Uterine Fibroids: Causes, Symptoms & Treatment

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A uterine fibroid is an abnormal non-cancerous tumour that grows in or along the outline of the uterine cavity. Another common name for uterine fibroids is myoma.

The Uterine Fibroid also known as:

  • Fibromas
  • Leiomyomas
  • Uterine myomas

Fibroids start to grow from the muscle tissue of the womb (uterus). They are also found to grow in the cervix, fallopian tubes, or tissues surrounding the uterus.

The reason behind uterine fibroids is unknown. Uterine fibroids can be as tiny as a seed or as large as a melon. A woman may have one or many fibroids.

As already mentioned, fibroids are non-cancerous. Also, a majority of women with uterine fibroids do not witness visible symptoms. So, a woman may never know if she has fibroids.

Fibroids are more prevalent in obese women and women who are more than 35 years of age with no children.

In this article, we are going to look at the different types, associated symptoms, causes, diagnosis, and treatment of uterine fibroids.

Types of uterine fibroids

Uterine fibroids are classified based on their location as discussed below:

  • Intramural Fibroids

    The most common kind of uterine fibroids are intramural fibroids. These fibroids grow in the muscular wall of the womb. These are diagnosed between 30 to 40 years of age.

  • Subserosal Fibroids

    These uterine fibroids are mostly non-cancerous and grow on the outer surface of the uterus, known as serosa. Subserosal fibroids tend to grow quite large, which makes the uterus appear larger on one side. In rare cases, these fibroids can interfere with the functioning of the uterus.

  • Submucosal Fibroids

    These fibroids grow under the surface of the endometrium lining. These fibroids are the least common but cause serious problems like anaemia. 

  • Pedunculated Fibroids

    These fibroids get their name from the word peduncle, which means a stalk-like growth. When fibroids are attached to the womb by a peduncle, these are termed pedunculated fibroids. If these fibroids grow inside the uterus then these are known as pedunculated submucosal fibroids. If these grow outside the womb then we call them pedunculated subserosal fibroids.

  • Cervical Fibroids

    These very rare fibroids grow on the cervix and are hence termed cervical fibroids. 

Uterine Fibroid Symptoms

Typically, no visible symptoms are associated with uterine fibroids. Visible symptoms are generally noticed in the following three situations:

  • When the size of the fibroids is quite large
  • The number of the fibroids
  • location of the fibroids

Some of the most common symptoms associated with fibroids include the following:

  • Heavy Menstruation
  • Prolonged Periods
  • Extreme Pain during Periods
  • Menstrual Clots
  • Feeling Pain or Pressure in the Pelvic Region or lower back
  • Abdomen Enlargement or Swelling
  • Constipation
  • Anaemia
  • Backache
  • Frequent Urge to Urinate
  • Pain during Intercourse

Fibroid Growth during Menopause 

Fibroid growth is quite common after Menopause. When a woman undergoes Menopause, the oestrogen and progesterone levels witness a drop. Both these hormones are known to stimulate the growth of uterine fibroids. There is also a possibility that these fibroids may shrink during or after Menopause. You may not come across any symptoms of fibroid growth.

Complications associated with the presence of uterine fibroids are rare. Some of these rare complications are:
  • If the size of the fibroids is large then it may hamper fertility by blocking the fallopian tubes and preventing the egg from getting implanted.
  • Pregnant women might face some difficulties during labour due to fibroids.
  • In some cases, fibroids may lead to miscarriage or premature birth.

Uterine Fibroid Causes

The cause of fibroid is still a mystery. However, medical experts believe genetic and hormonal factors govern the growth of fibroids in women.

The pregnancy hormone oestrogen, which is active during a woman’s reproductive age, is known to play a role in the development of fibroids.

When a woman is on her period, the uterine lining gets regenerated because of the pregnancy hormones estrogen and progesterone. This regeneration stimulates the growth of uterine fibroids. These fibroids may shrink during Menopause.  

Family History

Also influences the growth of fibroids. If your grandmother, mother, or sister had fibroids, then you may also notice fibroid development.

Age also has a role to play in fibroid growth. Women who are 30 years old or older are at a higher risk of developing uterine fibroids.

High body weight also influences the development of uterine fibroids.

Fibroids may also grow during pregnancy. During this time, the production of estrogen and progesterone increases. However, the chances of pregnant women developing fibroids are far lesser than non-pregnant women.

When to See a Doctor? 

Fibroids generally do not lead to any complications. So they do not need medical attention. But in case of menstrual irregularities or disorders like frequent or heavy bleeding, you should visit a IVF treatment Centre near you.

Diagnosis of Uterine Fibroids 

It is not possible to confirm the presence of fibroids without visiting a IVF expert who will run some diagnostic tests and develop a further treatment plan if needed.

Here are some tests to examine the presence of fibroids:

  • Pelvic examination-: In a pelvic examination, the gynaecologist will check the condition of the vagina, the uterus, and both ovaries. 
  • X-ray-As the name suggests, this test uses X-rays to produce clear pictures of the uterus. 
  • Pelvic Magnetic Resonance Imaging- This in-depth imaging test helps produce images of ovaries, uterus, and other pelvic organs by using magnets and radio waves. 
  • Ultrasound-This test is performed on the abdomen with high-frequency sound waves used to produce images of the internal structure of the uterus and fibroids, if any. 
  • Computed tomography scan- Popularly known as CT scan, makes use of X-rays to examine the presence of fibroids in or on the uterus from different angles. 
  • Laparoscopy-: In laparoscopy, thin cuts are made near the navel, and a thin, long scope finds its way into the uterus through these cuts to check for the presence of fibroids. 
  • Hysterosalpingogram (HSG): The HSG test uses a contrast dye that is injected into the womb, and simultaneously X-ray pictures are produced to detect fibroids. 
  • Sonohysterogram: This test is carried out by injecting water into the uterus, which helps in the production of images using ultrasound.
  • Hysteroscopy: Hysteroscopy is performed with the help of a long and thin scope with a light attached to its end. It is then directed through the vagina and cervix into the uterus to detect fibroids. 

Natural ways to treat or prevent further growth of uterine fibroids

Be it any complication in the body, food, and lifestyle choices can make or break the deal. If you do away with poor dietary and lifestyle choices and opt for the below-mentioned options, then you can witness some positive changes.

Make sure you keep your body healthy and keep your body weight in control by:
  • Practicing yoga
  • Acupuncture
  • Massage
  • Exercising regularly
The food you eat also plays a huge role, so include the following in your diet:
  • Green leafy vegetables
  • Green tea
  • Tuna and Salmon

Another important point is to avoid red meat, ham, and high-calorie processed food.

Treatment of Uterine Fibroids

When talking about the treatment of fibroids, people think that surgery is the only available option. But in the majority of cases, there is no need for surgical intervention. The treatment option depends on the location, number, and severity of fibroids.

