• 13 NOV 17
    • 0
    Diagnosis and Treatment for Infertility in Women

    Diagnosis and Treatment for Infertility in Women

    If a woman is trying to conceive for more than one year but still not successful then it becomes necessary to go for infertility test. Getting proper diagnosis and treatment can help to achieve pregnancy. There are several factors resulting from infertility. Both men and women can have infertility. Diagnosis of both the partners becomes vital in this case and accordingly, treatment is started. Let’s study about the diagnostic methods and treatment of infertility in women.

    Diagnosis of infertility

    Various tests including a blood test, ovarian test, and ovulation studies are performed to test infertility in a female. A doctor records the medical history and performs the physical examinations.

    Following tests are performed to determine fertility:

    Ovulation test: This test is performed to check whether women are ovulating or not. This means checking for production of eggs.

    Ovarian reserve test (AMH test): This test is done in order to check the leftover eggs in the ovary. A blood test is performed to check the Anti-Mullerian Hormone (AMH). These hormones are produced by the ovaries by the cells.

    Sonohysterography: This is known as ultrasound of uterus. It is performed to check the uterine abnormalities. It helps to detect:

    1. Fibroids or polyps inside the uterus
    2. Scar tissues
    3. Uterine shape
    4. Defects in the lining of the uterus
    5. Malignant Tissues

     

    Hysterosalpingography (HSG): It is also called as uterosalpingography. This test is performed to check if there is any type of blockage in the fallopian tube or not. In this procedure X-rays are used to determine:

    1. The shape of fallopian tubes   2. The shape of uterine cavity

     

    Laparoscopy: It is a surgical procedure to diagnose the abdomen in case of infertility. A thin optic fibre is inserted into the abdomen which helps the doctor to check the reproductive organs and to identify abnormalities such as endometriosis, fibroids, scarring or problem with fallopian tubes or uterus.

    Once the problem is diagnosed then accordingly doctor starts the treatment.

    Treatment Methods

    Treatment for infertility depends upon many factors such as age, cause, duration of infertility and personal factors.  Treatment involves the use of medications or surgery to restore fertility.

    Following are the treatment methods:

    Surgery: Surgeries such as hysteroscopy or Laparoscopy or tubal are done to remove the abnormalities related to fallopian tubes and uterine. These can increase the chance to conceive and become pregnant.

    Assisted reproductive technology (ART):  This procedure is used for infertility treatments. It involves the use of fertility medication, IVF (in vitro fertilization) and surrogacy.

    Use of medications: A women if diagnosed to have a problem with her ovulation, then a special type of drugs are given in such cases. Examples of such drugs are Clomiphene citrate, Gonadotropins, Metformin etc. These medicines help to stimulate ovulation.

    In Vito fertilization: In this procedure fertilization of egg and sperm are done outside the female body. After fertilization or formation of embryo then it is placed inside the uterus.This is called as artificial insemination.

    Techniques used in IVF are as under:

    1. Transvaginal ovum retrieval
    2. Embryo transfer
    3. Assisted zona hatching
    4. Autologous endometrial co-culture
    5. Intracytoplasmic sperm injection
    6. Cytoplasmic transfer
    7. In zygote intrafallopian transfer
    8. Sperm donation
    9. Egg donors
    10. Embryo splitting
    11. Preimplantation genetic diagnosis

     

    Intrauterine insemination (IUI): In this procedure, to facilitate fertilization sperm is placed inside the uterus of women. This technique increases the chance of fertilization by increasing the number of sperms reaching the fallopian tubes and resulting in fertilization.

    The above-listed methods may be expansive for some couples and everybody cannot afford them. Apart from these treatment methods, there are some of the natural methods to achieve a successful pregnancy.

    Natural treatment methods: These are listed as below:

    1. Take a healthy diet
    2. Use of supplements which promote fertility
    3. Balance body hormones by doing regular exercise
    4. Sound sleep
    5. Avoid smoking
    6. Decrease intake of alcohol
    7. Reduce stress

     

    Now a day’s numbers of treatment methods are available to achieve fertility. It depends on the age and other physical factors to which treatment method one should go for. Sometimes only medications alone are enough to cause fertility and sometimes surgery and other techniques are also required. These treatment methods are increasing hopes for childless parents. So to achieve a successful pregnancy is possible if you get the right diagnosis and right treatment. This may take some time but will increase the chance of getting pregnant for sure in a maximum number of cases. Changing lifestyle standards and taking a nutritional diet also plays an important role to conceive.

    To conclude, the couples going through infertility problems should not lose hope and should go for infertility treatment. This can certainly prove a boon for them.

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