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Infertility – Symptoms, Diagnosis, Treatment of Infertility -Possibilities for the Cause of Infertility – Causes of Infertility
1. 2013 October | Blossom Fertility & IVF Center - Surat
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Welcome to Blossom Fertility & IVF Center..
Realising your dream
It is the dream of most couples to have their own children as part of their relationship. In India
1 in 6 couples will have problems conceiving.
The Blossom Fertility and IVF Centre aims to reduce the stress and hassle associated with
infertility investigations and treatment, by offering a one-stop diagnostic and treatment
service for infertile couples.
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Archive for October 2013
Infertility – Symptoms, Diagnosis, Treatment of Infertility -Possibilities for the Cause of Infertility – Causes of
Infertility
Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or
older. Women who can get pregnant but are unable to stay pregnant may also be infertile. For some couples,
infertility problems can be present from birth (congenital) or something can go wrong along the way that
results in infertility. The reason of infertility can be because of either partner. About one-third of infertility
cases are caused by women’s problems and one third of fertility problems are due to the man. The other cases
are caused by a mixture of male and female problems or by unknown problems.
If a couple decides to go for consultation of medical experts then first thing is to fix up an appointment with
infertility specialist. Many infertility problems can be pinpointed by the infertility specialist and the vast majority
cases can be treated.
Many cases of apparent infertility are treatable. Infertility may have a single cause in one of the partners, or it
could be the result of a combination of factors. The following article outlines the most common causes
attributed to the term infertility.
1: Womb and fallopian tubes
The fallopian tubes are the tubes along which an egg travels from the ovary to the womb. The egg is fertilised
as it travels down the fallopian tubes. When it reaches the womb, it is implanted into the womb’s lining where it
continues to grow. If the womb or the fallopian tubes are damaged, or stop working, it may be difficult to
conceive naturally. This can occur following a number of factors which include pelvic inflammatory disease,
sexually transmitted diseases such as chlamydia, and previous sterilisation surgery. In rare cases, women may
be born with tubal abnormalities, usually associated with uterus irregularities.
Tubal disease affects approximately 25% of infertile couples and varies widely, ranging from mild adhesions to
complete tubal blockage. Treatment for tubal disease is most commonly surgery and, owing to the advances in
microsurgery and lasers, success rates are as high as 30% overall, with certain procedures having success rates
up to 65%.
2: Polycystic Ovarian Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) is a common hormonal disorder among women of reproductive age. The
name of the condition comes from the appearance of the ovaries in most, but not all, women with the disorder
— enlarged and containing numerous small cysts located along the outer edge of each ovary (polycystic
appearance). Polycystic ovary syndrome is a problem in which a woman’s hormones are out of balance. It can
cause problems with your periods and make it difficult to get pregnant. PCOS may also cause unwanted
changes in the way you look. If it is not treated, over time it can lead to serious health problems, such as
diabetes and heart disease. Polycystic ovary syndrome (or PCOS) is common, affecting as many as 1 out of 15
women. Often the symptoms begin in the teen years. Treatment can help control the symptoms and prevent
long-term problems.
The exact cause of polycystic ovary syndrome is unknown. Early diagnosis and treatment may reduce the risk of
long-term complications, such as type 2 diabetes and heart disease. Symptoms related to elevated androgen
levels include acne, excess hair growth on the body (hirsutism), and male-pattern hair loss. Other signs and
symptoms of PCOS include obesity and weight gain, elevated insulin levels and insulin resistance, oily skin,
dandruff, infertility, skin discolorations, high cholesterol levels, elevated blood pressure, and multiple, small
cysts in the ovaries. Any of the above symptoms and signs may be absent in PCOS, with the exception of
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irregular or no menstrual periods. All women with PCOS will have irregular or no menstrual periods. Women
who have PCOS do not regularly ovulate; that is, they do not release an egg every month. This is why they do
not have regular periods and typically have difficulty conceiving.
