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2020-10-23T05:09:52

Genetic issues affecting conception Genetic problems generally relate to chromosomal abnormalities and single gene issues. These often cause embryo implantation failure and pregnancy loss, as well as possibly resulting in birth defects when a child is born with a chromosomal or single gene defect. Chromosomal disorders can relate to one or more of an embryo’s chromosome pairs containing either one too many or one too few chromosomes. When the chromosome is not paired correctly, it is called aneuploidy. A chromosome may also have an abnormal structure. Both kinds of chromosome problems can be present in the female egg and/or the male sperm. Single gene defects result from the embryo inheriting a genetic flaw from one or both parents. The gene could be one that results in cystic fibrosis or muscular dystrophy in birth. These single-gene defects can also cause embryo implantation failure or pregnancy loss. Genetic issues often can be identified through preimplantation genetic screening, two types of embryo evaluation during IVF that can identify either form of genetic issues. Unexplained infertility Unexplained infertility is the diagnosis that fertility specialists give an individual or couple when fertility tests can not confirm a definitive cause for infertility. Unexplained infertility does not mean that there is not a cause for infertility; it simply means that the tests and examinations are not able to detect the reason an individual or couple is struggling to conceive. Unexplained infertility is the diagnosis in about 10-15% of infertility cases. When is unexplained infertility the diagnosis? Individuals and couples will receive an unexplained infertility diagnosis when the following conditions exist. The woman is ovulating regularly and has an appropriate ovarian reserve (antral follicle count). The female or female partner has at least one open fallopian tube (evaluated using a hysterosalpingogram). The male or male partner’s semen analysis is normal (including sperm count, shape and movement). Exams of the individual or of both partners did not result in the diagnosis of conditions or structural abnormalities that can cause infertility, such as uterine fibroids in women or varicoceles in men. Unexplained infertility treatment The inability to pin down a diagnosis with current fertility testing technology does not mean that a couple cannot get pregnant. In some cases, simple lifestyle changes or weight loss can improve the chances of pregnancy. Fertility treatments such as fertility medications combined with IUI (intrauterine insemination) or in vitro fertilization (IVF) can dramatically improve the chances of pregnancy for those struggling with unexplained infertility. Best Fertiltiy Care Centre , Maternal & Child Health Care Centre , Advanced Fertility Care Centre , Ashwini Hospital Moondrumavadi K.Pudur Madurai -07

2020-10-21T08:04:02

Damage to fallopian tubes (tubal infertility) Damaged or blocked fallopian tubes keep sperm from getting to the egg or block the passage of the fertilized egg into the uterus. Causes of fallopian tube damage or blockage can include: Pelvic inflammatory disease, an infection of the uterus and fallopian tubes due to chlamydia, gonorrhea or other sexually transmitted infections Previous surgery in the abdomen or pelvis, including surgery for ectopic pregnancy, in which a fertilized egg implants and develops in a fallopian tube instead of the uterus Pelvic tuberculosis, a major cause of tubal infertility worldwide, Best Fertility Care Centre , Maternal & Child Health Care Centre , Ashwini Hospital Moondrumavadi K.Pudur Madurai -07 , Advanced Fertility Care Centre.

