Female infertility is the inability to conceive after a certain period. If you are below 35, you need to try for at least a year before getting evaluated and if you are above 35, 6 months is a good period to wait.
If you fail to conceive naturally, it is time to book an appointment with fertility treatment experts.
Delayed pregnancy doesn’t mean you have to go through female infertility treatment. Sometimes, visiting the doctor is all you need to solve some minor issues.
Carrying a healthy pregnancy involves some steps such as ovulation, fertilisation, etc. Now, problems with any of the steps can lead to infertility. Here are some of the most common causes of female infertility.
Ovulation is the first and most important step and any issue with it can lead to delayed pregnancy. Ovulation disorders include premature egg loss, cysts formation, or no ovulation. The ovulation issues mostly occur due to hormonal imbalance. The fluctuating hormones can cause polycystic ovaries which causes irregular periods and even infertility.
The most common myth associated with polycystic ovaries is PCOS means completely infertile women, which is not true. Most women with PCOS can get pregnant naturally, but it can cause obesity and infertility in females if not treated on time.
Our body makes antibodies in response to infections, injuries and surgeries. Sometimes, these antibodies start attacking the sperm and prevent its movement. Very little information is available on what immunology infertility looks like. It is not a common infertility cause, but it is a factor to consider.
The fallopian tube is the passage through which the egg passes from the ovaries to the uterus for fertilisation. Any damage or blockage in the way can prevent the egg from reaching its destination and causes tubal factor infertility.
The blockage in the fallopian tubes can be a result of some previous surgery or medical condition. Any surgery around the pelvic or abdomen area can cause the blocking of fallopian tubes. Some infections can also block the path.
Sometimes the uterine tissues that make the inner lining of the uterus start growing outside which is called endometriosis. The unnecessary growth of the tissue blocks fallopian tubes and thus prevents the egg from reaching the uterus.
Apart from blocking fallopian tubes, it also affects egg implantation and causes infertility. Endometriosis can even require surgery at a women’s infertility clinic to solve the problem.
Female infertility can be caused by issues related to the uterus and cervix as well. Fibroids or benign polyps on the uterus can interfere with egg implantation in the uterus which can be a great cause of female infertility.
Cervical stenosis which can be caused by any damage to that particular part can also interfere with egg implantation. Also, the cervix might not produce enough mucus in some cases which can make it hard for the sperms to travel.
Sometimes, the reason for infertility is not known and it can be related to some health factors or even lifestyle.
Since there are so many reasons behind female infertility, the examination process involves a long procedure. It includes physical examinations and several tests to track the issue. The doctor will perform a blood test, and hormonal test for female infertility to start with. Depending on the situation, you might also need to undergo an endometrial biopsy.
Blood test for female infertility is followed by the below procedures.
The test involves ultrasound or x-ray of the female reproductive parts to check for any blockages in the fallopian tubes. The doctor also injects some kind of saline into the cervix of the female to get a clear image of the blockage.
Hysterosalpingography is one of the most common female infertility tests and diagnosis.
A small instrument named laparoscope is used to get an inner view of the female body. The specialist will make a small incision to insert the laparoscope which carries a small camera. Since it involves an incision or a minor surgery, it is called a surgical method.
The laparoscope gives a clear view of the abnormalities in the uterus or fallopian tubes. This particular fertility test for women costs more than other procedures.
The infertility treatment for females starts with choosing the best female infertility centre. The best here should not be determined by the cost but the hygiene and quality of the services offered.
The treatment for infertility depends on your age, health, medical and sexual history, and complications. The type of treatment for female infertility includes medication, surgery, artificial insemination, and assisted reproductive treatment. The female reproductive specialist will offer a single or combined treatment based on your needs.
In the beginning, the fertility treatment experts try to treat the conditions with:
When your body doesn’t respond well to any of the above, the doctor will suggest one of the following treatments.
The healthy sperms picked during the biopsy are directly injected into the female body. The doctor tracks your ovulation period and healthy sperm is injected to increase the chances of fertilisation. The doctor might also suggest some medication to regulate your ovulation period.
The fertilisation process occurs outside your body. Your matured eggs will be collected as a sample and will be tested to improve the chances of fertilisation. The eggs are then mixed with sperm to carry out the process. A healthy fertilized egg is then implanted in the uterus.
During the process, instead of mixing the sperms and eggs, the sperm is directly injected into the egg for improved chances of pregnancy.
The female infertility treatment cost will also vary depending on the type of treatment you need.