Infertility In Women (basic Issues)
What are some reasons women may have difficulty getting pregnant?
A woman may have difficulty getting pregnant for a variety of reasons. These include:
Ovulation problems - In some women, ovulation does not occur at regular intervals or completely without ovulation, which prevents pregnancy. Ovulation is a period of a woman's menstrual cycle when the ovaries release oocytes into the fallopian tubes (Figure 1). The hormone will control ovulation. Pregnancy occurs if sperm fertilizes an egg when it is moving to the uterus after ovulation (Figure 2). Women have the highest chance of getting pregnant if they have sex 1 to 2 days before ovulation or on ovulation.
Problems with the uterus or fallopian tubes - For example, some women have scar tissue in the fallopian tubes due to an infection or a history of surgery. This scar tissue can cause the fallopian tubes to become blocked
Endometriosis - Endometriosis is a condition that can cause pain in the lower part of the abdomen.
This can also affect pregnancy.
Older age - Once a woman enters the mid-to-late 30s, pregnancy becomes more difficult, so it can take longer. Pregnancy can even be an important problem for women in their 40s.
When should I see a doctor?
You should see a doctor if you are not pregnant after having sex without protection for 1 year. If you're over 35 or don't have your period, see your doctor if you can't get pregnant after 6 months. But if you get nervous before that time, see your doctor earlier.
The doctor will talk to you and do a few tests
In addition, your partner may need to be tested. But don't be surprised if your doctor can't tell you what is wrong. It is not always possible to find out why a woman cannot be pregnant.
What can I do to improve this situation?
If you are overweight, losing weight can help you get pregnant. Losing weight can also help you have a healthier pregnancy when you're pregnant.
What are the current treatments?
Women who have difficulty getting pregnant can choose one or more of the treatments below. You and your doctor should discuss which treatments should be tried first. Possible treatments include:
A drug called clomiphene (brand names: Clomid, Serophene) - For women who do not ovulate regularly or do not ovulate at all, this medicine will improve the likelihood of ovulation.
In many cases, your doctor will prescribe this treatment first. Your doctor will tell you how and when to take this medication. They will also tell you when to have sex so the treatment has the highest success rate. If this medicine does not work after a few months, your doctor may recommend that you try other medications to help you ovulate.
Hormone injections - Hormone injections are usually recommended if women are not pregnant when using clomiphene. Hormones improve the likelihood of ovulation. Your doctor will tell you how and when to use this treatment.
Injecting sperm into the uterus - For this treatment, the doctor uses a tube to put sperm directly into the woman's uterus and is done just before ovulation.
For some women, this treatment is combined with clomiphene or hormone injections to increase the chance of getting pregnant.
In vitro fertilization, also known as "IVF" - IVF is a procedure usually done if other treatments are not effective. It includes the following steps:
The woman received hormone injections for several weeks. This helps the ovaries get ready for ovulation.
Just before ovulation, the doctor uses a thin needle to remove some of the eggs from the ovaries through the vaginal canal.
Eggs are put into a test dish with sperm so that sperm can fertilize with one or more eggs.
After 2 to 5 days, the fertilized egg is inserted into a woman's womb in the hope that one of them will attach to the uterus and develop into a fetus.
In vitro fertilization is usually done in women:
- There are blocked or misplaced fallopian tubes
- The husband has too few sperm count
- Cannot get pregnant by other treatments
How do I know if the treatment process is effective?
The doctor will do tests at different times of the treatment process to check if it works.
These tests include blood tests and ultrasound. Ultrasound is an imaging test that allows us to see images inside the body.
Is the treatment always effective?
Is not. Treatment does not always help a pregnant woman. The treatment is the same but it is possible that one woman is pregnant and the other is not.
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