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Apr 12

Female Infertility

Hormonal and ovulation Disorders

Ovulation requires a very intricate hormone interaction. This means that up to 33% of infertility in females is traceable to hormonal and ovulation disorders. This may cause the follicle in the ovarian not to rupture or the egg entrapment where it is not released.

There are medical and lifestyle conditions like stress, smoking, eating disorders and excessive exercising which may alter the hormonal rhythm that is considered normal. When there are irregularities in the system, a disorder in ovulation may present itself.


Fibroid Tumors

In women who are above 30 years, the presence of fibroid tumors even in their benign form is quite common within the uterus. In some cases, this may cause infertility in females because the uterine cavity is interfered with thus causing a blockage in the fallopian tubes or causing the cervix position to alter thus sperm is unable to make its way into the uterus. Fibroid tumors can be caused by estrogen as well some hereditary factors.


Infertility in females over 40

The reproductive capacity of a woman greatly decreases with age. Natural pregnancy likelihood is at a percentage of 25 every month especially for women in the thirties and twenties. In the forties, the possibility goes to 5%. The age of a woman also associates with an increase in the peril of miscarriages as well as a high risk in abnormality of chromosomes such as the Down syndrome.

The cause of the above conditions is due to a decrease in egg quality as produced by women at different ages. There are those women who ovulate even in their fifties but in most cases, a successful pregnancy may not be achieved. Women over forty should therefore see a specialist in fertility if they go for three cycles and are still unable to conceive.

There are tests that are carried out on some specific hormones so as to get to know whether eggs produced are high quality. This includes AMH, estradiol, and FSH. The tests are carried out in the 3rd day of a menstrual cycle. Where levels are not normal, the quality of the eggs may be poor and this may decrease the chances of a pregnancy.

Clomid challenge test is yet another one that can be used to determine egg quality. FSH levels are measured and a repeat of the same after one has taken Clomid for duration of 5 days. When the test is abnormal, the likelihood of a pregnancy is low.

In IVF therapy, fertility decline is more notable. Age is a very great factor when the IVF rates are considered. Where a woman is below the age of 35, the embryos that are fertilized have very high chances of actually implanting on the uterus. When one reaches 43, that possibility highly falls.

The poor outcome of IVF can be related to a drop in the quality of the eggs produced. The egg quality cannot be improved but stimulation of ovaries can actually greatly improve the response. This may increase the eggs that can be fertilized. When the eggs are more, more embryos can be accessed for implantation. This increases the possibility of a successful pregnancy.

When assisted to hatch, the casing around the embryo is removed in part. This is done before transferring to the uterus. This method is still being investigated so as to be clearer. Where a woman’s ovaries do not produce good eggs, then one may consider IVF, surrogacy, adoption or use of known or anonymous donor eggs.

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