If getting pregnant has been a challenge for you and your partner, you’re not alone. Many couples around the world are infertile. Infertility is defined as not being able to get pregnant despite having frequent, unprotected sex for at least a year for most people and six months in certain circumstances.
Once the cause of infertility has been determined, a plan can be customized for you to fit your unique situation and move you along on the path to conceiving a child. In fact, nearly 90% of infertility cases are treatable with medical therapies such as drug treatment, surgical repair of reproductive organs and assisted reproductive techniques such as in vitro fertilization (IVF Treatment).
Sumiran Women’s Hospital, Ahmedabad is fully equipped to provide world class services for couples with difficulty to conceive. Our services include :
- Evaluation of couple
- IVF ( OPU / ET )
- Cryopreservation (Embryo / Sperm bank / Oocyte preservation)
- Surgical management of male factor in infertility (PESA/TESE/TESA)
- Laser assisted hatching.
When to see a doctor
In general, don’t be too concerned about infertility unless you and your partner have been trying regularly to conceive for at least one year.
Talk with your doctor earlier, however, if you’re a woman and:
- You’re age 35 to 40 and have been trying to conceive for six months or longer
- You’re over age 40, so you should begin testing or treatment right away
- You menstruate irregularly or not at all
- Your periods are very painful
- You have known fertility problems
- You’ve been diagnosed with endometriosis or pelvic inflammatory disease
- You’ve had more than one miscarriage
- You’ve had prior cancer treatment
If you’re a man, talk with your doctor if you have:
- Low sperm count or other problems with sperm
- A history of testicular, prostate or sexual problems
- Psychosexual problems
- You’ve had prior cancer treatment
Treatment of infertility depends on the cause, how long you’ve been infertile, your age and your partner’s age, and many personal preferences. Some causes of infertility can’t be corrected. However, a woman may still become pregnant with assisted reproductive technology. Infertility treatment involves significant physical, psychological, financial and time commitment.
The reasons for infertility can involve one or both partners.
Causes of male infertility
- Abnormal sperm production or function
- Problems with the delivery of sperm
- Overexposure to certain environmental factors, addiction to alcohol, tobacco
Treatment for men
Approaches that involve the male include treatment for general sexual problems or lack of healthy sperm. Treatment may include:
- Medication or behavioral approaches. Addressing impotence or premature ejaculation with one or both approaches may improve fertility.
- Surgery, hormones or assisted reproductive technology. If a lack of healthy sperm is suspected as the cause of a man’s infertility, surgery or hormones to correct the problem or use of assisted reproductive technology is sometimes possible.
- Sperm retrieval. Surgical sperm aspiration, which allows retrieval of sperm if the ejaculatory duct is blocked
Causes of female infertility
- Ovulation disorders, which hinder or prevent the ovaries from releasing eggs. Examples include hormonal disorders such as polycystic ovary syndrome and hyperprolactinemia
- Uterine or cervical abnormalities, including problems with the opening of the cervix or cervical mucus, or abnormalities in the shape or cavity of the uterus. Benign tumors in the wall of the uterus that are common in women (uterine fibroids) may rarely cause infertility by blocking the fallopian tubes. More often, fibroids may distort the uterine cavity interfering with fixing (implantation) of the fertilized egg.
- Fallopian tube damage or blockage, which usually results from inflammation of the fallopian tube (salpingitis). This can result from pelvic inflammatory disease, usually caused by sexually transmitted infection, endometriosis or adhesions.
- Endometriosis, which occurs when endometrial tissue implants and grows outside of the uterus — often affecting the function of the ovaries, uterus and fallopian tubes.
- Primary ovarian insufficiency, also called early menopause, when the ovaries stop working and menstruation ends before age 40.
- Thyroid problems.
Treatment for women
Although a woman may need just one or two therapies to restore fertility, it’s possible that several different types of treatment may be needed before she’s able to conceive.
Stimulating ovulation with fertility drugs.
Fertility drugs are the main treatment for women who are infertile due to ovulation disorders. These medications regulate or induce ovulation.
Intrauterine insemination (IUI).
During IUI, healthy sperm that have been collected and concentrated are placed directly in the uterus around the time the woman’s ovary releases one or more eggs to be fertilized.
Surgery to restore fertility.
Uterine problems such as endometrial polyps, a uterine septum or intrauterine scar tissue can be treated with hysteroscopic surgery.