If you’re having trouble getting pregnant, your doctor will help you find out why, and work with you to seek out a treatment that will help.
What Causes Female Infertility?
There are a number of things that will be keeping you from getting pregnant:
Damage to your fallopian tubes
These structures carry eggs from your ovaries, which produce eggs, to the uterus, where the baby develops. they will get damaged when scars form after pelvic infections, endometriosis, and pelvic surgery. which will prevent sperm from reaching an egg within the tube. The egg and sperm meet within the tube. this is often where the egg is fertilized then moves right down to the uterus to implant..
You’ll not be getting pregnant because your body isn’t browsing the standard hormone changes that cause the release of an egg from the ovary and therefore the thickening of the liner of the uterus.
Some women have a condition that prevents sperm from passing through the cervical canal.
You’ll have polyps and fibroids that interfere with getting pregnant. Uterine polyps occur when too many cells grow within the endometrium, the liner of the uterus. Fibroids grow within the wall of the uterus. Other abnormalities of the uterus also can interfere,
“Unexplained” infertility. For about 20 percent of couples who have infertility problems, the exact causes are never pinpointed.
Tests for Infertility
Your doctor may order several tests, including a biopsy to see hormone levels and an endometrial biopsy to look at the liner of your uterus.
This procedure involves sonography or X-rays of your reproductive organs. A Consultant injects either dye or saline and air into your cervix, which travels up through your fallopian tubes. With this method, your consultant can check to see if the tubes are blocked.
Your consultant puts a laparoscope — a slender tube fitted with a tiny camera — through a small cut near your belly button. This lets them view the surface of your uterus, ovaries, and fallopian tubes to see for abnormal growths. The doctor also can see if your fallopian tubes are blocked.
How Is Female Infertility Treated?
If you have been diagnosed with the tubal or pelvic disease, one option is to get surgery to reconstruct your reproductive organs. Your doctor puts a laparoscope through a cut near your belly button to get obviate scar tissue, treat endometriosis, open blocked tubes, or remove ovarian cysts, which are fluid-filled sacs which will form within the ovaries.
During this procedure, your doctor places a hysteroscope into your uterus through your cervix. It’s wont to remove polyps and fibroid tumors, divide scar tissue, and open up blocked tubes.
If you’ve got ovulation problems, you’ll be prescription drugs like clomiphene citrate (Clomid, Serophene), gonadotropins (such as Gonal-F, Follistim, Humegon, and Pregnyl), or letrozole.
Gonadotropins may trigger ovulation when Clomid or Serophene don’t work. These drugs can also assist you to get pregnant by causing your ovaries to release multiple eggs. Normally, just one egg is released monthly.
Your doctor may suggest that you simply take gonadotropin if you’ve got unexplained infertility or when other forms of treatment haven’t helped you get pregnant.
Metformin (Glucophage) is another sort of medication that will help you ovulate normally if you’ve got insulin resistance or PCOS (polycystic ovarian syndrome).
For the procedure, after semen gets rinsed with a special solution, a doctor places it into your uterus when you’re ovulating. It’s sometimes done while you are taking meds that help trigger the discharge of an egg.
In vitro fertilization (IVF)
In this technique, your doctor places embryos into your uterus that were fertilized during a dish.
You take gonadotropins that trigger the event of quite one egg. When the eggs are mature, your doctor uses ultrasound for guidance and collects them with a needle.
Sperm are then collected, washed, and added to the eggs within the dish. Several days later, embryos — or fertilized eggs — get replace into your uterus with a tool called an intrauterine insemination catheter.
If you and your partner agree, extra embryos are often frozen and saved to use later.
ICSI (intracytoplasmic sperm injection)
A doctor injects the sperm directly into the egg during a dish then places it into your uterus.
Gamete intrafallopian tube transfer ( GIFT ) and ZIFT (zygote intrafallopian transfer)
Like In vitro fertilization (IVF), these procedures involve retrieving an egg, combining it with sperm during a lab, then transferring it back to your body.
In ZIFT, your consultant places the fertilized eggs — at this stage called zygotes — into your fallopian tubes within 24 hours. In GIFT, the sperm and eggs are mixed together before a consultant inserts them.
This will assist you if you’ve got ovaries that do not work right but you’ve got a normal uterus. It involves removing eggs from the ovary of a donor who has taken fertility medicines. After in vitro fertilization, your consultant transfers the fertilized eggs into your uterus.