Infertility Treatment in Gurgaon
We generally recommend seeking our help if conception has not occurred within 12 months of trying. Some of the causes when early consultation is advisable are infrequent menstrual periods, female age of 35 years or older, history of pelvic infections or sexually transmitted diseases, known uterine fibroids or endometrial polyps, known male factor semen abnormalities etc.
Detailed evaluation of both the partners is done and required treatment suggested. Females can consult with Dr. Deepti Asthana for best Infertility Treatment in Gurgaon. She is Infertility Specialist in Gurgaon, Delhi NCR. The Common Causes of Infertility usually are mentioned below:
1) Advancing maternal age: In our modern era, women are delaying child birth until their thirties and forties, which has lead to the discovery of the adverse effect of advanced maternal age on egg function. In fact, female age-related infertility is the most common cause of infertility today. As aging occurs, egg quality or the likelihood of an egg being genetically normal, decreases as well. Hence the ability to conceive a normal pregnancy decreases with age. A woman is rarely fertile beyond the age of 45. This applies to the ability to conceive with her eggs, but not with donor eggs.
2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. There are many disorders that may impact the ability for a woman to ovulate normally. The most common disorders impacting ovulation include polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism (from signaling problems in the brain), and ovarian insufficiency (from problems of the ovary).
3) Tubal occlusion (blockage): a history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to having blocked fallopian tubes. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity. If both tubes are blocked, then in vitro fertilization (IVF) is required. If a tube is blocked and filled with fluid (called a hydrosalpinx), then minimally invasive surgery (laparoscopy or hysteroscopy) to either remove the tube or block/separate it from the uterus prior to any fertility treatments is recommended.
4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and there are three types of fibroids: 1) subserosal, or fibroids that extend more than 50% outside of the uterus; 2) intramural, where the majority of the fibroid is within the muscle of the uterus and 3) submucosal, or fibroids that project into the uterine cavity. Submucosal fibroids are the type of fibroids that has clearly been demonstrated to reduce the pregnancy rate, roughly by 50%, and removal of which doubles the pregnancy rate. In some cases, simply removing the submucosal fibroid solves infertility. Often, but not always, submucosal fibroids can cause heavy periods, or bleeding between periods. Subserosal fibroids do not affect pregnancy.
5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium, These polyps can significantly decrease fertility. Removal of polyps by the minimally invasive procedure hysteroscopy is associated with a doubling of pregnancy rate.
6) Male factors affecting sperm function: Male factor causes contributory infertility in 40-50% cases, and as the sole cause for infertility in 15-20% cases. If a semen analysis is found to be abnormal, generally it is first repeated to confirm the abnormality. Once confirmed, the male partner is referred to a reproductive urologist, especially if the abnormality is severe. In most cases however, sperm function may not improve and therefore any attempts at pregnancy may require additional treatments or procedures performed by our clinic. Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI).
7) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. Endometriosis causes infertility by producing inflammation and scarring, which can result in not only pain but also potentially detrimental effects on egg, sperm or embryo. Endometriosis can only be confirmed by surgery, usually laparoscopy. If endometriosis is found, it can be surgically removed by various methods, and its removal may lead to a decrease in pain as well as improvement in the ability to conceive naturally.
8) Unexplained/other: Sometimes a full evaluation does not reveal the cause of infertility. This occurs approximately 15% of the time. Thankfully, even when the cause of infertility is not known, various fertility treatments can overcome the unknown road block that was preventing pregnancy and eventually lead to delivery of a healthy baby.