Infertility in Females

What is Infertility in Females:-

Infertility is the failure of a woman to conceive after trying to do so for at least one full year. It is the diminished ability or the inability to conceive and have offspring.

It is also defined in specific terms as the failure to conceive after a year of regular intercourse without contraception.

It can be due to many causes. Studies have shown that a little more than half of cases of infertility are a result of female conditions. And remaining are caused by sperm disorders and by unexplained factors.

Generally, worldwide it is estimated that one in seven couples have problems conceiving, with the incidence similar in most countries independent of the level of the country’s development.

Currently, in the United States, about 20% of couples struggle with infertility at any given time. Infertility has increased as a problem over the last 30 years.

It is well known that fertility in women decreases with increasing age, as illustrated by the following statistics :

Infertility in married women ages 16-20 = 4.5%

Infertility in married women ages 35-40 = 31.8%

Infertility in married women over the age of 40 = 70%

In Britain, male factor infertility accounts for 25% of infertile couples, while 25% remain unexplained. Fifty percent are female causes with 25% being due to anovulation and 25% tubal problems and so on.

In Sweden, approximately 10% of couples are infertile. In approximately one third of these cases the man is the factor, in one third the woman is the factor and in the remaining third the infertility is a product of factors on both parts.

There are legal ramifications as well. Infertility has begun to gain more exposure to legal domains. An estimated 4 million workers in the U.S. used the Family and Medical Leave Act (FMLA) in 2004 to care for a child, parent or spouse, or because of their own personal illness. Many treatments, including diagnostic tests, surgery and therapy for depression, can qualify one for FMLA leave.

In the conventional treatment of female infertility the HRT (hormone replacement therapy) is the first choice of treatment which includes

  • Clomiphene citrate (Clomid)
  • Human menopausal gonadotropin or HMG (Repronex, Pergonal)
  • Follicle stimulating hormone or FSH
  • Gonadotropin releasing hormone analog
  • Metformin (Glucophage)
  • Bromocriptine (Parlodel)

The above mentioned hormonal tablets have lot if side effects. Few of them are listed below :

  • Bloating
  • Mood swings
  • Acne
  • Fatigue
  • Headaches
  • Weight gain
  • Disturbed menstrual cycles
  • Abnormal hair growth
  • Visual disturbances
  • Breathing troubles associated with HMG
  • Ascites associated with HMG

Human chorionic gonadotropin (HCG)

 Side effects of HCG include :

  • Headache
  • Water retention
  • Fatigue
  • Sore breasts
  • Abdominal discomfort
  • Irritability

So in the conventional treatment of female infertility the various hormonal preparations (HRT) are given whereas homoeopathic remedies or medicines are prescribed by symptoms rather than conditions, as each case of a particular illness can manifest differently in different people.

Action of homoeopathic medicines or treatment on the hormonal disorders

The various hormonal disorders like PCOS, thyroid disorders, prolactin hormone abnormality and so on can be effectively treated with homoeopathy.

During treatment to restore fertility many aspects of your menstrual cycle are taken into consideration; for example the lengths of your cycle is very important, the type of menstrual bleeding (bright red, clotted), the premenstrual discomforts like cravings, headaches, lower back pain, pelvic pain and so on. The mental and emotional changes that women experience during the premenstrual period should are investigated by a doctor to help deal with hormonal fluctuations and imbalances.

Medicines can help restore fertility when followed in conjunction with a healthy diet low in animal fats and high in fiber from legumes, fruits and vegetables.

The treatment or remedies act on the glands and naturally restore the normal functioning of the affected gland. A well selected homoeopathic medicine has the capability to correct hormonal imbalance stimulating the glands to secrete various hormones as required for the normal functioning.

Medicines stimulate the body’s own immune system to stimulate the various glands to work normally.

In the conventional treatment the hormones are given in the form of pills, injections whereas in homeopathy no such hormones are given and natural medicines work by stimulating the glands to produce the required amount of hormones thus curing the problem from the root and ensuring the patient not to suffer from the similar problems in future.

