Millions of women face infertility problem and the ratio increasing day by day. Only about eight out of ten women will conceive within first year of trying and two in eight women have difficulties getting pregnant. If you are having trouble getting pregnant or staying pregnant, you are not alone.
The good news is that many women even with fertility problems go on to have babies.
- first situation where endometrial tissue is deposited in unusual location by the backing up of menstrual flow into the fallopian tubes and the pelvic and abdominal cavity during menstruation.
- Another possibility is that areas lining the pelvic organs possess primitive cells that are able to grow into other forms of tissue, such as endometrial cells.
- Cause of endometriosis is unknown.
- Many women do not have any symptoms.
- Some may show symptoms like, pain in menstruation, cramping or pain during bowel movements and urination, infertility, painful pelvic exam.
- NSAIDs—Nonsteroidal anti-inflammatory drugs are commonly prescribed to help relieve pelvic pain and menstrual cramping.
- Surgery to remove endometrial tissue
- Fertility drugs with artificial insemination
- Assisted reproductive technologies (ART)
- Up to 40 percent of women conceive[divider]
2. Non Ovulation
Ovulation usually occurs on day 14, with day 1 being the first day of menstrual bleeding. Patients with ovulatory disorders fall into a spectrum that ranges from irregular cycles and occasional ovulation to complete absence of ovulation and menses, including some suffering from Polycystic Ovarian Disease (PCOD) or (PCOS) syndrome. Women with PCOD have:
- Abnormal menses and
- Excess male hormones
- Absent or infrequent periods and abnormally light or heavy bleeding.
- Fertility drugs
- 40 percent of women receiving colmiphenecitrate to induce ovulation become pregnant over the course of treatment.
- Rate of IVF averages to 35 percent.
3. Blocked fallopian tubes
- When an obstruction prevents the egg from travelling down the tube, the woman has a blocked fallopian tube. It can occur on one or both sides. Nearly 40% of women infertility caused due to this tubal infertility.
- History or current of an STD infection.
- History of uterine infection caused by an abortion or miscarriage.
- History of a ruptured appendix.
- History of abdominal surgery.
- Previous ectopic pregnancy.
- Prior surgery involving the fallopian tubes.
- Surgery to open the tubes.
- IVF in case of surgery failures or tubes completely damaged
- 5 to 60 percent depending on blockage location
- 10 to 40 percent for IVF cycle[divider]
4. Poor quality Eggs
- Female age is important in considering the probability for pregnancy because it is very much related to egg quality, which in turn is crucial in determining embryo quality.
- IVF using donor eggs or embryos
- 50 percent of chances in IVF[divider]
5. Shape of Uterus
- Some women have a congenital uterine abnormality, which is a womb/uterus that formed in an unusual way before birth. Depending on the shape of the uterus, the risks of miscarriage or premature birth can be higher in these cases. It is also associated with cervical insufficiency/incompetence another factor leading to preterm birth. Types of problems are
- Bicornuate (heart shaped) womb—Women with this sort of womb will have higher risk of miscarriage and preterm birth
- Unicornuate womb—It is rare and in it half the size of a normal womb because one side failed to develop.
- Didelphic (double) womb—The didelphic womb is split in two, with each side having its own cavity, cervix and vagina. It is not concerned with extra difficulties but risk in premature birth.
- Separate/ sub-separate womb—Separate womb has a wall of muscle coming down the centre splitting the space in two leading to the increased risk of first-trimester miscarriage and preterm birth.
- Arcuate womb—Arcuate womb looks very like a normal womb but it has a dip at the top. Arcuate womb does not increase the risk of preterm birth or first trimester miscarriage but it does increase your risk of second trimester miscarriage. In later pregnancy baby may lie in an awkward position to have a caesarean birth.
- Laproscopic Surgery or Hysteroscopy
- Cervical cerclage (stitching uterus)
- Nearly 40 percent after surgery
However, there will be no reason found for the infertility in about 3 in 10 cases. In around 4 out of 10 cases disorders are found in both the man and the woman.
Some reasons are easier to treat than others as infertility is a physical, emotional and social issue that affects both partners.
Most important factor understands how infertility and fertility treatments are affected your fertility conditions. The chance of conceiving gradually goes down over time. But for some couples where no cause is found for the problem, there is still a good chance of conceiving without treatment.