2020-10-15T04:35:40

Causes Female reproductive organs Each of these factors is essential to become pregnant: You need to ovulate. To get pregnant, your ovaries must produce and release an egg, a process known as ovulation. Your doctor can help evaluate your menstrual cycles and confirm ovulation. Your partner needs sperm. For most couples, this isn't a problem unless your partner has a history of illness or surgery. Your doctor can run some simple tests to evaluate the health of your partner's sperm. You need to have regular intercourse. You need to have regular sexual intercourse during your fertile time. Your doctor can help you better understand when you're most fertile. You need to have open fallopian tubes and a normal uterus. The egg and sperm meet in the fallopian tubes, and the embryo needs a healthy uterus in which to grow. For pregnancy to occur, every step of the human reproduction process has to happen correctly. The steps in this process are: One of the two ovaries releases a mature egg. The egg is picked up by the fallopian tube. Sperm swim up the cervix, through the uterus and into the fallopian tube to reach the egg for fertilization. The fertilized egg travels down the fallopian tube to the uterus. The fertilized egg implants and grows in the uterus. In women, a number of factors can disrupt this process at any step. Female infertility is caused by one or more of the factors below. Ovulation disorders Ovulation disorders, meaning you ovulate infrequently or not at all, account for infertility in about 1 in 4 infertile couples. Problems with the regulation of reproductive hormones by the hypothalamus or the pituitary gland, or problems in the ovary, can cause ovulation disorders. Polycystic ovary syndrome (PCOS). PCOS causes a hormone imbalance, which affects ovulation. PCOS is associated with insulin resistance and obesity, abnormal hair growth on the face or body, and acne. It's the most common cause of female infertility. Hypothalamic dysfunction. Two hormones produced by the pituitary gland are responsible for stimulating ovulation each month — follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Excess physical or emotional stress, a very high or very low body weight, or a recent substantial weight gain or loss can disrupt production of these hormones and affect ovulation. Irregular or absent periods are the most common signs. Premature ovarian failure. Also called primary ovarian insufficiency, this disorder is usually caused by an autoimmune response or by premature loss of eggs from your ovary (possibly from genetics or chemotherapy). The ovary no longer produces eggs, and it lowers estrogen production in women under the age of 40. Too much prolactin. The pituitary gland may cause excess production of prolactin (hyperprolactinemia), which reduces estrogen production and may cause infertility. Usually related to a pituitary gland problem, this can also be caused by medications you're taking for another disease. Best Fertility Care Centre , Advanced Fertility Care Centre , Maternal & Child Health Care Centre, Ashwini Hospital & Fertility Centre Moondrumavadi , K.Pudur Madurai -07

2020-10-13T06:00:41

Lifestyle issues affecting conception: Lifestyle issues that impede fertility are factors that one can often change by choices and behaviors. As such, we encourage people having troubling getting pregnant to try these changes first, if they are applicable. Most of the lifestyle issues can affect both men and women. Weight. This is one of the primary lifestyle issues that can cause infertility in both men and women. Women who are obese or overweight may experience problems with ovulation, which reduces the effectiveness of in vitro fertilization (IFV). In men, obesity can harm sperm production. While consistent exercise is important to a healthy weight, women who are trying to get pregnant should avoid excessively strenuous workouts. Diet. Without proper nutrients, a woman’s body doesn’t perform tasks efficiently, including reproduction. In particular, women should limit caffeine intake. Poor nutrition can also limit sperm production in men. STDs. Sexually transmitted diseases (STDs) can cause infertility in women, and some STDs can block delivery of sperm in men. Safe sex with a limited number of partners is the best way to prevent infection. Stress. This can disrupt hormone activity in women that regulates ovulation and can cause similar hormonal issues in men that inhibits healthy sperm. Alcohol. Men should limit consumption, and women trying to get pregnant should avoid drinking altogether. Illicit drug use. This can cause varied reproductive related problems in both sexes. Exposure to toxins. Whether through work, outdoor activities or unhealthy indoor environments, chemicals, pesticides and other toxins can alter the hormonal balance in men and women, affecting fertility. Temperature. Men should avoid things that raise the temperature of their scrotum, such as a laptop computer placed there. Age. While not an adjustable factor, age is also a major influence in infertility, affecting females more dramatically than males. Men generally experience infertility issues later in life due to injury or illness. Best Fertility Care Centre , Ashwini Hospital & Fertility Centre Moondrumavadi Madurai -07 , Maternal & Child Health Care , Advanced Fertility Care Centre.