Various treatment options available in the form of medications to treat fibroids are as follows:

  • Hormone medications: Your health provider can prescribe some hormone medications to help shrink the fibroids.
  • Medications for period pain: Medications like ibuprofen and acetaminophen can help alleviate period pain.
  • Hormone-releasing device: It is placed in the womb, which helps keep heavy menstruation in control.
  • Supplements: Take Vitamin D or Iron supplements to manage heavy menstrual bleeding.
If the complications are more severe and medications don’t seem to help, then the following surgical options can help:
  • Radiofrequency ablation: Radiofrequency ablation surgery makes use of heat to destroy and shrink fibroid tumours without affecting the tissues surrounding them.
  • Myomectomy: This surgical operation removes fibroid tissues without causing any harm to surrounding healthy tissue present in the womb.
  • Endometrial ablation: For this, the surgeon destroys the uterine lining with the help of a laser, wire loops, boiling water, electric current, microwaves, or freezing. Endometrial ablation greatly helps to reduce heavy menstrual bleeding. Medical experts advise you to opt for this surgery only if you have no plans of conceiving a baby in the future. 
  • Myolysis: This surgical operation is used to destroy fibroid tissues using electrical current or freezing with the help of a needle.
  • Uterine fibroid embolization (UFE) or Uterine artery embolization (UAE): This surgery is undertaken to shrink fibroids. A thin tube is placed in the blood vessels of the fibroid tissue. Then, gel particles are injected into these vessels to block the supply of blood to the fibroid.
  • Hysterectomy: In this medical procedure, the entire womb (uterus) is taken out. This surgery is performed when the size of the fibroids is quite large or when uncontrolled menstrual bleeding. Just like endometrial ablation, hysterectomy should only be considered as an option when you have no plans to become pregnant in the future

Bottom line

Uterine fibroids have become common these days. These are largely non-cancerous, so they do not warrant urgent medical attention or treatment. Medications or treatment options should only be taken into consideration if there are severe complications due to the presence of fibroids; otherwise, there is no harm in living with fibroids.

But it is very important to see a doctor if you feel the need to do so. Also, take care of your reproductive health by adopting healthy eating habits, staying active, and keeping stress levels under control.

Sperm Cramps – Causes, Symptoms, Diagnosis & Treatment

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Introduction

In the realm of fertility, understanding the nuances of male reproductive health is crucial. One commonly overlooked aspect is the occurrence of sperm cramps. Despite being less discussed, sperm cramps can have significant implications for male fertility. In this blog, we will get into the causes, symptoms, diagnosis, and treatment of sperm cramps, shedding light on a topic that deserves more attention.

What Are Sperm Cramps?

Before we get into the details, let’s understand what sperm cramps mean. Sperm cramps, also known as testicular pain, are when you feel discomfort or pain in your testicles or scrotum. This could be a sign of problems with your male reproductive health.

Causes of Sperm Cramps

Understanding the root causes of sperm cramps is essential for effective management. Drawing insights from leading fertility experts and research, here are some common causes to be aware of:

Varicocele – Swollen Veins Impacting Sperm Flow:

  • Varicocele specifically involves the enlargement of veins in the scrotum, creating a network of swollen blood vessels.
  • This vascular anomaly can impede normal blood flow, causing discomfort and cramping in the affected area.
  • Over time, compromised blood circulation may negatively impact sperm quality and fertility potential.

Infections – STIs and Reproductive System Infections:

  • Sexually transmitted infections (STIs) chlamydia or gonorrhea can infiltrate the reproductive system, leading to localized infections.
  • Infections in the reproductive organs can trigger inflammation and pain, influencing the overall health of sperm.
  • Timely detection and treatment of these infections are crucial for preventing long-term complications and addressing sperm cramps.

 Testicular Torsion – Urgent Twisting of the Testicle:

  • Testicular torsion is a critical condition involving the sudden twisting of the testicle, compromising blood flow.
  • This emergency is marked by a sudden and intense onset of pain, requiring immediate medical attention to prevent harm to the tissues.
  • Testicular torsion is a time-sensitive issue, and swift intervention is vital for preserving both fertility and overall reproductive health.

 Epididymitis – Inflammation of the Sperm Transport Tube:  

  • Epididymitis specifically refers to the inflammation of the epididymis, a coiled tube responsible for storing and transporting sperm.
  • Inflammation in this crucial reproductive structure can lead to persistent pain and discomfort in the scrotum.
  • Addressing the underlying cause of epididymitis is essential for alleviating symptoms and preserving sperm health.

Hernia – Impact on Reproductive Organ Function:

  • A hernia, though primarily associated with the protrusion of abdominal contents, can contribute to testicular pain.
  • In cases where a hernia affects the inguinal region, it may exert pressure on the surrounding structures, including the reproductive organs.
  • Understanding and addressing the impact of a hernia on the normal functioning of the reproductive system is key to managing associated discomfort.

Symptoms of Sperm Cramps

Recognizing the symptoms associated with sperm cramps is vital for early intervention. Here’s a breakdown of common indicators:

Pain or Discomfort – Location and Intensity:

  • The pain associated with sperm cramps is often localized to the testicles or scrotum.
  • It may manifest as a dull ache, throbbing sensation, or intermittent sharp pain.
  • The intensity of the discomfort can vary, ranging from mild irritation to more severe, persistent pain.

Swelling or Tenderness – Observable Changes:  

  • Swelling in the scrotal area may result from the underlying causes of sperm cramps, such as varicocele or infections.
  • Tenderness can be assessed by touch, and individuals may notice increased sensitivity or discomfort when the affected area is palpated.
  • Observing any noticeable changes in the size or texture of the scrotum is crucial for identifying potential issues related to sperm cramps.

Changes in Sperm Quality – Impact on Fertility:  

  • Sperm cramps can influence the quality of sperm, potentially affecting fertility.
  • Changes in sperm quality may include alterations in sperm motility, sperm morphology, or concentration.
  • Monitoring fertility indicators, such as changes in ejaculate consistency or colour, can provide insights into potential disruptions in sperm quality associated with sperm cramps.

Diagnosis of Sperm Cramps

Proper diagnosis is crucial for effective treatment. Fertility specialists employ various diagnostic measures, including:

Physical Examination – Targeted Assessment of Reproductive Structures:

  • A comprehensive physical examination focuses on the scrotum and surrounding areas, aiming to identify specific abnormalities related to sperm cramps.
  • Fertility specialists will assess for the presence of swelling, tenderness, or irregularities in the testicles, scrotum, and epididymis.
  • Special attention may be given to palpation techniques to gauge the severity and location of pain, aiding in the identification of potential causes.

Ultrasound Imaging – Precision in Reproductive Organ Assessment:   

  • Ultrasound imaging is a non-invasive technique used to visualize the internal structures of the scrotum and reproductive organs.
  • High-frequency sound waves provide detailed images, allowing specialists to assess the size, shape, and blood flow in the testicles.
  • Specific ultrasound protocols may be employed to target areas affected by conditions like varicocele or testicular torsion, aiding in accurate diagnosis.

Blood Tests – Hormonal and Infectious Markers:

  • Blood tests are crucial for evaluating hormonal imbalances that may contribute to sperm cramps.
  • We check hormone levels like testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) to find any irregularities that might affect reproductive function.
  • Additionally, blood tests can detect markers of infection, helping to diagnose and treat any underlying infections contributing to sperm cramps.

By enhancing the specificity of each diagnostic measure, individuals can better understand the purpose and significance of these assessments in the context of sperm cramps. This clarity is essential for fostering informed discussions with healthcare providers and ensuring a thorough and accurate diagnosis.

Treatment Options for Sperm Cramps

Addressing sperm cramps often involves a tailored approach based on the underlying cause. Referencing insights from leading fertility treatment centres, here are some common treatment options:

Varicocele Repair – Precision in Vein Correction:       

  • Varicocele repair involves a surgical procedure to precisely address the enlargement of veins within the scrotum.
  • Microsurgical techniques may be employed to ligate or redirect the affected veins, restoring normal blood flow to the testicles.
  • This targeted intervention aims not only to alleviate sperm cramps but also to enhance sperm quality by improving the overall reproductive environment.

Antibiotic Therapy – Targeted Eradication of Infections:   

  • Antibiotic therapy is prescribed when infections are identified as the cause of sperm cramps.
  • The choice of antibiotics is specific to the type of infection diagnosed through laboratory tests.
  • It’s important to finish the entire antibiotic treatment to make sure the infection is eliminated. This helps address the root cause of discomfort and supports optimal reproductive health.

