Infertility

 

women Infertility issue

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Definition, Causes, and Symptoms

Infertility is defined as the inability to conceive after at least one year (or six months for women over 35) of frequent, unprotected sexual intercourse. It can be primary (never achieved pregnancy) or secondary (unable to achieve pregnancy after a previous one).

 

Causes are split roughly into three groups: female factors (e.g., ovulation disorders like PCOS, Endometriosis, tubal blockage, uterine fibroids), male factors (e.g., low sperm count/motility, abnormal sperm function, testicular issues), and unexplained (involving both or neither). Risk factors include age (especially women over 35 and men over 40), smoking, excessive alcohol use, being significantly overweight or underweight, and exposure to certain environmental toxins.

 

Symptoms: The main symptom is the failure to conceive. Other potential symptoms in women include irregular or absent periods; in men, symptoms can include hormonal changes like altered hair growth, pain, lump, or swelling in the testicles, and problems with sexual function.

 

Investigation and Treatment

 

Investigation is comprehensive for both partners. It includes semen analysis for the male partner. For the female partner, it includes blood tests (hormone levels, ovarian reserve), imaging (e.g., ultrasound, hysterosalpingography to check fallopian tubes), and sometimes laparoscopy.

 

Allopathy (Modern Medicine): Treatment ranges from lifestyle modifications to medications (e.g., ovulation-inducing drugs like Clomiphene or FSH), surgery (to correct tubal blockages, remove fibroids/endometriosis), and Assisted Reproductive Technologies (ART) like Intrauterine Insemination (IUI) and In-Vitro Fertilization (IVF).

 

Homeopathy: Used as a complementary therapy, focusing on correcting underlying hormonal imbalances and improving general health. Remedies are highly individualized, addressing factors like irregular cycles, stress, and specific physical symptoms.

 

Ayurveda: Focuses on improving the quality of reproductive tissues (Shukra Dhatu in males, Artava Dhatu in females) and balancing Vata dosha. Treatment involves internal medicines to strengthen the system, and procedures like Uttarbasti (intrauterine instillation of medicated oils).

 

Diet Management: A fertility diet emphasizes anti-inflammatory foods, healthy fats (omega-3s), whole grains, and plant-based proteins. Limiting highly processed foods, trans fats, and excessive caffeine/alcohol can support reproductive health. Maintaining a healthy Body Mass Index (BMI) is critical for both partners.

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