Infertility

There is no unanimous definition of female infertility because the definition depends on social and physical characteristics which may vary by culture and situation.Nice guidelines state that A woman of reproductive age who has not concieved after 1 year of unprotected vaginal sexual intercourse in the abdomen of any known cause of infertility should be offered further clinical assessment and investigation along with her partner. IT is recommended that a consultation with fertility specialist should be made earlier if the woman is aged 37 years or over there is a known clinical cause of infertility or history of predisposing factors for infertility. According to world health organisation (WHO) infertility can be described as the inability to become pregnant maintain a pregnancy or carry a pregnancy to live birth.A clinical defined by the failure to achieve a clinical pregnancy after 12months or more of regular unprotected sexual intercourse.
Causes and factors
Acquired Age , smoking Sexually transmitted infections and being over weight or underweight can all affect infertility
A broad sense aquired factors practically include any factor that is not based on a genetic mutation, including any interauterine exposure to toxins during fetal development, which may present as infertility many years later as an adult.
Age
A woman's fertility is affected by her age. A woman's fertility peaks in the early mid 20's after which it starts to decline with this decline being accelerated after age 36/37 . However the exact estimets of the chances of a woman to conceive after a certain age are not clear with research giving differing results. The chances of a couple to successfully conceive at an advanced age depend on many factors including the general health of a woman and the fertility of the male partner..
Tobacco smoking
Sexually transmitted infections.
Body weight and eating disorders.
Chemotherapy
Other aquired factors.
Adhesions secondary to surgery in the petitioned cavity is the leading cause of acquired infertility.
Diabetes mellitus women with diabetes are at increased risk of female infertility such as reflected by delayed puberty and menarche, menstrual irregularities ( specially oligomenorrhoea) mild hyperandrogenism polycystic ovarian syndrome, fewer live born children and possibly earliermenopause .
Liver and kidney disease
Thrombophilia
Radiation.
Genetic factors
By location
Hypothalamic dysfunction
Ovarian factors
Polycystic ovary syndrome
Premature menopause
Ovarian cancer
Tubal factor infertility
Endometriosis
Pelvic inflammatory disease.
Urinary factors
Utrine malformations
Utrine fibroids
Cervical factors
Cervical stenosis
Vaginal factors
Vaginismus
Vaginal obstruction
Diagnosis
Lab tests
Hormone testing levels of female hormones at certain times during a menstrual cycle
Measurements of FSH and estrogen to asses ovarian reserve
Measurements of progesterone inthe second half of the cycle to help confirm ovalution
Examination and imaging
An endometrial biopsy to verify ovalution and inspect the lining of the uterus.
Pap smear to check for signs of infection
Hysterosalpingography or sonosalpingography to check for tube patency.
Sonohysteraphy to check for uterine abnormalities.
There are genetic testing techniques under development to detect any mutation in genes associated with female infertility.
Fallopian tubes are utrine tubes also known as utrine tubes and salpinges are two v fine tubes and lined with ciliated epithelia into the uterus.In a woman'sbody the tubes allows passage of the egg from the ovary to the uterus and helps fertilization if sperm is present.

Homoeopathic treatment
Cimcifuga
For tube block caused by endometriosis with pain during periods indicated in case of srvere bearing down pain in the lower abdomen utrine region lower back during periods.
Eupionum 3
Best remedy for tube block removes block in both sides of the fallopian tubes burning in rt ovary gushing lecourrhea.
Merc sol 30 chronic inflammatory conditions of the endometrium, burning stinging tearing cutting pains in the ovarian region fever with inflammation of the endometrium lecourrhea acrid and fetid greenish colour specially at night.Mammea are painful as it they would ulcerated every menstrual period
Pulsatilla 30
Pelvic pain during periods attended with chills, restlessness and tossing in the bed it is adapted to patients who are gentle.patient is emotional wants
Lachesis 200. For blockage of left fallopian tube.
Polygonum pun 30 potency
Tube block when there is cutting pains along with tubes aching pain in hips being drawns together weight and tension within pelvis
Sepia
Marked bearing down pain in the pelivs, during intercourse griping pain
Low sex drive burning and sorness and the genitals are sensitive to touch.Mist useful remedy for endometriosis where it accompanied urinary urgency and frequency. Pain while passing urine from endometriosis lesions also indicates use of Sepia bladder burning nature during periods.
Siliceia 200 Effective medicine for fallopian block Menses too early acrid and too profuse discharge of blood between two periods lecourrhea instead of menses paroxysms of icy coldness over whole body.
Thalaspi bursa pas200 when woman experience bleeding in between periods that is accompanied by violent utrine pain's. Large clots may pass along with the blood and backache.
Triticum repens,30 when obstruction of the fallopian tubes occurs with urinary complaints.
Apis m 200
Is effective for tube block from inflammation of fallopian tubes. The rt tube is mainly affected and menses profuse with heavy abdomen, faintness and severe pain feeling of bearing down as if menses were appear.
Conception difficult sterility.
Agnus, Alert, Am c, Bar m ,Borax , Calc carb Cann i, Caullophylim, Con, Eup per ,Goss, Graphites, Helon, Iod, Med, Nat c , Nat m, Phos, Plat.
Specific Aur Mur nat
These are the commonly used remedies, Homoeopathic physician's discretion will decide the final remedy on the basis of totally of symptoms.
Prevention
Maintaning healthy life style. Excessive excercise, consumption of caffeine and alcohol and smoking have all been associated with decreased fertility. Eating a well balanced nutritious diet, with plenty of fresh fruits and vegetables and maintaining a normal weight on the other hand have been associated with better fertility prospects..
Treating or preventing existing diseases, identifying and controlling chronic diseases such as diabetes and hypothyroidism increases fertility prospects. Lifelong practice of safer sex reduces the likelihood that sexually transmitted diseases will impair fertility, obtaining prompt treatment for sexually transmitted diseases reduces the likelihood that such infections will do significant damage.. Regular physical examinations ( including pap smears) help detect early signs of infections or abnormalities.
Not delaying parenthood, fertility does not ultimately cease before menopause, but it starts declining after age 27 and drops at a somewhat greater rate after age ,36 women whose biological mothers had unusual or abnormal issues related to conceiving may be at a particular risk for some conditions, such as premature menopause that can be mitigated by not delaying parenthood.
Egg freezing
A woman can freeze her eggs preserve her fertility. By using egg freezing while in the peak reproductive years , a woman's oocytes are cryogenically frozen and ready for her use later in Life, reducing her chances of famale infertility.Vitrification is the techniques which preserves a determinate number of a mature eggs. Use the utra rapid freezing method , which keeps these cells in an unaltered state over an indefinite period of time
Lack of ovalution or absent ovalution, ovalution which is the release of an eggs from the ovray , must have in order to achieve preg.

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