Pain Management – Customized Relief Strategies:

  • Pain management for sperm cramps may involve over-the-counter medications such as non-steroidal anti-inflammatory drugs (NSAIDs).
  • Specific pain relief measures are tailored to the individual’s needs, taking into account factors such as the severity of pain and any underlying conditions.
  • Non-pharmacological approaches, such as applying cold or warm compresses, may also be recommended for targeted relief.

Surgical Intervention – Timely Addressing of Critical Conditions:   

  • Surgical intervention becomes necessary in severe cases, such as testicular torsion or hernias.
  • Timely surgical procedures are essential for preventing irreversible damage and preserving fertility.
  • Surgical techniques may vary based on the specific condition, ranging from detorsion in testicular torsion cases to hernia repair to alleviate pressure on reproductive structures.

Offering detailed information on each treatment option empowers individuals to grasp a deeper understanding of the available interventions for addressing sperm cramps tailored to their unique circumstances. This knowledge is essential for making well-informed decisions through discussions with healthcare professionals.

Conclusion:

In conclusion, the journey through the intricacies of sperm cramps and male infertility reveals the nuanced nature of reproductive health. Key takeaways underscore the importance of understanding sperm cramps, acknowledging the significance of male fertility, and recognizing the role it plays in the broader context of family-building.

Sperm cramps are not just challenges; they are opportunities for informed decision-making. Understanding the intricacies of male fertility empowers individuals to navigate this journey with clarity and purpose. At Imprimis IVF, we stand as partners in your pursuit of parenthood.

Schedule a Consultation at Imprimis IVF

As you embark on your fertility journey, Imprimis IVF extends an invitation to schedule a consultation for personalized fertility assessments. This call to action is an opportunity to take the next step toward understanding and addressing your unique fertility landscape.

Your journey to parenthood begins with a conversation. Schedule a consultation at Imprimis IVF, where our dedicated team is ready to provide personalized fertility assessments, answer your questions, and guide you toward the most effective and individualized fertility plan.

What is a trigger shot in IVF

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IVF Trigger Shot – In-vitro Fertilisation treatment commonly known as IVF consists of various stages. You will be exposed to medications and tests at every step. This is done to increase the success rates of the treatment. Medications are administered to the couple as per their needs. The most common medication that is administered to women comes in the form of a trigger shot.

In this article, we are going to understand what is a trigger shot in IVF, its need, side effects, precautions, administration, and its role in deciding the success rate of the entire IVF procedure.

IVF and Trigger Shot

Pregnancy is the result of the formation of an embryo when the fusion of egg and sperm happens in the fallopian tube. But what if the egg is not mature or in the worst scenario no egg is released by the ovaries?

This is where In-vitro Fertilisation and trigger shot comes into the picture.

IVF is the most suitable treatment option for couples who have the following medical conditions-:

What is a Trigger Shot?

The word trigger means to start or initiate and shot means injection. Combining these two we can say that a trigger shot is a hormonal injection that initiates the maturation and release of eggs by the ovaries.

The two most common trigger shots widely used for IVF are hCG and Lupron. hCG which stands for human chorionic gonadotropin is a hormone while Lupron is a drug.

Lupron is a non-hCG drug that is often recommended when the woman has a high risk of developing OHSS. Otherwise, hCG as a trigger shot is the first choice of fertility experts around the globe.

A trigger shot is not a necessary step in IVF.

It entirely depends on your requirements. The doctor will thoroughly analyze the ovulation process and other aspects to develop a treatment plan for you.

What is the need for a Trigger Shot?

Every woman has two ovaries which are responsible for releasing a mature egg every month for fertilisation. The quality of this egg and the well-being of the reproductive system decide your chances of getting pregnant.

In many infertility cases, the ovaries are not able to release mature eggs every month. This entire process of egg maturation and release is governed by Luteinizing Hormone (LH) and follicle-stimulating hormone (FSH).

Poor quality eggs mean poor chances of pregnancy. A trigger shot helps address this problem associated with IVF treatment.

For this, we need to understand what the IVF procedure is all about.

In-vitro Fertilisation is the process of fertilization that takes place naturally in the fallopian tubes on a petri dish in a laboratory.

For this to happen the eggs released by the ovaries are collected by the doctor.

Trigger shot makes sure the ovaries produce mature eggs which can develop into strong and healthy embryos. They are vigilantly monitored by fertility experts and get implanted in the uterine cavity.

Ideally, a trigger shot is used when:

  • The ovaries are unable to release eggs on their own naturally

Timing the release of eggs for the egg retrieval process for IVF

  • The underlying cause of infertility is unknown

How long after the trigger shot does it take for you to ovulate?

It will take around 24 to 36 hours for the mature eggs to be released by the ovaries after the administration of the trigger shot.

Does the trigger shot stay in your body for too long?

Typically half of the initial concentration of the hCG injection is active for 24 to 36 hours inside your system. The remaining half concentration will also come out of your system depending on your metabolism, method of administration, and body mass index. It roughly takes 10 days for the injected hCG to come out.

When to take a Pregnancy Test?

hCG is secreted after implantation of the embryo in the uterine cavity. This happens naturally to maintain the levels of estrogen and progesterone. When you take a pregnancy test after implantation it turns positive due to the presence of hCG in the urine.

But when an hCG trigger shot is administered to you there are chances that you will witness false positives on the pregnancy test kit.

So when is the right time to take a pregnancy test following a IVF trigger shot?

It is best to wait for at least 14 to 15 days after the trigger shot. To confirm the implantation it is best to visit your fertility expert after taking an at-home pregnancy test.

Early signs of pregnancy post-trigger shot may include breast tenderness, fatigue, missed periods, frequent urination, and nausea.

When to take the IVF Trigger Shot?

Timing of the trigger shot is extremely important in an IVF cycle. The fertility specialist will closely monitor the growth of ovarian follicles. Once the doctor is satisfied with the size of the dominant follicle which should be above 16-18 millimetres trigger shot will be administered to you. Then you will be asked to have sexual intercourse after a few hours to increase the chances of fertilization.

This greatly helps the doctor to schedule your IUI treatment in which the sperm is directly injected into your uterine cavity.

For IVF, the trigger shot will help decide the best time for the egg retrieval process. You will be asked to take the trigger shot 34 to 36 hours before your scheduled egg retrieval appointment. This promotes the process of meiosis: a process of cellular division.

This gives a good chance to collect all the good quality chromosomally normal mature eggs for fertilization with a motile and healthy sperm.

The timing of the trigger shot will vary from clinic to clinic and according to the development of your egg follicles.

Set an alarm, ask someone in your family to remind you, and put a sticky note on the refrigerator. But do not take it lightly, timing has a lot to do with the quality of eggs that will be retrieved.

How to take the IVF Trigger Shot?

You will need a prefilled Ovidrel syringe, alcohol swab, and gauze.

First step-: Clean the injection site properly.

Second step-: Take the syringe and place it on the abdomen, a few inches from your navel.

Third step-: Disinfect the area with alcohol to minimize the chances of infection.

Fourth step-: Direct the needle at an angle of 45 to 90 degrees and empty the contents in the syringe.

The doctor will personally guide you on how to take the trigger shot. If you do not feel confident in taking the shot yourself then you can visit your fertility expert for help.

Side effects of Trigger Shot

There are no harmful side effects associated with the administration of a trigger shot. However, pain or irritation at the injection site is quite common. You might also experience abdominal cramps or mild bloating.

A concerning side effect is OHSS. It stands for ovarian hyperstimulation syndrome. It is a result of swelling of ovaries which leads to fluid leakage in other parts of the body. Sometimes trigger shots stimulate the ovaries to produce more eggs than usual which leads to OHSS.

The good news is that OHSS is not a common side effect.

