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Infertility in Women

August 29, 2008

Infertility rate among married couples in on an increase. It is estimated that one in every six couples face this problem. However, the reasons vary from case to case. The general rule is that a fertile couple will be gifted with pregnancy if they have had unprotected sex for a year. If it has not occurred, you have every reason to suspect some irregularity and seek medical help.

The most common cause of female infertility is endometriosis. This is the condition in which the endometrial tissue (the cells found inside the lining of uterus which get shredded periodically) grows somewhere outside the uterus. Painful menstrual periods, heavy bleeding and repeated miscarriages are the commonly found symptoms. Laproscopic surgery has proved to be extremely successful and around sixty per cent of women conceive within eighteen months of surgery.

Ovulation problems can also cause infertility. In this case, mature egg is somehow prevented from being released from the ovary. Ovulation problems are characterised by infrequent menstrual cycle. Menstrual bleeding will be either too low or too heavy. Ovulation stimulating drugs such as clomiphene are prescribed as solution in this case.

In certain cases, the eggs will be released but they won’t be of the required quality. They might be damaged due to chromosomal irregularities and therefore cannot get fertilised. This is an age-related problem, as the eggs tend to decline in quality level when a woman enters her late thirties and early forties. Egg donation (surrogacy) is the possible solution.

Cysts play villain in many cases. Due to the presence of small cysts, hormonal irregularities occur and regular ovulation does not take place. Possible solutions include Ovulation-stimulating drugs and follicle-stimulating hormones. Tube blockage is another reason for infertility in women. Blocks in fallopian tube do not allow the egg from entering the uterus. The sperm is also prevented from reaching the egg. Thus fertilisation does not take place. Fallopian tubes can also be blocked due to inborn damages, pelvic inflammatory disease or by previous surgery. If the blocks are minor ones, surgery is done in order to open up the fallopian tubes. In Vitro Fertilisation (IVF) is also an option in some cases.

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