Female Infertility

Female Infertility

Female Infertility
Female infertility is sometimes attributed to the shape of uterus being an inhospitable place for an egg to implant. Anovulation is a condition where the female doesn't release eggs from the ovary. This is usually caused by polycystic ovary disease. If the fallopian tubes cannot carry the eggs to the uterus because of endometriosis, some women may not be able to get pregnant.

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    A , Reproductive Endocrinology, answered
    Although most women report only minor cramping and short-term discomfort during this procedure, some women, especially those who have blocked tubes, report intense pain. Speak to your doctor about taking a pain medication about 30 minutes prior to the actual procedure.
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    A , Reproductive Endocrinology, answered
    This test is a quick, painless procedure that can give information about how the cervical mucus and sperm interact. The test must be done within two days of ovulation (either before or after). Basal body temperature charts or ovulation predicting kits are very helpful in determining the time of ovulation. A couple should abstain from intercourse for 2 days before ovulation and then have intercourse 2-8 hours prior to the office visit for the post-coital test.
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    A , Reproductive Endocrinology, answered
    A speculum is placed in the vagina, as it would be for a pap smear. A syringe without a needle is used to remove some mucus from the cervical opening. The speculum is then removed, and the cervical mucus is evaluated. The specimen is placed under a microscope to look for the presence or absence of swimming sperm.
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    Some women have trouble conceiving and some women can get pregnant but have trouble maintaining that pregnancy. If a woman attempts to get pregnant for more than a year and is unsuccessful or has repeated miscarriages then she will receive the diagnosis of infertility.

    Diagnosing the cause of the infertility may take a few months. It will begin with a pelvic exam, complete medical and menstrual history, and a look at lifestyle issues including history of smoking and drug and alcohol use. The next step might be blood work to test the woman's hormone levels and an ultrasound to view the ovaries and uterus. She will also be asked to check for the date of ovulation by using an ovulation testing kit. In addition, the woman will check her bodily temperature and her cervical mucus daily.

    The next step in the process would be to look at the women's fallopian tubes to be sure they are patent. This is done by a test called a hysterosalpingogram. If necessary, the doctor may also perform a laparoscopy to check the uterus, fallopian tubes, and ovaries. The physician will also check to be sure there are not any fibroids which may prevent pregnancy. 

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    A OBGYN (Obstetrics & Gynecology), answered on behalf of
    Fallopian tube abnormalities are responsible for about 35% of infertility. Fallopian tube abnormalities include tubal scarring or blockage (most commonly from pelvic infections), prior abdominal surgeries, and endometriosis. The fallopian tubes are initially evaluated by a hysterosalpingogram (HSG) and can, if necessary, be more thoroughly evaluated with a laparoscopy. A laparoscopy may correct fallopian tube damage and improve fertility. If the fallopian tubes are severely damaged or surgery does not enable conception, in vitro fertilization (IVF) to bypass the tubes may be recommended. In cases of blocked and dilated fallopian tubes, patients may consider surgery to open or remove fallopian tubes before IVF to improve their chances of pregnancy.
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    Unfortunately, many couples do not get early diagnosis and therefore may have problems even during in vitro fertilization (IVF). Diagnosing infertility first and then starting treatment can make a big difference in success rates for couples with unexplained infertility.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    A OBGYN (Obstetrics & Gynecology), answered on behalf of
    The cervix is the lowest portion of the uterus. The cervix produces clear and watery mucus at ovulation allowing sperm to pass into the uterus. Cervical factor infertility is a rare cause of infertility; however, prior cervical surgery (cervical biopsy, cone biopsy, loop electrosurgical excision procedure [LEEP], freezing and/or laser treatments for abnormal Pap smears, for instance) may contribute to cervical factor infertility. There are no predictive tests for it. Post-coital testing -- taking a sample of mucus during ovulation to evaluate for cervical factor -- is poor at predicting true cervical abnormalities and isn't routinely performed. Typically, intrauterine sperm insemination (IUI) to bypass any potential cervical factors is recommended.
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    It is estimated that up to 10% of couples with infertility will have no explanation, a situation that is frustrating for both the couple and their doctor. When the male has normal sperm and the female has open tubes, ovulatory cycles, and normal hormone profile, doctors have to look beyond the usual causes.

    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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    Yes. About 10 percent of women (6.1 million) in the United States ages 15-44 have difficulty getting pregnant or staying pregnant, according to the Centers for Disease Control and Prevention (CDC).

    This answer is based on source information from the National Women's Health Information.

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    The good news for couples with unexplained infertility is that this often represents a form of inflammation that can be diagnosed and treated effectively. Fertility specialists usually recommend that women with unexplained infertility have a careful evaluation for endometriosis. In one ongoing study of couples with unexplained infertility, researchers found that the vast majority have stage I or II (minimal or mild) of the disease. Once diagnosed, most of these couples conceive on their own without further treatment.
    The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.