If you have mild OHSS you might have the following symptoms:

  • Abdominal cramps
  • Vomiting
  • Nausea
  • Bloating
  • Diarrhea

Cases of moderate and severe OHSS are quite rare. Some common symptoms of severe OHSS are as follows:

  • Severe abdominal cramps
  • Difficulty in breathing
  • Constant vomiting
  • Formation of blood clots
  • Rapid weight gain
  • Decreased urination

If you feel something is not right consult your fertility expert without thinking twice. Do not let your stress levels shoot up. IVF success rates are largely dependent on your stress management skills.

Is the administration of a trigger shot painful

The intensity of pain from a trigger shot largely depends on your sensitivity to injections. The method of administration also has a role to play.

Trigger shots can be administered in two ways namely intramuscular and subcutaneous.

Intramuscular means the injection is administered into the muscle. While subcutaneous means administration of the shot under the skin.

The specialists prefer to go for subcutaneous administration of IVF trigger shot which is less painful.

Sometimes the injection spot becomes red, itchy, or inflamed. But the discomfort lasts only for a day or two and these signs go away.

What to do if you miss your trigger shot?

First of all, do not panic and take some deep breaths. Visit your fertility expert to discuss the situation and further the line of action.

Find the right Fertility Clinic

The role of the fertility center in your infertility treatment journey can’t be emphasized enough. From tracking the progress of the egg follicles to retrieving the mature eggs the entire procedure demands a team of experts.

If you are looking for a fertility center in Srinagar then look no further. We at Imprimis IVF are here to guide you in your journey towards parenthood.

Visit us at Imprimis IVF, Srinagar for more information.

Final Words

Trigger shot plays a vital role in IVF treatment but it is not for everyone. Every individual is unique and so are the requirements. Do not follow everything that is written on the web and visit a doctor.

Let your doctor decide what’s best for your IVF journey. But if trigger shots are involved in your plan then make sure you are punctual and follow your doctor’s instructions religiously.

Trust the process and your efforts. Follow a healthy lifestyle and keep your stress levels in check. We hope this article by Imprimis IVF was helpful to you.

What does Lupron Injection do for IVF

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What does Lupron do for IVF – Medications are an integral part of the IVF treatment. Depending on the medical condition and other factors, certain injections are administered to set the base for the healthy development of the eggs. Lupron is frequently administered before ovarian stimulation medications are given for a successful IVF treatment. 

Another drug named hCG, or Human Chorionic Gonadotropin, is also widely used for egg maturation. But Lupron tops the list as it is better tolerated by the body. 

Lupron, lupride, or leuprolide acetate is a synthetic gonadotropin-releasing hormone agonist (GnRH-a). It is given to a woman at the start of the IVF treatment, especially when the ovaries need to be stimulated to produce eggs in a controlled manner. Lupron helps control the development of eggs in the ovaries. 

Why is Lupron Injection Needed? 

We must get down to the ovulation process to understand the need for Lupron injection. 

  1. During menstruation, the hypothalamus, a part of the brain, releases gonadotropin-releasing hormone. GnRH. 
  2. This hormone sets the pituitary (another part of the brain) in motion to produce Luteinizing Hormone (LH) and the Follicle follicle-stimulating hormone (FSH) in the blood.
  3. These two pituitary hormones awaken the ovary every month to produce an egg for fertilization, secrete estrogen, and ovulate. 

So, when Lupron is injected into the body regularly, it mimics the structure of GnRH and triggers the production of pituitary hormones FSH and LH. 

Initially, the pituitary glands fail to recognize the difference between GnRH and lupron (GnRH-a). However, with the regular administration of lupron, the pituitary glands become alert to this foreign element. As a result, the pituitary glands cap the production of both FSH and LH. The secretion of these hormones keeps on reducing as long as lupron injections are administered. This condition is termed pituitary down-regulation. In simple terms, Lupron helps reduce the secretion of these hormones. 

But why is it important to control the secretion of these hormones during IVF? Aren’t these hormones important for conception? 

Lupron is administered to the woman to limit the secretion of certain hormones to prevent early or premature ovulation during IVF. It helps in the development of multiple mature eggs in the ovaries. As soon as this condition is achieved, the ovaries and the reproductive system are ready to respond positively to other medications administered for a successful IVF cycle. Ultimately, fertility experts gain more control over the ovulation timing, the egg retrieval process, and the implantation timing.

After embryo transfer, lupron ensures a healthy environment for its development, free from any hormonal fluctuations. Hence increasing the chances of success of the IVF cycle.

That’s just one part of the story of Lupron. It also has other significant roles to play in an IVF cycle like:

  • Leuprolide acetate is also administered to stimulate the ovaries. 
  • Also, it can be used as a trigger to assist with the complete maturation of the eggs for IVF. It is referred to as Lupron Trigger.
  • As the ovaries are also responsible for producing estrogen and progesterone, Lupron indirectly helps regulate their secretion.
  • Lupron also applies to treating endometriosis, prostate cancer, and large uterine fibroids.
  • It is vital in treating children’s CPP, central precocious (early) puberty.

The Lupron Injection Protocol during IVF 

It is generally given daily for 2-3 weeks before ovarian stimulation begins. However, the duration depends on your medical reports and your body’s requirements. The Lupron medication kit generally contains 14 injections (for 2 weeks) and 2.8 ml of Lupron in Leuprolide acetate. Typically, fertility specialists administer Lupron in three phases, which are stated below: 

Phase 1

This phase generally starts one week before the ovarian stimulation process. The Lupron administration process begins as soon as the natural ovulation is completed. 

Phase 2

The administration of Leuprolide acetate will carry on. But in phase 2, the fertility experts cut down on the dosage compared to phase 1. 

Phase 3

This phase sets in 36 hours before the egg retrieval process. The dosage is discontinued before the hCG trigger shot is administered for final egg maturation. 

After some days of regular Lupron shots, FSH injections will also become a part of the IVF journey. You will have blood tests and ultrasound to monitor the entire process. 

Lupron Injection Side Effects

More than anything else, keeping your stress levels in check is the first step towards a successful IVF cycle. However, experiencing side effects at the start of your IVF journey can quickly switch on the panic button. So, it’s always better to know a medication’s common side effects to stay calm during IVF. Lupron injection is accompanied by several short-term side effects mentioned below: 

  • Erratic mood swings
  • General body aches
  • Upset stomach
  • Vaginal dryness
  • Headache
  • Vomiting and nausea
  • Hot flashes or night sweats
  • Edema
  • Weight gain
  • Body and face acne

The secretion of pituitary hormones is reduced to the same level as is witnessed during menopause (the time when a woman no longer has a monthly menstrual cycle). It means your body is pushed into a state of temporary menopause. So, you may have lighter or longer periods during this phase. 

Other Symptoms during the Initial days include: 

  • Breast tenderness
  • Abnormal fluid retention
  • Joint pain
  • Fatigue
  • Dizziness
  • Anxiety
  • Tingling
  • Itching or swelling at the injection site
  • Decreased libido

These symptoms vanish once Lupron usage is discontinued. 

If you suffer from excruciating pain or any other extreme side effect, consult your gynaecologist immediately. 

How is Lupron Injection Administered? 

Lupron injection is generally administered into the fatty tissue just below the skin through daily or monthly intramuscular depot injections using a small needle. It can be administered by the medical expert at your fertility clinic, or you can also do it yourself at home by following the below-mentioned steps: 

  • Wash your hands thoroughly and properly sanitize the surface where you will lie down.  
  • Take a clean syringe and fill the Lupron medication into it. Always ensure that there is no air in the vial containing the medication.
  • Select a spot on the abdomen about two inches from your navel.
  • Hold the syringe at an angle of 45 degrees from the injection site.
  • Empty the contents of the syringe quickly.

Lupron injection can also be administered on the outer region of a woman’s thigh. As far as storage of Lupron injections is concerned, they generally don’t require refrigeration. However, it is for the best that you strictly follow your doctor’s guidelines. 

