Letrozole (Femara ®*) is a medication that is frequently used off-label to cause ovulation. It works by temporarily lowering a woman’s progesterone level, which causes the brain to naturally make more FSH. It is often used to induce ovulation in woman with PCOS, and in women with normal ovulation to increase the number of mature eggs produced in the ovaries.
Depending on your age or your fertility history, it may be time to consider female infertility treatment. Your fertility specialist or reproductive endocrinologist is educated in the latest research and patient care for female infertility treatment. The doctor can explain all the options available – from baby-boosting fertility pills or hormones to artificial insemination to high-tech assisted reproductive technologies like in vitro fertilization.
Uterine fibroids: In this case, the structure of the uterus is not hospitable for the foetus. This is caused by the presence of Polyps and fibroids. Their abnormal growth can affect around 70-80% women who are above the age of 50 years. Uterine fibroids are noncancerous lumps that develop in or outside a woman’s uterus (womb) leading heavy bleeding during pregnancy, an urge to frequent urination, painful sex, and infertility in women.
Sub-Saharan Africa has had decreasing levels of primary infertility from 1990 to 2010. Within the Sub-Saharan region, rates were lowest in Kenya, Zimbabwe, and Rwanda, while the highest rates were in Guinea, Mozambique, Angola, Gabon, and Cameroon along with Northern Africa near the Middle East. According to a 2004 DHS report, rates in Africa were highest in Middle and Sub-Saharan Africa, with East Africa’s rates close behind.
You’ll often find decreasing stress as a solution to infertility at the bottom of the list, but it’s an important natural infertility treatment. In today’s world, we live with high stress and continually underestimate its impact on our health. I really want to emphasize how crucial it can be to decrease stress for overall good health and in particular if you’re trying to conceive.
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In many cases, a woman who cannot bear children is excluded from social and cultural events including traditional ceremonies. This stigmatization is seen in Mozambique and Nigeria where infertile women have been treated as outcasts to society. This is a humiliating practice which devalues infertile women in society. In the Makua tradition, pregnancy and birth are considered major life events for a woman, with the ceremonies of nthaa´ra and ntha´ara no mwana, which can only be attended by women who have been pregnant and have had a baby.
Male infertility may be treated with medical, surgical, or assisted reproductive therapies depending on the underlying cause. Medical and surgical therapies are usually managed by an urologist who specializes in infertility. A reproductive endocrinologist may offer intrauterine inseminations (IUIs) or in vitro fertilization (IVF) to help overcome male factor infertility.
One of the best ways to deal with infertility is to use the unique combination of nutmeg and sugar which enhances positive results and diminishes challenges related to conception. Take 3 grams of powdered nutmeg and add it to an equal amount of sugar. Store it in an airtight jar. Add the mixture in a cup filled with cow’s milk and consume it from day one to day eight of your menstrual cycle.
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.
In approximately 50% of the cases of anovulation, the ovaries do not produce normal follicles inwhich 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.
Many infertile women tend to cope with immense stress and social stigma behind their condition, which can lead to considerable mental distress. The long-term stress involved in attempting to conceive a child and the social pressures behind giving birth can lead to emotional distress that may manifest as mental disease. Women who suffer from infertility might deal with psychological stressors such as denial, anger, grief, guilt, and depression. There can be considerable social shaming that can lead to intense feelings of sadness and frustration that potentially contribute to depression and suicide. The implications behind infertility bear huge consequences for the mental health of an infertile woman because of the social pressures and personal grief behind being unable to bear children.
A deficiency of vitamin D not only causes infertility but could also lead to a miscarriage. Therefore, it is important to maintain adequate levels of vitamin D in your body. This can be done by exposing yourself to the morning sunlight for 10-12 minutes every day. This exposure to morning sunlight would help your body to produce this vitamin. You may also consume foods that are high in vitamin D such as eggs yolk, salmon, and cheese.
Tobacco smoking is harmful to the ovaries, and the degree of damage is dependent upon the amount and length of time a woman smokes or is exposed to a smoke-filled environment. Nicotine and other harmful chemicals in cigarettes interfere with the body’s ability to create estrogen, a hormone that regulates folliculogenesis and ovulation. Also, cigarette smoking interferes with folliculogenesis, embryo transport, endometrial receptivity, endometrial angiogenesis, uterine blood flow and the uterine myometrium. Some damage is irreversible, but stopping smoking can prevent further damage. Smokers are 60% more likely to be infertile than non-smokers. Smoking reduces the chances of IVF producing a live birth by 34% and increases the risk of an IVF pregnancy miscarrying by 30%. Also, female smokers have an earlier onset of menopause by approximately 1–4 years.
Why is sleep so important to getting pregnant? There are actually multiple reasons. Sleeping (or not sleeping) has a powerful effect on your body’s hormonal system. If you don’t get enough sleep, then your cycle as well as ovulation can get thrown off. If you don’t get enough shut-eye, your leptin (appetite hormone) levels typically go down, and this can negatively impact ovulation as well. People who have serious sleep problems, like insomniacs, also tend to have higher levels of stress hormones, which is not encouraging of fertility. (9)