Women trying to conceive often have clinical depression rates similar to women who have heart disease or cancer. Infertility may have profound psychological effects. In many cultures, inability to conceive bears a stigma. In closed social groups, a degree of rejection may cause considerable anxiety and disappointment. But thank god and Dr. Hahnemann (founder of homoeopathy) there is homoeopathy to save you from all this loss.

Research shows that there is a relation between HRT and cancer and several warning have been issued by Government Health Departments across the globe. Homoeopathy will keep you safe from such dangerous side-effects.

Various infections preventing conception and miraculous homoeopathy in contrast with allopathy

The various infections like PID (pelvic inflammatory diseases, ovarian infections, tubal abscesses and so on are one of the major factors of infertility. In conventional treatment various antibiotics and anti inflammatory medicines are given which have serious side effects like abdominal discomfort, fatigue, loss of appetite, reduced immunity and so on.

Homoeopathy on the other hand is really safe for such infections. Medicines boost up the immune system of the body. Remedies work as powerful anti inflammatory medicines which help in treating the infection from the root.

Research shows that homoeopathy offers effective treatment for female infertility, which has been scientifically documented. It is very safe and can be combined with the conventional treatment  treatment if required.

Surgical conditions related to infertility and homoeopathy “a boon” in such conditions

The various conditions like fibroids, cysts, hyperprolactanemia, cushin’s syndrome and so on require surgery in the conventional treatment. Recurrences are common even after surgery. Homoeopathy is a boon for such patients as these surgical conditions can be solved with the magical doses of medicines.

Each individual case is properly taken and analyzed to select the best medicine for a particular case. Timely administration of the medicines help avoid surgery and prevent the complications. Homoeopathic treatment or mediciens can save you from a surgeon’s knife.

Marital discord often develops in infertile couples, especially when they are under pressure to make medical decisions. Homoeopathy is there to keep you away from taking such dangerous decisions.

Assisted reproductive technologies (ART)

Artificial insemination.

Semen concentration methods : used with artificial insemination if low sperm counts.

Donor insemination : uses a male semen donor; complex emotional and legal issues.

In vitro fertilization (IVF) : the “test tube baby” technology.

Gamete intrafallopian transfer (GIFT) : placement of an egg with sperm in fallopian tubes; used when female’s tubes are normal.

Zygote intrafallopian transfer (ZIFT) : a combination of IVF and GIFT; transfer of a single cell zygote.

Pronuclear stage transfer (PROST) : early stage transfer of the sperm and ovum before a fully formed gamete has occurred.

Tubal embryo stage transfer (TEST) : similar to ZIFT but transferring a multi-cell embryo (2-call, 4-cell, 8-cell).

Micro injection fallopian transfer (MIF) : microscopic injection of a sperm into an ovum and transfer to fallopian tubes. Useful for low sperm counts.

Donor egg IVF : use of a donor female ovum with IVF (or any type of ART).

Frozen embryos.

All the above mentioned techniques are very costly and are out of the reach of a common man. There is a cheaper and safer alternative “homoeopathy”.

There are 110 homoeopathy medicines which give great results in infertility in females. However, the correct choice and the resulting success is a matter of experience and right judgment on the part of the doctor. The treatment is decided after thorough case taking of the patient. Thus remedies are designer made unlike conventional treatment in which all patients receive the same surgery or drugs although trade name may be different.

Types

There are two types:

Primary infertility : Refers to the condition in which a couple has never been able to conceive.

Secondary infertility : Refers to those cases where a couple has been successful in conceiving at least once, but has been unsuccessful after that.

