Infertility is when a couple cannot conceive despite having regular unprotected sex. Around one in six or seven couples may have difficulty conceiving. However, the number of couples who are actually infertile is low, around 5%. About 85% of couples will conceive naturally within one year and 95% within two years if they have regular unprotected sex. A couple will only be diagnosed as being infertile if they have not managed to have a baby after two years of trying. Women over the age of 35, and anyone who is already aware that they may have fertility problems, should contact Best infertility specialist in Kolkata Cradle Fertility Centre for Best Infertility treatment in Kolkata.
Infertility can be caused by many different factors. About one third of infertility is due to problems in the female, another third is due to male factors, and in 30%, a cause cannot be identified.
Infertility, in women, is most commonly caused by disorders of ovulation, either irregular or absent ovulation. This includes premature ovarian failure, where the ovaries cease to ovulate before age of 40 and polycystic ovary syndrome (PCOS), a condition of the ovary that makes ovulation difficult. This condition may require Poly cystic ovarian disease treatment in Kolkata or (PCOD). Women with thyroid disorders (both underactive and overactive thyroid gland) also have irregular ovulation.
Fallopian tubes are thin elongated structures extending from the ovary to the uterus (womb) on each side. The ovum (egg) is fertilized by the sperm as it travels down the fallopian tubes, and when it reaches the uterus (womb) it implants on to the lining where it continues to grow. If the fallopian tubes are damaged or blocked, it may become difficult to conceive naturally. This condition may require Fallopian tube block treatment in Kolkata. This can occur after pelvic surgery which may cause damage and adhesions to the fallopian tubes. Endometriosis can also cause infertility as the adhesions or cysts may obstruct or distort the tubes and ovaries making it difficult for an egg to be released and transported to the uterus for implantation.
Best infertility doctor in Kolkata may advise endometriosis surgery in Kolkata. Pelvic inflammatory disease (PID) is an infection of the upper female genital tract including the endometrial lining and fallopian tubes with resulting damage to the fallopian tubes and failure of transport of the ovum (egg).
A full medical, sexual and social history is taken which helps to identify any possible factors that may be causing fertility problems. Best fertility doctor in Kolkata Cradle Fertility Centre recommends best fertility center in Kolkata for your treatment.
A number of investigations are usually undertaken:
Semen analysis in the male partner for volume, count, motility and morphology. Almost all of the other investigations are done in the female partner.
A sample of blood is tested for progesterone levels which indicates ovulation. This is done seven days before the next period is due or on Day 21 from the first day of the last menstrual period.
Day 2 LH/FSH ratio
Luteinising Hormone (LH) and Follicle Stimulating Hormone (FSH) are 2 other hormones in the female that are tested on the 2nd or 3rd day of the menstrual cycle, i.e. day 2 or day 3 after start of periods.
It is estimated that between 1.5 to 5.1 percent of infertile women have an abnormal thyroid function, and testing for it is an important part of the infertility workup.
Prolactin is yet another hormone that is tested for; elevated levels indicate lack of ovulation and also an underlying disorder.
Chlamydia is a sexually transmitted infection (STI) that can affect fertility. A swab is used to collect cells from the cervix to test for infection. If tested positive for chlamydia, antibiotics are prescribed for Best Infertility treatment in Kolkata.
Transvaginal ultrasound is done to assess for normality of the uterus and ovaries. Polycystic ovaries may be detected on ultrasound which when associated with abnormal LH/FSH ratio and other symptoms would then be called Polycystic Ovarian Syndrome.
A hysterosalpingogram is an x-ray of the uterus and tubes after introducing a dye through the cervix. The dye is seen to fill the uterus and tubes and then spill into the pelvis indicating normal structures. This examination helps to identify a polyp or small fibroid in the uterine cavity or to identify a block in the fallopian tubes.
It may become necessary to obtain maximum information and also to surgically treat certain conditions by surgical procedures like laparoscopic surgery in infertility Kolkata and Hysteroscopic tubal cannulation kolkata.
Commonly used medications to assist fertility are as below. Clomifene helps to encourage ovulation (the monthly release of an egg) in women who do not ovulate regularly or who cannot ovulate at all. Metformin is prescribed where clomifene has not worked, and is thought to be particularly beneficial for women with polycystic ovary syndrome (PCOS) and a body mass index (BMI) of over 25. Gonadotrophins are hormones that act on the pituitary gland in the brain which drives the ovaries to ovulate, and are used to induce ovulation. Ideally, ovulation induction should be monitored by tracking the development of follicles by ultrasound.
Some surgical procedures like hysteroscopy and laparoscopy may be used to investigate fertility problems and assist with fertility. Women who have endometriosis are prescribed for laparoscopic surgery for endometriosis in Kolkata . In women with polycystic ovaraian syndrome (PCOS) are advised Ovarian cyst treatment in Kolkata, laparoscopic ovarian drilling may be done if ovulation induction has not worked. This involves using diathermy to make about 4 to 5 puncture holes in each ovary to correct the local hormonal imbalance. Hysteroscopic surgery in Kolkata is highly recommended for resection of polyps or small submucosal fibroids which may interfere with implantation of the fertilised ovum.
Laparoscopy represents a surgical procedure for creating minute incisions in the abdomen area with the help of sophisticated instruments. The abdomen is inflated with carbon dioxide gas and the pencil-like tool or the laparoscope is inserted in the abdomen to obtain image of the inside under powerful light and a video camera, which is seen on a TV monitor in the operation theatre. Additional small incisions are made in the adjoining area for other sophisticated instruments to perform the surgery. Laparoscopy surgeon in Kolkata Dr.Sankar DasMahapatra will perform laparoscopy surgery in best laparoscopy hospitals in Kolkata.
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