The ultimate guide on Female Infertility. This page gives awesome info on all the causes, diagnosis, and the various fertility tests for women, including and not limited to the various infertility treatments available for the women
Female Infertility: Whats all the fuss about?
Female infertility is rampantly rising throughout the globe.Scientific Data indicates that female infertility also called female factor or simply infertility in women and its associated issues could affect an estimated 40% of couples actively trying for a child and that’s scary as hell!. Female infertility is a major contributory cause of infertility affecting couples. Hey guys!. This is Dr. Shah, Founder of the Andrology Corner. Today I am gonna tell you everything you need to know about female infertility Infertility is rampantly rising around the globe, and affects at least one in six couples actively trying for a child. ….and interestingly female infertility as a cause is ever present in at least 40% to 50% of couples as a major contributing cause leading to fertility problems.
However, the more interesting fact is that….Male Fertility Problems leading to childlessness rises notoriously as high as 70%…and we do not have much data from other countries thereby actually underestimating the real threat. We are looking at just the tip of the iceberg! No benefits in blaming your wives or partners guys!. Get yourself checked first!
Surprised?…Read on now infertility is described by some BIG HEALTH AUTHORITIES as follows…
“Infertility is defined as the inability to achieve a pregnancy after one year of unprotected sexual intercourse”But in principle this definition is actually flawed!. Why??! Who defines what is normal frequency of sexual intercourse?. Is it once a day or once a month? ….and more importantly this definition definitely does not take into account the pregnancies that could have happened in the second or third year of marriage. In principle it is important to understand that natural conception is possible at any time at least upto a certain age. To get a better perspective just take a look at the data table below
But here is the catch….Even though this data suggests that a pregnancy is possible 85% of the time within the first year of marriage when the couple engages in sexual intercourse 2 to 3 times a week, their is a certain upper age limit. … the data mentioned above definitely does not apply to couples where the female age is beyond 35 years of age or if a male factor is present. The reason is simple, their is ample evidence in the scientific literature that suggests that when women cross 35 years of age, a sharp decline in egg production takes place. Its not just the egg production though.. It is also the quality of eggs…that really matter. Look below!!!
What are the cardinal causes of infertility in women?The main reason women postpone starting a family nowadays… A. Extended time spent studying and progressing from a career viewpoint B. Use of contraception C. Meeting a desired life partner late D. Obesity – a crappy pandemic that eventually leads to PCOS and then finally irregular cycles and infertility! E. Desiring a second child after a late first pregnancy F. Divorces and remarriages G. Increasing incidence of Sexually transmitted infections
Now lets go into the biology of Natural Conception
For a pregnancy to take place their are 5 important cardinal events that have to occur as mentioned below
The male should produce an adequate number of sperm, these sperms should good progressive motility and at least a few of them should have a normal shape.
The female should ovulate normally once a month. If the female has irregular cycles, conception is going to be difficult. Female age is the key determining factor of the quality of egg produced. The younger the female the better the egg!
The fallopian tubes are the key conduits that allow the sperm to reach the egg. Any blocks here will prevent a natural conception from occuring.
The one sperm that reaches egg, should have the fertilizing ability to attach to the egg, penetrate it, fertilize it and allow embryo development. A complex series of molecular event signals and coordinates the sperm attachment, penetration and fertilization
If the egg fertilizes, it forms an embryo that then develops and divides sequentially from a single cell to two cell, four cell, eight cell, sixteen cells and finally a Blastocyst. This process takes about 5 days. The blast formed should migrate and attempt to implant in the endometrium (The lining of the uterus that nourishes the embryo)
If the embryo is of good quality (it has no genetic/chromosomal anomalies) and if the endometrium is sufficiently well prepped, the embryo will implant and this would result in a pregnancy.
- The man should produce a healthy sperm
- The women should produce a healthy egg
- The birth tube or Fallopian tube should be free of blocks only then will the sperm meet the egg
- If the sperm does meet the egg, the embryo produced should also be of good quality
- The embryo will implant if the uterus lining is adequately prepared by the women’s natural hormones i.e estrogen and progesterone
- Ovarian reserve assessment to estimate follicle count (the sac that contains the egg)
- Tube patency assessment
- X-ray and/or sonographic imaging of the uterus to see it and its associated structures
- Irregular or absent ovulation
- Signs of Androgen excess (male pattern of hair growth, acne, hirsutism)
- Polycystic appearing ovaries
- Male erectile dysfunction
- Pain during intercourse
- Alcohol dependency
- Other psychological factors
Meet Dr. Shah at the Male Infertility & Sexual health Clinic
Dr. Shah is Consultant Andrologist and Sexologist in Chennai. His passion for helping men facing infertility issues stems from the fact that “Men never ever get the care they deserve as far as fertility treatments is concerned”