Imprimis IVF advises you to visit your fertility expert to get your Lupron injections. Once you feel confident enough, go for self-administration. Do not miss out on any of the steps mentioned above every time you take your Lupron dose. 

Frequently Asked Questions about What does Lupron do for IVF

Does Lupron Injection Increase IVF Success? 

Well, not directly. IVF success rates depend on a plethora of factors. Some of them include the woman’s age, the quality of the egg and the sperm, medical history, genetic conditions, and the expertise of your fertility specialist. However, proper and timely administration of Lupron will lay a robust foundation for other medications that play a vital role in IVF success rates. 

Is Lupron Injection always given during IVF? 

No. Even though it is one of the best options available regarding ovulation regulation, Lupron is not always given during IVF. Doctors have various options in the form of agonists and antagonists to choose from and reduce the production of FSH and LH. hCG, or Human Chorionic Gonadotropin, is seen as an alternative to Lupron. However, Lupron is seen as the better option because it is more tolerable than the former. This is all about What does Lupron do for IVF.

Final Word About Lupron Injection

IVF is a complex and delicate procedure in all dimensions. The technology and medications administered before the treatment starts must suit the woman’s body and meet some requirements for the treatment to proceed smoothly. 

Lupron is one such medication that doesn’t directly affect the success rate of IVF but sets the base for the treatment to proceed efficiently and offer promising success rates.

If you have any queries regarding Lupron, other medications, or anything related to IVF treatment, please visit us at Imprimis IVF, Srinagar. 

How to improve egg quality for pregnancy & IVF

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I. Understanding Egg Quality Importance

The commencement of the 9-month-long pregnancy journey depends not only on the release of an egg by the ovaries but also on its quality. Egg quality is the ability of an egg to transform into an embryo after fertilization. A good quality or regular egg has the proper number of chromosomes and adequate energy source to develop into a full-grown baby in the womb. 

If the egg does not meet any of these conditions, then phenomena like frequent miscarriages, failed IVF cycles, and several other problems in conceiving are likely to occur. Poor quality or abnormal eggs are one of the major causes of female infertility.

A. Impact on Pregnancy and IVF 

A successful pregnancy is directly related to egg quality.

Think of it this way, say you want to plant an apple tree. You have a garden with fertile soil, a good water supply, and favourable weather conditions. You have two groups of seeds that are of different quality. The first group contains good-quality seeds, and the other contains poor-quality seeds. But there is a condition that you can’t change the seeds. 

Over a while, good-quality seed will grow into a healthy plant and finally become a large tree. At the same time, the other plant may die out in the initial stages due to the poor quality of the seeds. 

Likewise, good-quality eggs will result in good-quality embryos. Further, these healthy embryos will get implanted in the uterus and carry your pregnancy to term. 

Can you change or reverse the quality of the eggs in your ovaries? The answer is a plain No. Is there something you can do about the quality of your eggs? Look out for ways to enhance the health of your existing eggs. 

II. Factors Influencing Egg Quality

Fertility experts have argued that egg quality is majorly dependent on a woman’s age, genetics, and environmental factors. Nobody can control factors like age and genetics. That is why it is impossible to change the egg quality or replace the damaged eggs, but one can work to keep the existing ones. 

A. Age and Lifestyle

As a woman ages, the number, as well as the egg quality, witnesses a decline. There is no method or treatment to stop this natural phenomenon. 

The decline in egg quality becomes even more pronounced around age 35. Another significant decline in ovarian reserve is witnessed around age 45. 

It is a scientifically cemented fact that lifestyle does hamper your fertility. However, lifestyle should be addressed by couples in their fertility journey. Following is a list of lifestyle choices that might be causing hurdles in your not-so-smooth conception journey. 

  • No or less physical activity
  • Smoking
  • Consumption of alcohol
  • Too much stress
  • Disturbed sleep cycle
  • Wrong diet
  • Excessive caffeine intake

B. Environmental Considerations-: 

It might shock some people, but pollution can hinder the quality of a woman’s eggs. Some experts say that medicines used to cure illness also have the potential to decline egg quality. Apart from these, exposure to chemicals like lead can also hamper egg quality. 

III. Enhancing Egg Quality Strategies

You can stick to specific strategies to enhance egg quality and embark on your parental journey as soon as possible. 

A. Healthy Lifestyle Choices-: 

A healthy lifestyle paves the way for a healthy pregnancy. It goes a long way in keeping your reproductive system healthy. 

Healthy lifestyle choices, according to fertility specialists, can be summed up in the following checklist-:

  • Quit smoking
  • Say no to alcohol
  • Stay active
  • Keep stress at bay
  • Get plenty of sleep
  • Maintain a healthy BMI
  • Say bye to drugs
  • Consume a balanced and nutritious diet
  • Have a robust support system

B. Nutritional Supplements-: 

Depending on the couple’s specific needs, various nutritional supplements can be taken to prepare the body for conception. 

  • Folic acid 

This B vitamin has a significant positive impact on conception. Moreover, folic acid helps prevent congenital disabilities of the brain and spine. 

Natural Sources of Folic Acid-:

  1. Whole grains
  2. Green Leafy
  3. Vegetables and legumes.

Omega-3 Fatty Acids 

Omega-3 fatty acids are healthy fats that help strike a balance between reproductive hormones. Besides this, these fats help regulate menstruation and implantation.

Natural Sources of Omega-3

  1. Salmon
  2. Tuna or sardines
  3. Fish Oil and Algal Oil. 

CoQ10

CoQ10 is a powerful natural antioxidant that improves ovarian response. It also prevents the eggs from oxidative damage. 

Natural Sources of CoQ10-: 

  1. Fish and Meat. 

Avoid self-prescription, as it may do more harm than good. 

It is a sincere request that you always consult a fertility expert before taking nutritional supplements to boost fertility. 

C. Mind-Body Practices-:

Understanding the connection between mind and body leads to a more profound sense of self-awareness and mindfulness. It helps deal with the changes you undergo before and during pregnancy. The best mind-body practices include massage therapy, meditation, deep breathing techniques, yoga, and general relaxation body movements. 

D. Fertility Treatments-: 

Assisted Reproductive Technology (ART) has helped millions of infertile couples around the globe to welcome home their little bundle of happiness. Many options are available for people struggling with infertility based on their issues and medical conditions. 

  • In-vitro Fertilisation (IVF)– In this medical procedure, the eggs are taken out on a petri dish, and the quality can be tested. The good-quality eggs are then fertilized and implanted in the uterus.
  • Intracytoplasmic Sperm Injection (ICSI)– In this procedure, the sperm is directly injected into the egg. With the help of ICSI, the number of fertilized eggs can be increased. It can only be performed when the male partner has no fertility issues.

IV. Nutritional Support for Egg Quality

The role of nutrition in fertility can’t be emphasized enough. The food you put inside your body can make or break your pregnancy dream. 

A. Superfoods and Antioxidants-: Taking plenty of fertility superfoods and dietary antioxidants can help boost egg quality. 

The Best Superfoods to Take Care of Egg Quality are: 

  • Asparagus
  • Beans and lentils
  • Spinach
  • Egg yolks
  • Walnuts
  • Sweet potatoes
  • Berries

Are you looking for the best antioxidants for fertility? Well, eat that fruit! 

Apples, oranges, pomegranates, grapes, kiwi, and grapefruit are loaded with the goodness of antioxidant properties. 

B. Anti-Inflammatory Diet-:

It might look like a fancy word for an expensive diet, but it’s not! All vegetables and fruits have pro-anti-inflammatory properties. 