2020-10-12T05:31:41

Men: Male infertility can be treated in a variety of ways, depending on the cause. Treatment options for men can include surgery, medication, and assisted reproductive technology (ART). Surgery can fix obstructions that are preventing sperm from being present in the ejaculate. It can also correct conditions such as varicocele. In some cases, sperm can be retrieved directly from the testicles after which it can be used in ART treatments. Medications can be used to treat issues such as hormonal imbalances. They can also be used to treat other conditions that can affect male fertility, such as ED or infections that affect sperm count. ART refers to treatments in which eggs and sperm are handled outside of the body. It can include treatments such as in vitro fertilization (IVF) and intracytoplasmic sperm injection. Sperm for ART treatments can be received from ejaculate, extraction from the testicles, or a donor. Women The treatment for female infertility can also involve surgery, medication, and reproductive assistance such as ART. Sometimes several types of treatment are needed to help address female infertility. Although surgery can sometimes be used to treat female infertility, it has become rarer now due to advancements in other fertility treatments. Surgery can improve fertility by: correcting an abnormally shaped uterus unblocking fallopian tubes removing fibroids Reproductive assistance can involve methods such as intrauterine insemination (IUI) and ART. During IUI, millions of sperm are injected into a woman’s uterus near the time of ovulation. IVF is one type of ART and involves the removal of eggs that are then fertilized with a man’s sperm in a laboratory. After fertilization, the embryo is placed back into the uterus. The medications used to treat female infertility work like hormones that are naturally present in the body to either encourage or regulate ovulation. Best Fertility Care Centre , Maternal & Child Healthcare Centre , Ashwini Hospital & Fertility Centre Moondrumavadi Madurai -07 , Advanced Fertility Care Centre .

2020-10-10T06:42:40

Varicocele — This condition of dilated scrotal veins affects one or both testicles. These dilated, varicose veins are quite common in fertile as well as infertile men. This condition can raise the temperature in the testicles and alter sperm production, causing low sperm counts. Because varicoceles do not always explain a couple's infertility, a urologist will consider all the possible causes of infertility to evaluate whether corrective surgery has a reasonable chance of success. Prostatitis — Another potential cause of male infertility, prostatitis is an infection in the prostate gland. Symptoms range from none to urgency, painful urination, and pain during or after ejaculation, with or without pain in the prostate. Prostatitis can usually be diagnosed though a physical examination and lab tests, and may be require treatment with antibiotics. Best Fertility Care Centre , Maternal & Child Health Care Centre, Ashwini Hospital & Fertility Care Centre Moondrumavadi Iyerbungalow Road Madurai -07.Advanced Fertility Care Centre .

2020-10-02T06:04:12

Endometriosis — This condition affects a woman's pelvic cavity, where tissue fragments from the innermost lining of the uterus (the endometrium) grow and function outside the uterus. They are one of the causes of painful menstruation and infertility. These displaced pieces of tissue are not shed vaginally with normal menstrual blood but instead accumulate inside the pelvis on the surface of pelvic organs. If they cause scar tissue on the ovaries or at the ends of the fallopian tubes, the scar tissue can block the tubes and prevent the egg and sperm from meeting inside the tubes for fertilization. In some instances, endometriosis can be surgically removed. Drugs can reduce discomfort related to endometriosis but are less successful at improving fertility Best Fertility Care Centre , Maternal & Child Health Care Centre , Advanced Fertility Care Centre , Ashwini Hospital & Fertility Centre Moondrumavadi K.Pudur Madurai-07

2020-09-29T06:30:35

When to see a doctor You probably don't need to see a doctor about infertility unless you have been trying regularly to get pregnant for at least one year. Women should talk with a doctor earlier, however, if they: Are age 35 or older and have been trying to conceive for six months or longer Are over age 40 Have irregular or absent periods Have very painful periods Have known fertility problems Have been diagnosed with endometriosis or pelvic inflammatory disease Have had multiple miscarriages Have undergone treatment for cancer Men should talk to a doctor if they have: A low sperm count or other problems with sperm A history of testicular, prostate or sexual problems Undergone treatment for cancer Small testicles or swelling in the scrotum Others in your family with infertility problems Best Fertility Care Centre , Maternal & Child Health Care Centre , Advanced Fertility Care Centre , Ashwini Hospital & Fertilty Centre Moondrumavadi Madurai -07 .