Causes

The primary causes:-

  • Cessation of oral contraceptives : Many a times hormonal balance does not come back to normal after stopping the pill
  • Ovulation disorders
  • Anovulation
  • Stress
  • Diet
  • Athletic training
  • Excessive exercise
  • Poor nutrition
  • Hormonal disorders (type of endocrine disorders) affecting ovulation :
  • Pituitary disorder
  • Pituitary gland tumor
  • Thyroid disorder : Either underactive thyroid or overactive thyroid (hypo or hyperthyroid)
  • Adrenal disorder
  • Ovary disorders
  • Ovarian cysts
  • PCOS (polycystic ovarian syndrome)
  • Surgical ovary removal
  • Ovary infection
  • Ovarian cancer
  • Blocked fallopian tubes
  • Scarred fallopian tubes
  • Pelvic inflammatory disease
  • Endometriosis
  • Ectopic pregnancy surgery
  • Tubal ligation : “tied tubes” procedure
  • Abscess
  • Uterus conditions
  • Removal of IUD (intrauterine device) : This may take time before things return to normal or sometimes it may not get normal at all
  • Scarred cervix
  • Uterus infection
  • Cervix cancer
  • Uterine cancer
  • Hysterectomy
  • Uterus defects
  • Cervical mucus defects
  • Illness in general : Any disease can reduce fertility.
  • Female infertility as a complication:
  • Androgen Insensitivity Syndrome
  • Lead poisoning
  • Prolactinoma
  • Smoking
  • Turner Syndrome

How the Cause of Infertility is Diagnosed:-

Examination

Note height, weight and BMI. It may be of significance in the man and of great significance in the woman. A BMI below 20 may suggest anovulation as in anorexia nervosa. A BMI above 29 is associated with decreased fertility.

There may be polycystic ovary disease (PCOD). Look for signs of hirsutism; facial hair may be more than normal, although this should be interpreted in the light of racial norms.

Acne may also indicate high androgen levels.

There may be a hint of male pattern alopecia with slight bitemporal recession. The pubic hairline may extend up towards the umbilicus in a typical male pattern.

Examination of the cardiovascular or respiratory system is unlikely to be rewarding as is examining the breasts for galactorrhoea unless indicated by history.

Abdominal examination should be performed and it must precede bimanual pelvic examination or it is very easy to miss a large mass like a big ovarian cyst.

Gynaecological examination, especially vaginal examination, may indicate undisclosed sexual difficulties. For example her response may suggest vaginismus and you may even find an intact hymen. An unusually large clitoris would suggest excessive androgen activity, but this is more likely to be a long standing condition such as congenital adrenal hyperplasia. This will probably be in a mild form, as it is presenting so late. Bimanual examination; may find an adnexal mass from an ovary of tubo-ovarian mass or tenderness suggesting PID or endometriosis. Uterine fibroids can distort the uterus and interfere with implantation.

Investigations

Mid-luteal progesterone level to assess ovulation. If low it may need repeating as ovulation does not occur every month. The blood test is taken 7 days before the anticipated period, that is on day 21 of a 28 days cycle but this day will need to be adjusted for different lengths of cycle.

Basal body temperature charts are not recommended as they are unreliable.

FSH and LH should be measured, especially if there is menstrual irregularity. High levels may suggest poor ovarian function. A comparatively high LH relative to FSH is typical of polycystic ovary disease.

The thyroid function tests a should only be undertaken if there are grounds for suspicion as infertile women are no more likely to have thyroid disease than the rest of the population.

Similarly, prolactin (PRL) should only be measured where there is clinical suspicion.

Chlamydia screening is recommended. Not only may it be a cause of infertility but instrumentation of the genital tract in subsequent investigations may produce PID.

Hysterosalpingography :This is an x-ray of the uterus and fallopian tubes. Doctors inject a special dye into the uterus through the vagina. This dye shows up in the x-ray. Doctors can then watch to see if the dye moves freely through the uterus and fallopian tubes. This can help them find physical blocks that may be causing infertility. Blocks in the system can keep the egg from moving from the fallopian tube to the uterus. A block could also keep the sperm from reaching the egg.

Laparoscopy : A minor surgery to see inside the abdomen. The doctor does this with a small tool with a light called a laparoscope. She or he makes a small cut in the lower abdomen and inserts the laparoscope. With the laparoscope, the doctor can check the ovaries, fallopian tubes, and uterus for disease and physical problems. Doctors can usually find scarring and endometriosis by laparoscopy.