You can design your anti-inflammatory diet with a colourful bowl of grains, healthy fats, fruits, and vegetables. Here’s what you can include: 

  • Vegetables like garlic (rich in selenium), spinach, carrot, onions, mushrooms, radish, cauliflower, broccoli, and cabbage.
  • Be friends with berries like blueberries, strawberries, blackberries, and raspberries.
  • Treat yourself to a tropical fruit like banana, pineapple, and mango.
  • Citrus fruits like orange and grapefruit work wonders.
  • Dates, nuts, and seeds, including almonds, walnuts, chestnuts, pumpkin seeds, and sunflower seeds.
  • Whole grains range from barley, wheat, oats, whole rye, brown rice, and millet.
  • Avocados, coconut oil, and cold-pressed olive oil are rich sources of healthy fats.
  • Don’t forget to drink adequate glasses of water! 

Foods containing excessive sugars, saturated fats, junk food, and highly processed food trigger inflammation in the body. The body releases a hormone called cortisol which hampers fertility. So, make sure you avoid such foods to maintain the health of your eggs and improve your chances of getting pregnant. 

V. Wellness for Improved Egg Quality

A healthy mind supports a healthy body. Reread this line! The nutritious diet you are consuming, all the supplements you are taking, and the treatment you are undergoing will work more efficiently if your mind is at peace. 

A. Stress Management-: Stress is one of the biggest enemies of ovulation. Too much stress can trigger the production of cortisol and prolactin. These stress hormones delay egg production by the ovaries, disrupting ovulation and fertilization. So, it becomes vital to manage mental strain. 

Some of the best ways to keep your stress levels in check include meditation, breathing exercises, yoga, journaling, and listening to music. 

Some of the yoga asanas that assist with managing stress and conception include -: 

  • Surya Namaskar 
  • Nadi Shodhan Pranayama
  • Janu Shirasana
  • Baddha Konasana
  • Bhramari Pranayama
  • Balasana
  • Paschimottanasana

Regular practice of these asanas helps tackle mental and emotional strain but also helps stimulate the ovaries. There is an increase in the blood flow to the pelvic region. Also, these fertility asanas prepare your body for a healthy pregnancy.

B. Sleep and Exercise Benefits-:

It is proven that sleep is the best medicine. Trillions of body cells repair when you are sleeping. When this medicine is armed with the right exercises, it can bring promising transformation in your journey. Exercises like fertility yoga asanas, walking, swimming, pilates, or strength training can be incorporated into your daily routine. 

These will help with stress and a good night’s sleep and help maintain a healthy BMI. If you are obese, then chances are it is going to hinder your fertility in some or the other way. 

VII. Conclusion: Your Path to Enhanced Egg Quality

Take it with a pinch of salt, but you can not stop the decline of your egg count and the quality of your eggs. However, you can implement particular lifestyle and dietary changes that can be a game changer for your journey to achieve a healthy pregnancy. Remember to stay positive while trying to get those two pink lines on the pregnancy test kit.

We at Imprimis IVF never recommend taking supplements to boost fertility without consulting an IVF doctor. Seek medical expertise before making any changes in your diet or lifestyle to enhance egg quality.

Why Imprimis IVF for infertility treatment? 

Our clients and we know what we at Imprimis can offer, from state-of-the-art facilities to affordable treatment with promising outcomes. Our results speak for us! Please pay a visit to our clinic and see for yourself. 

What is Fertile Window and the Right Time for Sex

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What is fertile window – A fertile window is when couples can expect to conceive a child, which happens between days 8 and 12 of a woman’s menstrual cycle. This window is critical because it affects how many days in your cycle your partner can fall within to maximize his chances of conceiving. If he doesn’t fall within this window, he could be infertile.

Menstrual Cycle and Ovulation

A. Overview of the Menstrual Cycle and Hormone Regulation

Hormones cause the menstrual cycle. The body produces hormones as chemicals to regulate various bodily processes. They help control growth, metabolism, and other processes. The levels of these hormones fluctuate, which results in the menstrual cycle.

The initial day of your period (menstruation) marks the start of your menstrual cycle, which ends on the last day (the beginning of your subsequent period). It takes about 28 days for a complete cycle. During this time, you have bleeding (menstruation) caused by an ovum (egg) leaving your ovary on its own or being released by your body due to hormonal stimulation.

The menstrual cycle is the series of hormonal changes in a woman’s body each month. 

The Cycle of Menstruation is made up of Three Phases, Namely:
  1. Proliferative phase (days 1-14). In this phase, the lining of the uterus grows, and blood flow increases to sustain this growth.
  2. Cortical phase (days 15-28). This is the primary phase of menstruation when blood clots are shed from the inner lining of the uterus.
  3.  Menses (days 29-35). When this phase is over, menstruation has ended, and ovulation has occurred.

B. Understanding Ovulation and its duration

Ovulation occurs in females and males at different times of the month, depending on their specific hormonal profiles. In women, ovulation happens approximately 14 days before menstruation begins (the first day of bleeding). In men, it happens 12 hours before ejaculation (the point at which sperm are released from the body).

How much time does it take sperm to get to an egg?

This varies between women; however, most experts estimate that it takes 5-6 days for sperm to reach a mature egg.

Determining the Fertile Window

The time when a woman is most likely to get pregnant is known as the fertile window. It is a period that can vary from woman to woman, but some common factors influence the length of this window.

A. Factors Influencing the Length of the Fertile Window

  1. Age: As women age, it becomes more difficult for them to become pregnant due to their declining hormone levels and decreased egg supply
  2. Day of Ovulation: This can be difficult to determine since each woman is different and has her unique cycle. Some women have irregular cycles, while others have regular cycles. A woman should regularly track her basal body temperature (BBT) throughout her cycle to determine when she ovulates based on the rise in temperature following ovulation.
  3. Menstrual Cycle Length: A longer menstrual cycle means that it takes longer for a woman’s hormones to return to normal after she has menstruated. This makes it more challenging for her to conceive because she may not ovulate again until several days after her last period.
  4. Fertility Awareness Method: This method allows women who do not have regular cycles to track their fertility by observing changes in their cervical mucus or other signs that indicate ovulation

B. Methods to Track and Predict Ovulation

You can use various techniques to monitor and predict ovulation to help you decide when it is appropriate to have sex with your partner. These methods include basal body temperature charting and ovulation predictor kits (OPKs).

Basal body temperature charting requires women to monitor their basal body temperatures daily throughout their cycle. A high basal temperature usually indicates ovulation, while a low reading indicates that egg release has occurred and sperm cannot fertilize an egg. Ovulation predictor kits work similarly, giving women an accurate reading daily at home by placing a small strip under their tongue for three days before they start menstruating again. 

Sperm Survival and Timing Intercourse

A. Lifespan of Sperm and Factors Affecting Survival

Sperm cells live for about five days in the female reproductive tract (i.e., ovaries, the fallopian tubes, and the uterus). According to a 1995 study by A.J. Wilcox, the best days for sexual activity on a regular 28-day cycle are days 10, 12, and 16. The intercourse ought to take place on days -4, -2, 0, and +2 based on the anticipated ovulation if the cycle is not a cycle lasting 28 days. The time needed for sperm to decay with the increasing post-ejaculatory abstinence period. 

B. Optimal Timing of Intercourse Concerning Ovulation

In humans, human chorionic gonadotropin (hCG) peaks on days 10-12 post-ovulation. It reaches its peak concentration around the 10th and 11th weeks of pregnancy. Then, from the 12th week of gestation onward, this level falls and remains basal until the end of the pregnancy. This decline in hCG levels is thought to represent an optimal period for intercourse based on controlled studies showing that fertile couples have higher conception rates than infertile couples when they engage in intercourse during this window.

