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Clyde Santos

Female Infertility - An Overview - 0 views

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started by Clyde Santos on 02 May 12
  • Clyde Santos
    #1 Clyde Santos on 02 May 12
     
    What is Female Infertility?

    The inability to conceive a child after at least one year of attempting is known as infertility. Due to certain reasons and factors, such as tubal disease, advanced mother's age, pelvic endometriosis, ovarian disorder and male infertility, a lady fails to become pregnant. According to the current data, about 20 percent of couples situated in US have to face infertility problems. In addition, getting treatments for improving fertility is a costly affair and may be really demoralizing.

    Causes and Factors

    There is a broad range of problems that will cause infertility. Male infertility accounts for 30% of cases. The diagnosis and treatment of male infertility will be based upon the results of individualized history in the patient, combined with the results of a semen analysis. A semen analysis, is a test in which the male sperm is researched for count, motility, morphology, and forward progression. If any of these parameters are abnormal, it can lead to inability to fertilize this egg. Depending upon the severity of these abnormalities, treatments range from intrauterine insemination in which the sperm is washed and placed in a concentrated amount up into the uterus, or intracytoplasmic sperm injection, in which the female partner undergoes ovarian hyperstimulation, an egg retrieval, then the sperm are individually placed into or injected in the egg to better stimulate fertilization to happen. Both of these treatments are generally very successful for solving the case of male infertility.

    Female infertility is a bit more complicated because web site of issues that can cause this condition. The major reason for female infertility is usually ovarian dysfunction, either due to aging or anovulation. Over the past decades, women have been waiting much longer to reproduce even though the timing of the biological clock haven't changed. This leads to issues of egg quality, which make it more difficult to conceive and also trickier to complete a successful pregnancy. As the occurrence, of obesity increases in the U. S., we have seen a rise in may be cases of polycystic ovarian issue. This is a metabolic disorder, which causes abnormalities in the hormonal milieu which give rise to the inability of the feminine patient to produce an egg on the timely monthly basis. The eggs that these women will produce are often of low quality and can cause a greater risk of miscarriage to boot. These women often have other endocrine abnormalities like increased testosterone levels, and hyperinsulinemia which can also play a role in making the process of achieving a successful pregnancy trickier. The diagnosis of ovarian dysfunction may be made by obtaining good history of the female's menstrual fertility cycles, obtaining a cycle morning 3 FSH level, and performing a pelvic ultrasound to examine the size, character, and ovarian reserve. Treatment is based on the type and amount of ovarian dysfunction. This treatment can range between minimal controlled ovarian hyperstimulation with hormone tablets like clomid, to superovulation and in vitro fertilization.

    Another common factor for infertility in women is actually pelvic factor. The pelvis may be the area where the ovaries, tubes and uterus are located. It is where natural reproduction comes about. In order for this technique to progress smoothly, the tubes ought to be in pristine condition, the pelvis needs to be free of toxic implants including endometriosis and the anatomy of the pelvis needs to be normal. Tubal disease can be brought on by different factors say for example history of sexually carried diseases, abortions or former uterine surgery, appendix shatter, and pelvic tuberculosis. Also women could have elected to have their tubes ligated in earlier times. The main way to help diagnose tubal disease is actually by performing a hysterosalpingogram in which dye is injected in the uterus and then examined precisely as it exits the fallopian hoses. The best treatment for tubal disease is to bypass the fallopian tubes altogether and undergoing in vitro fertilization. In in vitro fertilization, the female takes hormones which might be naturally produced every 30 days to stimulate egg output, but in higher quantities, once these eggs are mature, she undergoes a great egg retrieval. The eggs and sperm are combined within a petri dish and then the embryos which are created are placed inside the uterus 3 to 5 days following fertilization. This procedure has been extremely successful at solving the case of tubal factor.

    Endometriosis is another important factor for infertility in women. It is caused by endometrial lining implanting in the pelvic area causing progressive irritation and inflammation with each menstrual cycle. It provides an inhospitable environment for the creation and successful implantation of embryos. It can further stop the fallopian tubes restricting the egg to advance freely from the ovaries in the uterus. Endometriosis can end up treated surgically by considering a laparoscopy. It is usually circumvented by in vitro fertilization which bypasses the toxic environment of the pelvis. In some cases, women who have endometriosis, shortage B-integrin protein, which may severely limit their risks of a successful implantation. This protein may be evaluated for by considering an endometrial biopsy a week following ovulation, in your window of implantation. The procedure for missing this protein may be to undergo 3-6 months associated with gonadotropin agonist therapy.

    Besides, these factors, various kinds of hormonal disorders in the hypothalamus or pituitary may also cause infertility in women. Anything which causes stress to your body such as abnormal exercising, anorexia nervosa, and medical situations like fail of kidney can fade the fertility rate in women.

    Due to the complexity in the etiology of fertility, the best way to start the process of solving this challenge, is to consult some sort of fertility physician, so that appropriate diagnostic tests and treatment may very well be performed.

    Maximizing Fertility

    There are several procedures that can be instituted to help maximize fertility outcomes with women undergoing in vitro fertilization therapy. Assisted hatching is a procedure in which a small hole is made in the shell of the embryo before it can be placed into the womb that's been shown to increase the rates of implantation approximately 10-15%. Also intracytoplamic orgasm injection (ICSI), has been shown to increase fertilization premiums around 10-15% over all natural fertilization, and provides more reassurance that fertilization will require place during the IVF cycle. When a donor shares a number her eligible eggs for a woman who can't produce her very own, it is called egg donation. Depending on the age of the egg donor, success rates with in vitro fertilization is often as high as 75-80%.

    Repeated Miscarriage:

    There are various causes of recurrent miscarriage, not all of which are currently known. Women who have suffered more than two consecutive miscarriages, should seek professional consultation. Etiologies may include but are not tied to advanced maternal age, inherited thrombophilia, uterine abnormality, chromosomal abnormalities, and possible immunological reasons. Diagnosis consists of good laboratory evaluation of these possible conditions as well as a radiologic evaluation of the uterine cavity. Treatments depend on the origin of the diagnosis, however, successful outcomes can result when the appropriate treatment is instituted.

    Cryopreservation:

    Due to progress in reproductive technology, we now have the ability to freeze, eggs, sperm, together with embryos. Sperm is possess a preferred reproductive tissue to freeze and has now a long history of proven success when thawed. The successful implantation with frozen embryos depends largely on the quality of the embryo at the time that it was banned. Cryopreserving eggs, has just lately come about, and new advances are being made every year in the perfection of the techniques that can enhance the overall success about this procedure. All of a lot of these therapies, are a wonderful option for people suffering from cancer who may need removal of their pelvic organs or chemotherapy, and the radiation therapy. Cryopreservation of eggs, may one day get implemented in young women who wish to prolong their reproductive potential into later ages.

    Red Rock Fertility Center:

    Infertility is no doubt a disheartening condition for both the female and the male patient. Residents of Las vegas can find many great centers or clinics in their neighboring areas and find adequate solutions for their own problems. The Red Rock Fertility Center provides top quality solutions and individual focus on those couples in require.

    REFERENCE:

    http://www.world-class-articles.com/Art/527926/274/Healthy-Habits-For-Expectant-Mothers.html

    http://www.articlescrib.com/Art/479637/140/Adopting-A-Kid.html

    http://www.all-your-articles.com/Art/234693/14/Adopting-A-Young-Child.html

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