Jain’s Burlington Clinic (P) Ltd Lucknow with his elaborate research and wonderful results came up with a very effective Ayurvedic treatment for infertility. Dr.S.K.Jain’s Burlington Clinic (P) Ltd Lucknow treatment consists of rare rasayanas, bhasmas golden Bhasmas, silver Bhasmas, pearl & ancient Herbo-mineral combinations. It was proven effective in India & abroad in innumerable cases. This treatment is prescribed according to the individual requirements after careful analaization of every condition of each patient. For the last 15 years, lots of people were treated with 100% positive results, not only in India but also all over the globe. According to Prof. (DR.) SARANSH  JAIN, on the onset of the new millennium, the modern medicine is losing relevance, and Ayurved medicine is the only hope for the childless couple. 
Even though you may be embarrassed and feel that you are the only ones in the world facing this problem, you should not forget that you are not alone. Many couple experience infertility and many can be helped. it is a universal truth that Ayurved treatment with its long years of existence & enlargement has potential cures & remedies to cure incurable disease Dr.S.K.Jain’s Burlington Clinic (P) Ltd steps in here to fill in the void, to cure the incurable through "ayurved" – an unique system of medicine, recognized worldwide. our Ayurvedic treatment stands apart from other system of medicines because of its enlargement, way of approach & the well developed treatment methods. Our cure is a course of treatment consists of rare Bhasmas, Rasayans golden Bhasmas, silver Bhasmas,pearl & ancient Herbo-mineral combinations. It was proven effective in India & abroad in innumerable cases
2) 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.
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. Commonly recommended treatments include ovulation induction, injectable ovulation induction, intrauterine insemination (IUI), in vitro fertilization (IVF) and reproductive surgery. By correction of these disorders good egg formation occurs & leads to conception in three to six months time. 
Ovulation Induction
Ovulation Induction is used for patients with ovulatory dysfunction. The first line of treatment may include oral medications, such as Metrformin or Clomiphene citrate. Other diagnoses may necessitate the need for injectable medication called gonadotropins. These may include Follicle Stimulating Hormone (FSH), Leutinising Hormone (LH), human Chorionic Gonadotropin (hCG) or combination of all of these. Both types of medications stimulated the ovaries to produce one or more eggs. Frequent monitoring is usually necessary to manage the effects of the medication. Monitoring includes ultrasound of the ovaries to measure follicle growth/egg development and the thickness of the uterine lining and Hormone Blood Tests.
Super ovulation
Super ovulation is frequently used for patients with unexplained infertility; for those who had unsuccessful surgical treatment for mild endometriosis or for patients with a mild male infertility factor. In fact, super ovulation is recommended following the patient's infertility workup but before in initial laparoscopy to avoid the surgery completely. The objective of super ovulation is to stimulate the production of 2-5 oocytes (eggs), giving the sperm more 'targets' to fertile. Treatment includes Clomiphene citrate tablets or the synthetic FSH. This egg stimulation process is monitored with frequent vaginal ultrasounds and Hormone Blood testing. When the follicles (which house the eggs) are large enough, hCG is injected to trigger ovulation. Super ovulation is combined with IUI for better results.
2) Intrauterine Insemination: it is done for any defect in female vagino-cervical canal, or for a defect in male sperm count or motility. For this semen wash done & healthy motile sperms are taken & then they are injected directly in uterus leading to good pregnancy rate. IUI allows the placement of millions of sperm directly into the uterine cavity at the time of ovulation. The sperm are 'washed' with special solutions to remove the semen and to concentrate the sperm. There is a greater chance of pregnancy when the sperm are closer to the eggs with the IUI.
Therapeutic Donor Insemination (TDI) 
TDI involves timed insemination from an anonymous or a known donor. It is recommended to use frozen semen to prevent sexually transmitted disease by the Food Drug Administration (FDA), USA and the Centers for 
3) In Vitro Fertilization: Test tube baby procedure is adopted for various male & female causes of infertility.
4) ICSI - (Inracytoplasmic Sperm Injection): In this procedure single sperm is injected into a single eggs with the help of microinjector so that one achieves good fertilized egg & later normal baby even with single egg. The single sperm are picked and injected into the eggs using specially designed microscopes, micro needles and micromanipulation equipment. The eggs are checked then for evidence of normal fertilization. Fertilization rates for ICSI are very good. In various IVF programs the success rate foe for pregnancy are about 60-85%.
5) Gamete/Zygote Intra-fallopian Transfer
Gamete intra-fallopian transfer (GIFT) and zygote intra-fallopian transfer (ZIFT) are adaptations of IVF. GIFT and ZIFT are used in unexplained female infertility and in mild male infertility.
6) Blastocyst Transfer
7) Assisted Hatching (AH)
8) Artificial Insemination of Sperm from semen bank .This facility is not very costly with good success rate.
9) Reproductive Surgery
Surgery for fertility problems includes operative laparoscopy and/or hysteroscopy. Laparpscopy is performed to diagnose and treat endometriosis, adhesions and tubal problems. Hysteroscopic procedures are used to diagnose and treat intrauterine problems such as polyps, fibroids, adhesions and uterine septums. At times, both these surgeries may be required. 
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