Lifestyle Factors Affecting Fertility

A. Impact of Nutrition, Exercise, and Stress on Fertility

  • Fertility is impacted by the amount of food we eat. Consuming a lot of antioxidants- and vitamin-rich fruits and vegetables can help improve women’s fertility. It also helps keep the body well-nourished, producing more eggs than usual.
  • Exercise also helps with fertility by keeping your blood flowing and helping your body produce more eggs than usual. Additionally, it enhances your quality of sleep, which could prevent you from ovulating too early in the cycle, preventing a pregnancy from happening.
  • Stress may negatively impact fertility by affecting hormone levels in both men and women. Stress can harm the hormones that regulate ovulation and menstruation – leading to irregular periods or missed periods.
There are numerous other ways stress can affect the capacity to get pregnant:

Lack of Sleep: Lack of sleep can lead to lower levels of hormones in the body, which makes it harder for an egg to mature and for an embryo to develop properly. Additionally, it makes it easier to sleep at night, which might stop you from ovulating early enough in the cycle and preventing a pregnancy.

Poor Diet: Poor diet has been associated with decreased libido, which may make it difficult for men trying to conceive to get aroused enough during sex sessions (so they don’t ejaculate before they would like). 

Medical Interventions and Assistance

A. When to Seek Medical Advice for Fertility Concerns

If you have difficulty conceiving a baby, you should always talk to your doctor. You can get the best guidance and therapeutic options for infertility problems from a fertility specialist. You may also want to consult an obstetrician or gynaecologist, who can perform prenatal care and help deliver your baby.

You should speak with your doctor immediately if you have any worries about your fertility. If left untreated, these conditions can severely affect a woman’s health.

B. Overview of Fertility Tests and Assisted Reproductive Technologies (ARTs)

Fertility tests and ARTs are used together to help you get pregnant. Fertility tests can assess a woman’s reaction to fertility medications, detect issues with the tubes that carry sperm from the testicles to the egg or help diagnose an issue with the ovary or uterus. ARTs are procedures that either increase or restore fertility.

Conclusion

A. Recap of the importance of the fertile window

The fertile window is the period from ovulation to menstruation. During ovulation, a female’s ovary releases an egg into the fallopian tube, where it is carried by sperm to be fertilized. Once inside the uterus, the fertilized egg attaches and develops into a baby.

B. Final tips for optimizing chances of conception

The most important thing you can do to increase your chances of getting pregnant is to get your fertile window periods (also known as your fertile window) regularly each month. If you try to get pregnant right away after missing your fertile window, there’s a good chance that to conceive; you’ll have to wait until your next cycle, which could be months later! This is because sperm live in semen for about five days, so if you miss one or more days in your cycle, chances are your body won’t release many eggs, and you’ll miss out on that fertile window again.

Why Imprimis IVF for ARTs and Fertility Consultations?

A fertility test is a medical procedure that helps determine the health of the female reproductive system. The most common type of fertility test is a blood test to evaluate the level of hormones, such as estrogen and progesterone, in your body. Other tests look at other factors that affect fertility, such as ovulation and the development of eggs.

A variety of assisted reproductive technologies (ARTs) also exist to help couples have children who are genetically related to them. 

Imprimis IVF is a leading fertility clinic known for its innovative approach to ARTs and fertility consultations. They prioritize personalized treatment plans, holistic care, and achieving high success rates. Their patient-centric philosophy creates a supportive and compassionate environment, while their commitment to research and advancements ensures access to the latest techniques. Imprimis IVF is a trusted choice for individuals and couples seeking advanced fertility solutions.

Enlarged Uterus: Causes, Symptoms, and Treatment

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Introduction to Enlarged Uterus

Enlarged Uterus – The uterus is a hollow organ in the pelvis and comprises two parts: the endometrium, which thickens during pregnancy, and the myometrium, which supports the uterus internally. Three layers comprise the uterus: the innermost layer is called the glandular or functional layer; this portion of the uterine wall secretes mucus and blood vessels that feed the endometrium.

The middle layer is called the serous or storage layer; this portion of the uterine wall stores blood in case of anemia. Finally, there is an outermost layer called muscular or adventitial; this portion of the uterine wall helps support and shape the uterus. A woman’s reproductive organs comprise her cervix, vagina, fallopian tubes, and ovaries (the ovary).

The term “enlarged uterus” describes a condition in which the size of the endometrium (uterine lining) increases beyond normal limits. The syndrome may start after menopause or present at birth and last for the rest of one’s life. Significant uterus syndrome is sometimes called leiomyomata.

The most common cause of significant uterus syndrome is an inherited disorder called uterine leiomyoma (unlike fibroids, leiomyomas are not cancerous). Leiomyomas are usually benign tumors composed of smooth muscle cells which frequently line the uterus’ interior. They can grow and increase over time, resulting in a larger uterus with an enlarged endometrium.

The most common cause of infertility is an enlarged uterus (endometriosis). An enlarged uterus can occur due to pelvic inflammatory disease (PID), endometriosis, or adenomyosis (a condition in which endometrial tissue grows outside of the uterus). 

Causes of Enlarged Uterus

Causes of Enlarged Uterus

The common causes of an enlarged uterus may be medical illnesses in the background, like polycystic ovarian syndrome (PCOS), endometriosis, or pelvic inflammatory disease (PID). However, other factors, such as excessive weight gain or breastfeeding, can play a role occasionally.

1. Uterine Fibroids

Fibroids are benign tumors that usually occur in the uterus, although they can sometimes be found elsewhere in the body. The fibroid may be a single tumor, or it may consist of several smaller tumors. Fibroids can cause pain at the time of menstruation, as well as abnormal bleeding and other problems. If a woman thinks she has fibroids, she should see her doctor to get checked out.

2. Adenomyosis

Adenomyosis is when the muscle layer around your uterus becomes thick and lumpy instead of smooth and elastic like normal muscle tissue. This can cause problems with your periods and make them irregular or heavy, possibly leading to anemia or blood clots that may cause a stroke or a heart attack.

If you have adenomyosis, you may also experience painful cramps or bleeding between periods or irregular intervals during your cycle. Your doctor will check for adenomyosis based on the symptoms you report, your medical History, and any physical exam findings he observes during an exam of your cervix (the lower part of your uterus).

3. Endometrial Hyperplasia

Endometrial hyperplasia can develop if a woman has multiple risk factors for endometrial cancer, such as:

  1. Women after 35 years of age.
  2. Previous History of breast cancer
  3. History of blood clots in your veins (deep-vein thrombosis)
  4. Family history of endometrial cancer
  5. A family history of uterine polyps

Symptoms and Impact on Fertility

Symptoms of Enlarged Uterus

1. Abnormal Uterine Bleeding

Abnormal uterine bleeding can be a sign of an enlarged uterus. This is also known as menorrhagia. It occurs because the blood flow to the uterus is restricted due to an enlarged uterus. In most cases, it happens due to pregnancy and childbirth. An enlarged uterus may be to blame for lower back or abdomen pain and bleeding between periods.

2. Pelvic Pain and Discomfort

If your uterus has grown too large for its good, it may press against other organs in your pelvis (it comprises two bones: ilium and pubic bone). This pressure can cause pelvic pain, back pain, and lower abdominal discomfort. Another symptom is constipation due to pressure on the rectum from the enlarged uterus pressing against it during childbirth or periods (for example, during menopause).

3. Pelvic Area Pressure or Fullness

Pelvic pain and discomfort are common complaints of women with enlarged uteri. This can be due to pressure or fullness in the pelvis and may also result in spasms or cramping that can be uncomfortable for both you and your doctor to deal with. 

4. Urinary and Bowel Symptoms

Urinary and bowel symptoms such as urgency, frequency, incontinence (leakage) of urine or stool, constipation, painful urination; sexual dysfunction including vaginal dryness or pain during intercourse

Diagnosing an Enlarged Uterus

1. Medical History and Examination

The medical history and physical examination should focus on ruling out pregnancy, fibroids, and cancer. Medical History includes:

  • History of recent illnesses, injuries, or surgeries that may have affected the uterus.
  • Any current or past health conditions may affect fertility or pregnancy, such as diabetes and high blood pressure.
  • The woman’s age, race, and medical History should be considered when diagnosing a possible enlarged uterus since the condition is more common in older women than in young women.

