care

Female Infertility

A diagnosis of infertility means you haven’t been able to get pregnant after a year of tryingwithout using any contraceptive. If you’re a woman over 35, it means you haven’t been able to get pregnant after 6 months of trying.

Women who are able to conceive but not carry a pregnancy to term may also be diagnosed with infertility.

A woman who’s never been able to get pregnant will be diagnosed with primary infertility. A woman who’s had at least one successful pregnancy in the past will be diagnosed with secondary infertility.

How does age impact female infertility?

As a woman ages, her chances of becoming pregnant decreases. Age is becoming a more common factor in female infertility because many couples are waiting to have children until their 30s or 40s. Women over age 35 have a higher risk of having fertility issues. The reasons for this include:

Overall number of eggs is lower.

More eggs have an abnormal number of chromosomes.

An increased risk of other health conditions.

Female infertility can be caused by a variety of factors that affect or interfere with the following biological processes:

ovulation, when the mature egg is released from the ovary

Fertilization, which occurs when sperm meets the egg in the fallopian tube after traveling through the cervix and uterus

Implantation, which occurs when a fertilized egg attaches to the lining of the uterus where it can then grow and develop into a baby

Causes of female infertility When to see a doctor

Women should consult 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.

Diagnosed fibroids,polyp,endometriosis, blocked tubes.

Have known fertility problems

Have been diagnosed with endometriosis or pelvic inflammatory disease

Have had multiple miscarriages

Have undergone treatment for cancer

Medications and drugs

Various medications and drugs can also affect male fertility, such as:

chemotherapy or radiation therapy, which are used for cancer.

sulfasalazine (Azulfidine, Azulfidine EN-Tabs), which is used for rheumatoid arthritis (RA) or ulcerative colitis (UC).

calcium channel blockers, which are used for high blood pressure.

The bottom line

Any of these things, or even a combination of them, could lead to infertility in men.

which affect the release of eggs from the ovaries. These include hormonal disorders such as polycystic ovary syndrome. Hyperprolactinemia, a condition in which you have too much prolactin — the hormone that stimulates breast milk production — also may interfere with ovulation. Either too much thyroid hormone (hyperthyroidism) or too little (hypothyroidism) can affect the menstrual cycle or cause infertility. Other underlying causes may include too much exercise, eating disorders or tumors.

Ovulation disorders,which affect the release of eggs from the ovaries. These include hormonal disorders such as polycystic ovary syndrome. Hyperprolactinemia, a condition in which you have too much prolactin — the hormone that stimulates breast milk production — also may interfere with ovulation. Either too much thyroid hormone (hyperthyroidism) or too little (hypothyroidism) can affect the menstrual cycle or cause infertility. Other underlying causes may include too much exercise, eating disorders or tumors.

Uterine or cervical abnormalities,including abnormalities with the cervix, polyps in the uterus or the shape of the uterus. Noncancerous (benign) tumors in the uterine wall (uterine fibroids) may cause infertility by blocking the fallopian tubes or stopping a fertilized egg from implanting in the uterus.

Fallopian tube damage or blockage,often caused by inflammation of the fallopian tube (salpingitis). This can result from pelvic inflammatory disease, which is usually caused by a sexually transmitted infection, endometriosis or adhesions.

AgeWomen's fertility gradually declines with age, especially in the mid-30s, and it drops rapidly after age 37. Infertility in older women is likely due to the lower number and quality of eggs, and can also be due to health problems that affect fertility

Endometriosis, which occurs when endometrial tissue grows outside of the uterus, may affect the function of the ovaries, uterus and fallopian tubes.

Primary ovarian insufficiency (early menopause),when the ovaries stop working and menstruation ends before age 40. Although the cause is often unknown,certain factors are associated with early menopause, including immune system diseases, certain genetic conditions such as Turner syndrome or carriers of Fragile X syndrome, and radiation or chemotherapy treatment.

Pelvic adhesions, , bands of scar tissue that bind organs that can form after pelvic infection, appendicitis, endometriosis or abdominal or pelvic surgery.

Cancer and its treatment.. Certain cancers — particularly reproductive cancers — often impair female fertility. Both radiation and chemotherapy may affect fertility.

For women, a number of strategies may increase the chances of becoming pregnant:

Limit caffeine.Women trying to get pregnant may want to limit caffeine intake. Ask your doctor for guidance on the safe use of caffeine.

Exercise moderatelyRegular exercise is important, but exercising so intensely that your periods are infrequent or absent can affect fertility.

Avoid weight extremesBeing overweight or underweight can affect your hormone production and cause infertility.

Quit TobaccoTobacco has many negative effects on fertility, not to mention your general health and the health of a fetus.

According to the Dreamzz IVF Clinic,ovulation problems cause around one-quarter of the infertility issues seen in couples. An irregular or absent period are two signs that a woman may not be ovulating.

The treatment for female infertility can also involvefertility enhancing 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

Emoving fibroids

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