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Monday, 26 August 2013
WHAT CAUSES FEMALE INFERTILITY?
Causes of Failure to Ovulate
Ovulatory disorders are one of the
most common reasons why women
are unable to conceive, and account
for 30% of women's infertility.
Fortunately, approximately 70% of
these cases can be successfully
treated by Herbal medicine. The
causes of failed ovulation can be
categorized as follows:
(1) Hormonal Problems
These are the most common causes
of anovulation. The process of
ovulation depends upon a complex
balance of hormones and their
interactions to be successful, and any
disruption in this process can hinder
ovulation. There are three main
sources causing this problem:
Failure to produce
mature eggs
In approximately 50%
of the cases of
anovulation, the
ovaries do not
produce normal
follicles in which the
eggs can mature.
Ovulation is rare if
the eggs are
immature and the
chance of fertilization
becomes almost
nonexistent.
Polycystic ovary
syndrome, the most
common disorder
responsible for this
problem, includes
symptoms such as
amenorrhoea,
hirsutism,
anovulation and
infertility. This
syndrome is
characterized by a
reduced production
of FSH, and normal or
increased levels of
LH, oestrogen and
testosterone. The
current hypothesis is
that the suppression
of FSH associated
with this condition
causes only partial
development of
ovarian follicles, and
follicular cysts can be
detected in an
ultrasound scan. The
affected ovary often
becomes surrounded
with a smooth white
capsule and is double
its normal size. The
increased level of
oestrogen raises the
risk of breast cancer.
Malfunction of the
hypothalamus
The hypothalamus is
the portion of the
brain responsible for
sending signals to the
pituitary gland,
which, in turn, sends
hormonal stimuli to
the ovaries in the
form of FSH and LH
to initiate egg
maturation. If the
hypothalamus fails to
trigger and control
this process,
immature eggs will
result. This is the
cause of ovarian
failure in 20% of
cases.
Malfunction of the
pituitary gland
The pituitary's
responsibility lies in
producing and
secreting FSH and
LH. The ovaries will
be unable to ovulate
properly if either too
much or too little of
these substances is
produced. This can
occur due to physical
injury, a tumor or if
there is a chemical
imbalance in the
pituitary.
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(2) Scarred Ovaries
Physical damage to the ovaries
may result in failed ovulation. For
example, extensive, invasive, or
multiple surgeries, for repeated
ovarian cysts may cause the capsule
of the ovary to become damaged or
scarred, such that follicles cannot
mature properly and ovulation does
not occur. Infection may also have
this impact.
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(3) Premature Menopause
This presents a rare and as of yet
unexplainable cause of anovulation.
Some women cease menstruation and
begin menopause before normal
age. It is hypothesized that their
natural supply of eggs has been
depleted or that the majority of
cases occur in extremely athletic
women with a long history of low
body weight and extensive exercise.
There is also a genetic possibility for
this condition.
(4) Follicle Problems
Although currently unexplained,
"unruptured follicle syndrome"
occurs in women who produce a
normal follicle, with an egg inside of
it, every month yet the follicle fails to
rupture. The egg, therefore, remains
inside the ovary and proper
ovulation does not occur.
Causes of Poorly Functioning
Fallopian Tube:
(1) Infection
Caused by both bacteria and
viruses and usually transmitted
SEXUALLY, these infections
commonly cause inflammation
resulting in scarring and damage. A
specific example is Hydrosalpnix, a
condition in which the fallopian tube
is occluded at both ends and fluid
collects in the tube. We have herbal
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(2) Abdominal Diseases
The most common of these are
appendicitis and colitis, causing
inflammation of the abdominal cavity
which can affect the fallopian tubes
and lead to scarring and blockage.
(3) Previous Surgeries
This is an important cause of tubal
disease and damage. Pelvic or
abdominal surgery can result in
adhesion that alter the tubes in such
a way that eggs cannot travel
through them.
(4) Ectopic Pregnancy
This is a pregnancy that occurs in
the tube itself and, even if carefully
and successfully overcome, may
cause tubal damage and is a
potentially life-threatening condition.
(5) Congenital Defects
In rare cases, women may be
born with tubal abnormalities,
usually associated with uterus
irregularities.
Endometriosis
Approximately 10% of infertile
couples are affected by
endometriosis. Endometriosis affects
five million US women, 6-7% of all
females. In fact, 30-40% of patients
with endometriosis are infertile. This
is two to three times the rate of
infertility in the general population.
For women with endometriosis, the
monthly fecundity (chance of getting
pregnant) diminishes by 12 to 36%.
This condition is characterized by
excessive growth of the lining of the
uterus, called the endometrium.
Growth occurs not only in the uterus
but also elsewhere in the abdomen,
such as in the fallopian tubes, ovaries
and the pelvic peritoneum. A
positive diagnosis can only be made
by diagnostic laparoscopy, a test that
allows the physician to view the
uterus, fallopian tubes, and pelvic
cavity directly. The symptoms often
associated with endometriosis
include heavy, painful and long
menstrual periods, urinary urgency,
rectal bleeding and premenstrual
spotting. Sometimes, however, there
are no symptoms at all, owing to the
fact that there is no correlation
between the extent of the disease and
the severity of the symptoms. The
long term cumulative pregnancy
rates are normal in patients with
minimal endometriosis and normal
anatomy. Current studies
demonstrate that pregnancy rates
are not improved by treating
minimal endometriosis.
Additional Factors
(1) Other variables that may cause
infertility in women:
At least 10% of all
cases of female
infertility are caused
by an abnormal
uterus. Conditions
such as FIBROID
( contact us to flush it
out without
surgery.... 100%
herbs), polyps and
adenomyosis may
lead to obstruction of
the uterus and
Fallopian tubes.
Congenital
abnormalities, such as
septate uterus, may
lead to recurrent
miscarriages or the
inability to conceive.
Approximately 3% of
couples face
infertility due to
problems with the
femaleís cervical
mucus. The mucus
needs to be of a
certain consistency
and available in
adequate amounts for
sperm to swim easily
within it. The most
common reason for
abnormal cervical
mucus is a hormone
imbalance, namely
too little estrogen or
too much
progesterone.
(2) Behavioral Factors:
It is well-known that certain
personal habits and lifestyle factors
impact health; many of these same
factors may limit a couple's ability to
conceive. Fortunately, however,
many of these variables can be
regulated to increase not only the
chances of conceiving but also one's
overall health.
Diet and Exercise
Optimal reproductive
functioning requires
both proper diet and
appropriate levels of
exercise. Women
who are significantly
overweight or
underweight may
have difficulty
becoming pregnant.
Smoking
Cigarette smoking has
been shown to lower
sperm counts in men
and increases the risk
of miscarriage,
premature birth, and
low-birth-weight
babies for women.
Smoking by either
partner reduces the
chance of conceiving
with each cycle,
either naturally or by
IVF, by one-third.
Alcohol
Alcohol intake greatly
increases the risk of
birth defects for
women and, if in high
enough levels in the
motherís blood, may
cause Fetal Alcohol
Syndrome. Alcohol
also affects sperm
counts in men.
Drugs
Drugs, such as
marijuana and
anabolic steroids,
may impact sperm
counts in men.
Cocaine use in
pregnant women may
cause severe
retardations and
kidney problems in
the baby and is
perhaps the worst
possible drug to
abuse while
pregnant.
Recreational drug use
should be avoided,
both when trying to
conceive and when
pregnant.
(3) Environmental and
Occupational Factors:
The ability to conceive may be
affected by exposure to various
toxins or chemicals in the workplace
or the surrounding environment.
Four chemicals are now being
regulated based on their
documented infringements on
conception.
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