Female infertility by chemotherapy appears to be secondary to premature ovarian failure by loss of primordial follicles.[20] This loss is not necessarily a direct effect of the chemotherapeutic agents, but could be due to an increased rate of growth initiation to replace damaged developing follicles.[20] Antral follicle count decreases after three series of chemotherapy, whereas follicle stimulating hormone (FSH) reaches menopausal levels after four series.[21] Other hormonal changes in chemotherapy include decrease in inhibin B and anti-Müllerian hormone levels.[21]
Maca root is an effective herb for promoting fertility. It stimulates the production of reproductive hormones which helps in boosting your fertility. It is also helpful in treating hypothyroidism as it promotes better functioning of the thyroid gland. Take a quarter teaspoon of powdered maca root and add it to a glass of warm milk. You may use warm water in place of milk. Consume it once every day for several months. Avoid taking maca root if you are already pregnant.

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.

Radiation, such as in radiation therapy. The radiation dose to the ovaries that generally causes permanent female infertility is 20.3 Gy at birth, 18.4 Gy at 10 years, 16.5 Gy at 20 years and 14.3 Gy at 30 years.[32] After total body irradiation, recovery of gonadal function occurs in 10−14% of cases, and the number of pregnancies observed after hematopoietic stem cell transplantation involving such as procedure is lower than 2%.[33][34]
Intra-uterine insemination (IUI), also known as artificial insemination, is the process of preparing and delivering sperm so that a highly concentrated amount of active motile sperm is placed directly through the cervix into the uterus. The current IUI pregnancy rate per treatment at UCSF Medical Center is 14 to 15 percent. It can be performed with or without fertility drugs for the female patient.
Any woman wishes to be a mother in their lives. However, there are some unlucky women who are difficult to be pregnant or they suffer from miscarriage many times. They fall in a problem which is called female infertility. Female infertility is defined as a situation in which a woman is unable or is difficult to conceive a baby after at least a year of regular intercourse without using any protective methods.
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.
FAQ137: Designed as an aid to patients, this document sets forth current information and opinions related to women’s health. The information does not dictate an exclusive course of treatment or procedure to be followed and should not be construed as excluding other acceptable methods of practice. Variations, taking into account the needs of the individual patient, resources, and limitations unique to the institution or type of practice, may be appropriate.

According to the International Chiropractic Pediatric Association, research shows that any misalignment in the spinal column can impact nerve impulses. When it comes to infertility, blocked neurological signals can seriously impact the pituitary as well as hypothalamus, creating problems with hormone balances that often lead to infertility problems. It’s vital to have a healthy spine in order to have a healthy reproductive system. (11)
Initial diagnosis and treatment of infertility is usually made by obstetrician/gynecologists or women's health nurse practitioners. If initial treatments are unsuccessful, referral is usually made to physicians who are fellowship trained as reproductive endocrinologists. Reproductive endocrinologists are usually obstetrician/gynecologists with advanced training in reproductive endocrinology and infertility (in North America). These physicians treat reproductive disorders affecting not only women but also men, children, and teens.
Assisted reproductive technology uses techniques such as mixing sperm with an egg outside the body (in vitro fertilization or IVF) or injecting a single sperm into an egg (intracyctoplasmic sperm injection [ICSI]), then transferring the resulting embryo back into the uterus. Some women with very few remaining eggs in their ovaries choose IVF using a donor egg.

Infertility means not being able to get pregnant after one year of trying (or six months if a woman is 35 or older). Women who can get pregnant but are unable to stay pregnant may also be infertile. About 10 percent of women (6.1 million) in the United States ages 15-44 have difficulty getting pregnant or staying pregnant, according to the Centers for Disease Control and Prevention (CDC).

