The next step is usually a pelvic exam to make sure your reproductive tract (vagina, uterus, and ovaries) is normal and blood tests to measure your hormone levels. Your partner will also have a semen analysis and medical history. Depending on what these tests find, your doctor may do further tests, including one to make sure your fallopian tubes are not blocked.

Dates are rich in Vitamin A, B, and E and other minerals that are necessary for a female to conceive a baby. Besides this, Dates also treats constipation problems. In case if you have 3-4 miscarriages, intake of dates in your regular diet will surely see you through the full term pregnancy. The minerals in the dates play a crucial role in improving the fertilization power in the female.
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Artificial insemination (AI) and intrauterine insemination (IUI) are other popular female infertility treatments. Insemination is used in a variety of common situations, like when your partner’s sperm isn’t able to fertilize your egg. Artificial insemination is less expensive than other high-tech types of female infertility treatment, and the success rates are quite high.
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.
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.
The emotional strain and stress that comes with infertility in the household can lead to the mistreatment and domestic abuse of a woman. The devaluation of a wife due to her inability to conceive can lead to domestic abuse and emotional trauma such as victim blaming. Women are sometimes or often blamed as the cause of a couples' infertility, which can lead to emotional abuse, anxiety, and shame.[63] In addition, blame for not being able to conceive is often put on the female, even if it is the man who is infertile.[62] Women who are not able to conceive can be starved, beaten, and may be neglected financially by her husband as if she had no child bearing use to him.[66] The physical abuse related to infertility may result from this and the emotional stress that comes with it. In some countries, the emotional and physical abuses that come with infertility can potentially lead to assault, murder, and suicide.[70]
ART can be expensive and time-consuming, but it has allowed many couples to have children that otherwise would not have been conceived. The most common complication of ART is a multiple pregnancy. This is a problem that can be prevented or minimized by limiting the number of embryos that are transferred back to the uterus. For example, transfer of a single embryo, rather than multiple embryos, greatly reduces the chances of a multiple pregnancy and its risks such as preterm birth.
Our bodies are created to eat healthy and be active each and every day, but so many of us don’t even come close to this normal existence. If you want to become pregnant, it’s vital, yet often overlooked, to engage in regular exercise in order to get your hormones in proper order — or in other words balanced. From the release of the egg to the condition of the sperm and its ability to reach and fertilize the egg, hormones play a role in just about every process when it comes to conception.
Gonadotropins. Instead of stimulating the pituitary gland to release more hormones, these injected treatments stimulate the ovary directly to produce multiple eggs. Gonadotropin medications include human menopausal gonadotropin or hMG (Menopur) and FSH (Gonal-F, Follistim AQ, Bravelle). Another gonadotropin, human chorionic gonadotropin (Ovidrel, Pregnyl), is used to mature the eggs and trigger their release at the time of ovulation. Concerns exist that there's a higher risk of conceiving multiples and having a premature delivery with gonadotropin use.
Improper function of the hypothalamus and pituitary glands. The hypothalamus and pituitary glands in the brain produce hormones that maintain normal ovarian function. Production of too much of the hormone prolactin by the pituitary gland (often as the result of a benign pituitary gland tumor), or improper function of the hypothalamus or pituitary gland, may cause a woman not to ovulate.

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.

We believe that the best fertility clinics are able and willing to provide not just one type of treatment, but a complete range of therapies, from treatment of genital tract infection, management of difficult problems of ovulation induction or other hormonal problems, microsurgery, laser surgery, laparoscopic laser surgery, to the more complex treatments of IVF and intracytoplasmic sperm injection (ISCI). 

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.
For a woman, testing begins with a medical history and physical exam, including a pelvic exam. The doctor then makes sure that she ovulates regularly and that her ovaries are releasing the eggs. Blood tests are taken to measure hormone levels. The ovaries and uterus may be examined by ultrasound, and a specific X-ray test can check the uterus and fallopian tubes.

Improper hormonal changes: Many women suffer from various problems during ovulation, the most common being when the release of an egg from the ovary and thickening of the endometrium (lining of the uterus) in the preparation for the fertilized egg do not occur. The problems may be detected using body temperature charts, ovulation predictor kits and blood tests to detect hormone levels.

Chasteberry or vitex is an excellent remedy for infertility in women caused by hormonal imbalance. The herb contains prolactin which stimulates ovulation. Chasteberry is also useful in getting rid of PCOS. Make a chasteberry tea by adding its dried extract to a cup of hot water. Steep it for 10 minutes. Strain and drink it once every day for several months. Avoid using this herb if you are hormone-sensitive or are undergoing an in-vitro fertilization. It is best to consult a doctor before using this remedy.
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)
Wealth is sometimes measured by the number of children a woman has, as well as inheritance of property.[63][66] Children can influence financial security in many ways. In Nigeria and Cameroon, land claims are decided by the number of children. Also, in some Sub-Saharan countries women may be denied inheritance if she did not bear any children [66] In some African and Asian countries a husband can deprive his infertile wife of food, shelter and other basic necessities like clothing.[66] In Cameroon, a woman may lose access to land from her husband and left on her own in old age.[63]
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There are risk factors for infertility, many of which are under your control. One you can’t control is your age, and unfortunately, the older a women gets, the harder it can be to conceive due to a decrease in the quality and quantity of eggs. The other risk factors are all under your control: poor diet, stress, smoking, being overweight, thyroid disorders, heavy alcohol consumption and contracting a sexually transmitted disease.
Irregular or abnormal ovulation in a woman is responsible for about 25 percent of all female infertility problems. In roughly 40 percent of infertile couples, the male is either the sole cause or a contributing cause of the couple’s infertility. (14) A man may not be producing enough sperm, or the sperm make may be too slow or oddly shaped. Thus, it can be a problem of quantity or quality, or both.
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)
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