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Know everything about the Causes & Solution of Infertility

Do you know 1 in every 10 Indian couples may suffer from infertility? As per the Indian society of Assisted Reproduction-10-14% of Indian population suffers from infertility. The rate is higher in urban areas-cities-where 1 in every 6 couples may struggle with infertility. The number can be more than 27.5 million couples.

What really does infertility involve?

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Infertility in simple words mean not being able to conceive or get pregnant after a year of marriage. It may also mean not being able to stay pregnant full term despite being able to conceive.

Pregnancy happens when….

  1. A woman’s body releases an egg from one of her ovaries. This process is commonly known as ovulation.
  2. The egg released must come to uterus or womb through the fallopian tube.
  3. The man’s sperm must unite with the egg. This process is called fertilization.
  4. The fertilized egg then must attach itself to the inner wall of the uterus. This process is called implantation.

Problem in any of these 4 steps can cause infertility.

Is woman only responsible for infertility?

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Surely not! Any one or both can have problems that may cause infertility. Approx. 1/3 of infertility cases are caused due to problems in women. The other 1/3, men are responsible. And the remaining percentage of cases are caused by the combination of men and women problems or by unknown/unidentified problems.

What could be the possible signs of infertility in women?

  1. Irregular periods. The average cycle of periods for women is of 28 days. If the women skip or does not follow regular dates then she may be susceptible to infertility.
  2. Women may suffer heavy or painful periods, with cramps.
  3. Woman may not get periods at all. it is common for women to experience a month off every now and then due to some hormonal problems. However, an abnormal behaviour of periods must be checked.
  4. Painful sex.

What may be the likely causes of infertility in women?

Problems with ovulation may be one of the causes of infertility. The rupturing of egg causes periods. Periods being irregular means less production of eggs i.e. ovulation. Problems in ovulation may be caused by-

PCOS- polycystic ovarian syndrome. It is a situation of imbalance of hormone in the body that interferes with normal ovulation. It can be the prime cause of female infertility.

POI- primary ovarian insufficiency. POI should not be confused with menopause. POI is a situation when a women’s ovaries stops functioning before the age of menopause i.e. 40 years.

Other causes could be-

  1. Fallopian tubes may be blocked due to –
  2. Some physical problem with the uterus.
  3. Uterine fibroids-these are non-cancerous lumps of muscles or tissues on the wall of uterus, that may prevent the growth of egg in the uterus.

Are there certain habits or things that can delay/prevent pregnancy in women?

Surely yes. A woman may not conceive due to the following factors…...

  1. Too much drinking(alcohol) or smoking
  2. Age/stress
  3. Poor diet that may lead to overweight or underweight
  4. STIs-sexually transmitted infections
  5. Hormonal changes caused by health problems like POS & POI

Is age a crucial factor in infertility?

Under- age and over-age are both crucial factors to sustain pregnancy. While India was struggling few decades back due to underage, now it has problems with over-age. Woman have become more career oriented today, and unfortunately the career graph matches with the fertility graph. Most women put off pregnancy in their 20s and then struggle with it when they are in their 30s and 40s.

Complications increase with the age…...

  1. The ovaries release less eggs.
  2. With age the eggs are not as healthy as they are in their 20s
  3. Chances of miscarriage increases.
  4. Body may not likely to adapt the changes required for pregnancy.

How can doctor treat infertility?

The doctor analyses the causes of infertility through various test. And as per the diagnosis, infertility is treated with medicine, surgery, artificial insemination (IUI-intrauterine insemination) or assisted reproductive technology (ART).

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