2020-09-09T07:43:37

Testing and Treatment: The first few days of your monthly cycle is the best time to schedule your first visit to a fertility doctor, so you can start trying to get pregnant right away. Bring along all your medical records, or ask your previous doctor to send them directly to the reproductive endocrinologist. Also, you should make a list of any questions that you'd like to discuss during this initial consultation — such as the doctor's success rate in inducing pregnancy. Be sure to also bring basal temperature or other ovulation charts you've been recording at home. You will also want to ask about the cost of fertility treatment, which can be very expensive. You will need to determine which of them, if any, is covered by your insurance plan. Coverage varies widely, and the degree to which you are reimbursed may depend on exactly what condition the doctor diagnoses as the reason for your or your partner's infertility. Some of the tests the doctor may want include: A sperm count and analysis to evaluate whether your partner is releasing enough live, normally shaped, fast-moving sperm to make fatherhood possible. Complete blood count and screening of both partners for blood type, HIV and hepatitis viruses, as well as immunity to German measles, and to assess functioning of organs, such as the thyroid gland. Hormone screening tests to find out if your body is producing normal levels of the various fertility hormones at the right time in your cycle; your partner may also be tested to see if he has normal levels of male hormones. Bacterial cultures of your cervix to check for gonorrhea, chlamydia and other infections that could impair fertility. Cervical mucus tests, which are done on the day you're most likely to have "fertile mucus, " and a postcoital test (conducted after you and your partner have had sex) to see if the sperm are alive and can swim freely in your cervical mucus. Ultrasound exams, also done in mid-cycle, to evaluate your uterus (and its lining) and the ovaries, check for fibroid tumors and monitor egg development. X-ray studies of your uterus and tubes to determine whether there is an anatomical impairment is preventing you from conceiving. Laparoscopy, a surgical procedure in which a small fiberoptic telescope is inserted into the pelvic cavity through very small incisions, may be recommended if less invasive tests do not determine the cause of infertility. If these or other tests indicate one or both of you has a fertility problem, there are many treatments that might make pregnancy possible. Here's a brief guide to some of the more common ones: Best Fertility Care Centre , Maternal & Child Health Care Centre, Advanced Fertility Care Centre, Ashwini Hospital & Fertility Centre , Moonvdrumavadi , K.Pudur , Madurai -07

2020-09-03T07:18:23

Fertility tests the doctor may want include: A sperm count and analysis to evaluate whether your partner is releasing enough live, normally shaped, fast-moving sperm to make fatherhood possible. Complete blood count and screening of both partners for blood type, HIV and hepatitis viruses, as well as immunity to German measles, and to assess functioning of organs, such as the thyroid gland. Hormone screening tests to find out if your body is producing normal levels of the various fertility hormones at the right time in your cycle; your partner may also be tested to see if he has normal levels of male hormones. Bacterial cultures of your cervix to check for gonorrhea, chlamydia and other infections that could impair fertility. Cervical mucus tests, which are done on the day you're most likely to have "fertile mucus, " and a postcoital test (conducted after you and your partner have had sex) to see if the sperm are alive and can swim freely in your cervical mucus. Ultrasound exams, also done in mid-cycle, to evaluate your uterus (and its lining) and the ovaries, check for fibroid tumors and monitor egg development. X-ray studies of your uterus and tubes to determine whether there is an anatomical impairment is preventing you from conceiving. Laparoscopy, a surgical procedure in which a small fiberoptic telescope is inserted into the pelvic cavity through very small incisions, may be recommended if less invasive tests do not determine the cause of infertility. If these or other tests indicate one or both of you has a fertility problem, there are many treatments that might make pregnancy possible Best Fertility Care Centre , Maternal & Child Health Care Centre , Ashwini Hospital & Fertility Centre Moondrumavadi Madurai -07 .Advanced Fertility Care Centre.

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