Clomiphene, taken as a pill, and FSH and LH hormone injections are the main treatment for women with ovulation disorders. Women with no clear cause of their infertility might also use these drugs. Pills like clomiphene or aromatase inhibitors (letrozole, used off-label) increases LH to induce ovulation. Injections of GnRH, LH, or FSH help mature eggs and induce ovulation. Sometimes doctors use drug treatment with intrauterine insemination (IUI), when sperm are released into the uterus through a catheter (a thin flexible tube) inserted through the vagina. IUI is done at the time of ovulation.
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.
If you are like many women today, you may be seeking female infertility treatment after years of trying to conceive. Or you may be waiting to start your family. That’s why the statistics of those undergoing female infertility treatments is higher than ever before. By the mid-30s, many women have struggles trying to conceive. Even with female infertility treatment, older women may have more difficulty getting pregnant than younger women.
What is infertility? Primary, infertility is defined as not being able to get pregnant despite having frequent, unprotected sex for at least a year. Secondary infertility is defined as the inability to become pregnant or to carry a pregnancy to term following the birth of one or more biological children. There can be many causes of infertility, including poor nutrition, emotional stress, sexually transmitted diseases, thyroid disorders, candida, medical conditions, eating disorders, excessive exercise, obesity, and hormonal problems.
^ 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.
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.
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)
A septate uterus is the most common of the inborn uterine malformations. A septate uterus contains a uterine septum. This septum acts like a wall that separates the uterus in two (similar to a nasal septum). This wall can impede pregnancy and cause recurrent miscarriages. A surgery called hysteroscopy may help, reducing miscarriage rates and leading to a healthy pregnancy.
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.
Acute stress levels:Infertility tests and treatments are exhaustive. A woman often swings between hope and despair leading to acute stress levels. High stress also affects the ability to focus and remember things. Both emotional and physiological stress further hampers the body. Studies show that an infertile woman undergoes the same level of stress as that of an HIV or a cancer patient. Fertility drugs also cause forgetfulness.
One of the best yet simple home remedy to cure infertility is an intake of Ashwagandha in your body. Ashwagandha or Indian ginseng promotes proper functioning of the reproductive organs and maintains hormonal balance. In Asia, Ashwagandha is widely used as a common treatment to treat infertility in both the genders. Ashwagandha is one of the herbs that enhance body’s endocrine functions.
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.
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]

If a Rh-negative woman conceives a Rh-positive baby, she is exposed to Rh protein, which is a blood group protein present on the surface of your cells. The first baby is delivered normally. For the next Rh positive baby, the mother has antibodies which destroy the baby at an early stage. However, this is debatable whether it is an infertility issue any longer. It is secondary infertility only when the woman is unaware of it. Otherwise, the female is fertile.


^ Jump up to: a b Unless otherwise specified in boxes, then reference is: The Evian Annual Reproduction (EVAR) Workshop Group 2010; Fauser, B. C. J. M.; Diedrich, K.; Bouchard, P.; Domínguez, F.; Matzuk, M.; Franks, S.; Hamamah, S.; Simón, C.; Devroey, P.; Ezcurra, D.; Howles, C. M. (2011). "Contemporary genetic technologies and female reproduction". Human Reproduction Update. 17 (6): 829–847. doi:10.1093/humupd/dmr033. PMC 3191938. PMID 21896560.
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]
The procedure overcomes many barriers to fertilization and allows couples with little hope of pregnancy to obtain fertilized embryos. The procedure was first used at UCSF Medical Center in 1994 and the first successful birth with ICSI assistance was in February 1995. UCSF Medical Center was the first San Francisco Bay Area program to achieve a pregnancy and birth with this procedure.

Gonadotropins are another drug used to trigger ovulation. Gonadotropins are used if other drugs are not successful or if many eggs are needed for infertility treatments. Gonadotropins are given in a series of shots early in the menstrual cycle. Blood tests and ultrasound exams are used to track the development of the follicles. When test results show that the follicles have reached a certain size, another drug may be given to signal a follicle to release its matured egg.
Social stigma due to infertility is seen in many cultures throughout the world in varying forms. Often, when women cannot conceive, the blame is put on them, even when approximately 50% of infertility issues come from the man .[62] In addition, many societies only tend to value a woman if she is able to produce at least one child, and a marriage can be considered a failure when the couple cannot conceive.[62] The act of conceiving a child can be linked to the couple’s consummation of marriage, and reflect their social role in society.[63] This is seen in the "African infertility belt", where infertility is prevalent in Africa which includes countries spanning from Tanzania in the east to Gabon in the west.[62] In this region, infertility is highly stigmatized and can be considered a failure of the couple to their societies.[62][64] This is demonstrated in Uganda and Nigeria where there is a great pressure put on childbearing and its social implications.[63] This is also seen in some Muslim societies including Egypt [65] and Pakistan.[66]
For healthy couples in their 20s or early 30s, the chance that a woman will get pregnant is about 25 to 30 percent in any single menstrual cycle. This percentage starts to decline in a woman’s early 30s. By age 40, a woman’s chance of getting pregnant drops to less than 10 percent per menstrual cycle. A man’s fertility also declines with age, but not as predictably.
If you’re a woman, you either already have or almost undoubtedly will hear the tick of your biological clock at some point in your life calling you to become a mother. What if that tick goes unanswered? According to the Centers for Disease Control and Prevention (CDC), millions of women in America suffer from infertility, with some 7.5 million between the ages of 15 and 44 having difficulty getting pregnant or staying pregnant. (1)
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