Infertility can be defined as the inability to conceive after one year (or longer) of unprotected intercourse. A women’s fertility declines progressively with age; some doctors analyze and treat women aged 35 and up after 6 months of unprotected sex. Women experiencing infertility should consult a doctor who specializes in infertility management.
What can cause infertility in a woman?
For a woman to get pregnant, the following processes must take place:
- An egg must be released from one of a woman’s ovaries which happens on a monthly basis during ovulation.
- The egg will pass through a fallopian tube in order to get from the ovary to the uterus.
- During this journey, a man’s sperm must unite with the egg (fertilization) which creates an embryo.
- The embryo must then bond with the uterine wall (implantation) where it will grow and develop into a fetus.
A problem with one or more of the above processes can result in infertility.
The majority of issues that cause female infertility happen during the initial egg production stage. The ovaries tend to quit functioning before menopause, resulting in primary ovarian insufficiency. The ovaries in polycystic ovarian syndrome (PCOS) may not release a healthy egg or may not release an egg regularly. To get pregnant, women must have properly functioning ovaries, fallopian tubes, and uterus. Female infertility can be caused by conditions that affect any of these organs.
Can infertility be cured?
Fortunately, infertility can often be cured, and women can start getting pregnant. Standard medical procedures can cure infertility in 85 to 90 percent of cases. However, certain changes in lifestyle, such as achieving a healthy body weight and staying fit, might be beneficial in reducing infertility risks. Avoiding tobacco, narcotics, and alcohol can also help to cure infertility. Fertility doctors utilize a range of methods to treat infertility. Drugs, surgery, and assisted reproductive technology fall into standard options for infertility treatment. Ovulation induction is the use of medications to help women ovulate or release an egg from their ovaries. Treating blocked or damaged fallopian tubes, endometriosis, and removing uterine polyps or fibroids can help women overcome infertility.
How is infertility treated?
Infertility among women can easily be treated with fertility medications to assist females in ovulating or restoring hormone levels. Surgery to remove tissue that is impeding fertility (for example, endometriosis) or unblocking blocked fallopian tubes can also be considered an option. Your doctor may prescribe several tests, including a blood test to assess hormone levels and an endometrial biopsy in order to examine the lining of your uterus.
Additional tests include:
HSG: Ultrasound or X-ray scans of your reproductive organs are taken in this procedure. The doctor will inject dye/saline and air through your cervix, which will move up through your fallopian tubes. Your doctor can use this procedure to see if the tubes are obstructed.
Laparoscopy: A thin tube connected with a tiny camera is inserted through a small cut around your belly button. This allows the doctor to examine the outside of your uterus, ovaries, and fallopian tubes for unusual growths. The doctor can also determine the blockage status of your fallopian tubes. This can help remove scar tissue, treatment of endometriosis, the opening of clogged tubes, and removal of ovarian cysts.
Hysteroscopy: During this treatment, your doctor inserts a hysteroscope through your cervix into your uterus. It is used to eliminate polyps and fibroid tumors, scar tissues, and open blocked tubes.
Medication: If you are experiencing ovulation problems, your doctor may prescribe you clomiphene citrate (Clomid, Serophene), letrozole, or gonadotropins.
When Clomid or Serophene fails to induce ovulation, gonadotropins can help. These medicines can help you become pregnant by stimulating your ovaries to release more than one egg each month. If you have unexplained infertility or previous types of treatment haven’t helped you get pregnant, your doctor may recommend gonadotropin. Glucophage is yet another type of drug that may help you ovulate appropriately if you have insulin resistance or polycystic ovarian syndrome.
When should you see a fertility specialist?
If you are above the age of 35 and have been trying to conceive naturally for 6 months or longer and have had no success, you should see a fertility specialist right away. The doctors at North Tex MedCare Clinic are experienced in helping women overcome infertility issues and will work with you to determine what is preventing you from getting pregnant. Women over the age of 35 have a lesser chance to conceive even after using assisted reproductive procedures because their eggs may not be of the highest quality at that age. Other issues can emerge with age, resulting in a decreased ovarian reserve.
When it comes to getting pregnant, women with PCOS or endometriosis are advised to visit a fertility doctor. Endometriosis creates an uncomfortable vaginal environment, which may be connected with damaged tubes and weaker ovaries, lowering the odds of natural pregnancy. Our doctors can diagnose and provide treatment plans to help women overcome PCOS or endometriosis. While there may be other factors at play, we will do everything we can to help you start or grow your family. Talk to our team at North Tex Medcare to learn more about treatments. We serve patients from Addison TX, Carrollton TX, Richardson TX, Farmers Branch TX, Hebron TX, and Highland Park TX.