Infertility is a condition that affects approximately 1 out of every 6 couples. An infertility diagnosis is given to a couple that has been unsuccessful in efforts to conceive over the course of one full year. When the cause of infertility exists within the female partner, it is referred to as female infertility. Female infertility factors contribute to approximately 50% of all infertility cases, and female infertility alone accounts for approximately one-third of all infertility cases.
Providing a home for a growing embryo and fetus, the uterus also plays a starring role in reproduction. When fertility problems affect the uterus, surgery can help to restore your fertility. Uterine surgery can correct blockages and abnormal tissue growth, removing scar tissue and fibroids. Surgery can also help repair an abnormally shaped uterus. Some women are born with, or develop, an irregularly shaped uterus, including the following:
Folic acid is a micronutrient that helps in conception. It also promotes the development of the fetus and is, therefore, should be taken throughout pregnancy. Include foods rich in folic acids such as leafy vegetables, broccoli, avocado, raisins, lentils and beans in your diet on a regular basis. Folic acid supplements may also be taken after consulting a doctor.
The technique involves very precise maneuvers to pick a single live sperm and inject it directly into the center of a human egg. The procedure requires that the female partner undergo ovarian stimulation with fertility medications so several mature eggs develop. These eggs are suctioned through the vagina, using vaginal ultrasound, and incubated under precise conditions in the embryology lab.
Assisted reproductive technology uses techniques such as mixing sperm with an egg outside the body (in vitro fertilization or IVF) or injecting a single sperm into an egg (intracyctoplasmic sperm injection [ICSI]), then transferring the resulting embryo back into the uterus. Some women with very few remaining eggs in their ovaries choose IVF using a donor egg.
Hysterosalpingography. During hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee), X-ray contrast is injected into your uterus and an X-ray is taken to detect abnormalities in the uterine cavity. The test also determines whether the fluid passes out of the uterus and spills out of your fallopian tubes. If abnormalities are found, you'll likely need further evaluation. In a few women, the test itself can improve fertility, possibly by flushing out and opening the fallopian tubes.
Fennel seeds have a high medicinal value which makes it a great remedy for numerous ailments. It is also useful in improving fertility, especially in heavy-set women. Furthermore, fennel supports conception and helps in maintaining it. All you have to do is take 6 grams of powdered fennel seeds and mix it with 12 grams of butter. Consume this mixture every day for at least 3 months to see positive results.
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.

Laparoscopy. If you've been diagnosed with tubal or pelvic disease, one option is to get surgery to reconstruct your reproductive organs. Your doctor puts a laparoscope through a cut near your belly button to get rid of scar tissue, treat endometriosis, open blocked tubes, or remove ovarian cysts,  which are fluid-filled sacs that can form in the ovaries.


Diabetes mellitus. A review of type 1 diabetes came to the result that, despite modern treatment, women with diabetes are at increased risk of female infertility, such as reflected by delayed puberty and menarche, menstrual irregularities (especially oligomenorrhoea), mild hyperandrogenism, polycystic ovarian syndrome, fewer live born children and possibly earlier menopause.[26] Animal models indicate that abnormalities on the molecular level caused by diabetes include defective leptin, insulin and kisspeptin signalling.[26]
ART procedures sometimes involve the use of donor eggs (eggs from another woman), donor sperm, or previously frozen embryos. Donor eggs are sometimes used for women who can not produce eggs. Also, donor eggs or donor sperm is sometimes used when the woman or man has a genetic disease that can be passed on to the baby. An infertile woman or couple may also use donor embryos. These are embryos that were either created by couples in infertility treatment or were created from donor sperm and donor eggs. The donated embryo is transferred to the uterus. The child will not be genetically related to either parent.
A 2018 study published by JAMA Internal Medicine conducted a diet assessment analysis of 325 women who received fertility treatments. This diet assessment analyzed the concentrated amount of pesticide found on the fruits and vegetables the women ingested. The main outcome from this study highlighted that the women who received fertility treatments and ingested fruits and vegetables with higher concentrations of pesticides were 18 percent less likely to have successful clinical pregnancies and 26 less likely to have live births. (13)
^ Zegers-Hochschild F.; Adamson G.D.; de Mouzon J.; Ishihara O.; Mansour R.; Nygren K.; Sullivan E.; van der Poel S. (2009). "The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminology, 2009". Human Reproduction. 24 (11): 2683–2687. doi:10.1093/humrep/dep343. PMID 19801627.
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.[63] This is a humiliating practice which devalues infertile women in society.[67][68] 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.[67] 

Laparoscopy. If you've been diagnosed with tubal or pelvic disease, one option is to get surgery to reconstruct your reproductive organs. Your doctor puts a laparoscope through a cut near your belly button to get rid of scar tissue, treat endometriosis, open blocked tubes, or remove ovarian cysts,  which are fluid-filled sacs that can form in the ovaries.
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