What is Infertility treatment: In vitro fertilization (IVF)
3: Varicocele Repair for Infertility
Varicoceles are enlarged varicose veins that occur in the scrotum. They are fairly common, affecting 15% of men
overall and 40% of men with known infertility. Varicoceles occur most often in the left testicle. Varicocele repair
is performed to improve male fertility. It can usually be done surgically on an outpatient basis using local or
general anesthetic. A small incision is made in the abdomen close to where the testicles originally descended
through the abdominal wall. The veins that produce the varicocele are identified and cut to eliminate blood flow
to the varicocele. Alternatively, a nonsurgical procedure called percutaneous embolization can be done to repair
a varicocele. A small catheter is inserted through a large vein in the groin or neck and advanced to the
varicocele, which is then blocked off by a balloon, coil, or medicine.
4: Abnormal Sperm Count, Shape, Motility
More than 90% of male infertility cases are due to low sperm counts, poor sperm quality, or both. In 30 – 40%
of cases of sperm abnormalities, the cause is unknown. It may be the end result of one or more factors that
include chronic illness, malnutrition, genetic defects, structural abnormalities and environmental factors. Partial
obstruction anywhere in the long passages through which sperm pass can reduce sperm counts. In one study,
obstruction was believed to be a contributing factor in over 60% of low sperm count cases.
Sperm size and shape is referred to as sperm morphology, and it’s one of three factors analyzed in a semen
analysis. The other two are sperm motility, or movement, and sperm count. Sperm have to be willing to get a
move on. That last distance to the egg can only be crossed with some serious sperms. More than 40 % of a
man’s sperm have to be active swimmers for a good chance at fertility.
5: Endometriosis
Approximately 10% of infertile couples are affected by endometriosis. In fact, 30-40% of patients with
endometriosis are infertile. This is two to three times the rate of infertility in the general population. For women
with endometriosis, the monthly fecundity (chance of getting pregnant) diminishes by 12 to 36%. Endometriosis
is the abnormal growth of cells (endometrial cells) similar to those that form the inside or lining the tissue of
the uterus, but in a location outside of the uterus. Growth occurs not only in the uterus but also elsewhere in
the abdomen, such as in the fallopian tubes, ovaries and the pelvic peritoneum. A positive diagnosis can only
be made by diagnostic laparoscopy, a test that allows the physician to view the uterus, fallopian tubes, and
pelvic cavity directly. The symptoms often associated with endometriosis include heavy, painful and long
menstrual periods, urinary urgency, rectal bleeding and premenstrual spotting. Sometimes, however, there are
no symptoms at all, owing to the fact that there is no correlation between the extent of the disease and the
severity of the symptoms. The long term cumulative pregnancy rates are normal in patients with minimal
endometriosis and normal anatomy. Current studies demonstrate that pregnancy rates are not improved by
treating minimal endometriosis.
Apart from these infertility causes there are many factors that contribute to the infertility. These includes
unexplained infertility, increased age in men and women, lifestyle habits like alcohol, smoking, caffeine,
overweight or underweight, sexually transmitted diseases, occupational or environmental factors and stress.
If you are experiencing infertility problems either due to PCOS, endometriosis, varicocele, abnormal sperm
count, shape or motility, blocked fallopian tubes or increasing age or secondary infertility, it is extremely
important for you to take a call and visit your infertility expert at the earliest.
Contact today Blossom Fertility and IVF Centre, for consultation with our highly-skilled fertility specialist to
couples interested in learning more about their options for having a baby using assisted reproductive
technology. Please call on +91 261 2470333 to schedule a appointment or simply email us at
info@blossomivfindia.com
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ADDRESS : Blossom Fertility and
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Surat-395003, Gujrat, India
EMAIL :info@blossomivfindia.com
PHONE : +91 261 2470333
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Hi,we are greatfull to
Blossom Fertility & IVF
Centre, Surat, India for
everything and their
support. Now we have
three children. Once again
thank you to Blossom IVF
Centre team and Dr Rupal
shah.
3. 2013 October | Blossom Fertility & IVF Center - Surat
Thanx , Hazra and Shiraz Patel, London,UK
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