2. Imaging Tests

The diagnosis is usually benign if an ultrasound shows an enlarged uterus with a thin wall. However, if there is no evidence of pregnancy (e.g., vaginal bleeding or missed period), the diagnosis may be more likely to be uterine fibroids or endometriosis. In this case, a laparoscopy may be performed to confirm the diagnosis and remove any fibroids if they are found during surgery. An MRI may also help assess the embryo’s viability so that it can be frozen for future use if needed.

3. Biopsy or Sampling

A biopsy sample can be obtained with laparoscopy; however, there are risks involved in obtaining this type of tissue (invasive surgery).

Treatment Options for Enlarged Uterus and Infertility

Treatment of Enlarged Uterus

1. Uterine Fibroids

Uterine fibroids are benign tumors that grow in the fibrous lining of the uterus. Numerous symptoms, such as painful or irregular periods, heavy menstrual flow, pain during sex, or bowel motions, might be brought on by them. If fibroids push on the Fallopian tubes and prevent them from carrying eggs from the ovary to the uterus, this can also result in infertility.

2. Adenomyosis

Adenomyosis is when the lining of the uterus becomes thicker than usual and grows into adjacent tissues. The condition may cause infertility, abdominal pain, and urinary symptoms such as an increased need to urinate and blood in the urine.

3. Endometrial Hyperplasia

Endometrial hyperplasia is a disorder when the lining of the uterus experiences an increase in cells, thickening and expanding abnormally. Women with endometrial hyperplasia may have irregular periods or heavy bleeding. 

4. Uterine Polyps

Uterine polyps are growths on the villi or fingerlike projections that line the end of the fallopian tubes — structures that carry eggs from ovaries to the uterus — or other body areas such as the cervix (neck of the womb). Polyps can cause cervical cancer if they become large enough to block the cervical opening (birth canal).

Fertility Treatment Planning and Considerations

An enlarged uterus is a common medical condition, which is more common in women of childbearing age. The uterus is the organ that holds and nourishes the developing fetus during pregnancy.

Although the exact etiology of this ailment is unknown, it could be brought on by hormone imbalances, pregnancy, tumors, growth hormones, or other factors. It usually affects women after the age of 35 and is more common in those with children.

1. Individualized Approach

For mild cases, there are no special considerations for fertility treatment. However, IVF Treatment may be considered if there is no chance of conceiving naturally. If there is a possibility of having problems conceiving later on, egg donation may be an option.

2. Collaboration with Fertility Specialists

In the case of a large size of uterus, Fertility specialists recommend surgical treatment for the removal of extra tissue or organ from the body or removing part of an organ from the body with minimized damage to surrounding tissues. The procedure has been successfully performed using laparoscopy(minimally invasive surgical technique), which provides several advantages like minimized pain during surgery, no open abdomen surgery required, and less risk of infection compared to open abdomen surgery like laparotomy.

Conclusion

It would be best to see a doctor to find the underlying cause of your enlarged uterus. Making an appointment with your gynecologist is an intelligent approach to accomplish this. Calling their office and making an appointment over the phone is an option if you cannot visit them in person.

A regular doctor will check your health history and ask questions about your menstrual cycle, fertility, family history, and other relevant information. They will also conduct a physical exam and ask you questions about your health. This way, they can look at all possible causes of your enlarged uterus and find suitable treatment options.

Why Choose Imprimis IVF for Enlarged Uterus Treatment

Imprimis IVF is ideal for enlarged uterus treatment due to its specialized expertise, advanced technology, comprehensive approach, diverse treatment options, and supportive care. Their team of experienced fertility specialists focuses exclusively on reproductive medicine, ensuring personalized and effective treatment for an enlarged uterus. Equipped with state-of-the-art facilities, Imprimis IVF provides accurate diagnosis and utilizes cutting-edge technology for optimal treatment outcomes. 

Their holistic approach considers various factors contributing to the condition, addressing underlying causes and developing individualized treatment plans. Imprimis IVF ensures that patients receive the most appropriate and effective care with a wide range of treatment options available, including medications, minimally invasive procedures, and fertility preservation techniques.

What is AMH Test – Purpose, Levels, and Treatment

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What is AMH Test – AMH is a female hormone produced by the ovaries. An anti-mullerian hormone is so named because it binds to receptors on cells that line the inside of the fallopian tubes. These receptors are part of a complex system that assists sperm in approaching and fertilizing an egg.

Your doctor may additionally order an AMH test to identify an ovarian mass. An AMH test is a simple blood test; if you take it after your period begins and before ovulation (the release of an egg from one ovary), you may see results in one week or less. An AMH test determines anti-mullerian hormone levels related to an individual’s egg count. It is related to your egg count but does not predict your fertility.

Importance of AMH Levels

AMH levels are essential for determining your ovarian reserve but don’t directly correlate with age. AMH levels increase as you age. After menopause, a woman’s AMH level increases as she ages. The higher the AMH level, the more eggs and ovarian reserve.

AMH levels also vary between women.

Some women have more eggs than others, which means they can produce more eggs in their ovaries. It is called having a high ovarian reserve. Others may have fewer eggs or a lower ovarian reserve, which means they may not be able to produce as many eggs in their ovaries and could experience infertility issues if they decide to get pregnant.

Purpose of the AMH Test

AMH is a hormone that’s produced by the ovaries. It helps maintain an egg’s structure and signals the brain to release hormones that make it possible for a woman to conceive.

The test aims to determine whether or not you are at risk for developing cervical cancer. A positive result means that you might have an increased risk of developing cervical cancer and should undergo regular screening tests for this disease.

The AMH test also helps in assessing ovarian reserve. Suppose you have low or no measurable levels of AMH. In this particular situation, you might be at risk for diminished ovarian reserve or premature menopause — two conditions affecting your fertility options and quality Of life.

Predicting Response to Fertility Treatments:

 The test is commonly performed on postmenopausal women to check for signs of estrogen deficiency or osteoporosis, but it can also be used to assess ovarian reserve and fertility status. In some cases, women may request an AMH test if they have irregular periods or have had their uterus removed due to cancer treatment.

AMH Levels

A higher number means more eggs in your ovaries, which means more egg follicles to help produce healthy eggs. A lower number means you may produce fewer eggs than before and may soon lose those eggs.

A woman’s AMH levels are usually between 1.0 ng/mL to 3.0 ng/mL. (nanograms per millilitre). It is the level at which ovulation is most likely to occur, usually within this range.

Low AMH levels, under 1.0 ng/mL, may indicate that the pituitary gland functions normally. The presence of abnormally low levels of certain hormones in the body might suggest an underlying problem within the hypothalamus or the anterior pituitary gland, which plays a crucial role in hormone production and regulation.

Causes of low AMH:

Ovarian cancer or other conditions that affect the ovaries (liver disease, kidney disease, thyroid problems) may cause low levels of AMH. It can also signify early menopause in women who have not gone through menopause. Your doctor can request an AMH test to confirm the diagnosis if she suspects you are going through perimenopause or early menopause. However, this is not a common indication for testing at this time because most women do not go through menopause until after age 50.

Implications for Fertility:

Because low levels of AMH are associated with advanced reproductive age, they may indicate a woman has less menstrual bleeding and will have fewer eggs than younger women. Conception challenges may additionally be experienced by these women, making it harder for them to achieve pregnancy. In addition, some doctors recommend that women with low levels of AMH get fertility treatment if they have trouble conceiving or carrying a pregnancy past six months. 

High AMH levels can be caused by several factors, including:

High AMH Levels Factors

Hormone Imbalance:

If you’re not getting enough progesterone or estrogen, your body will produce more AMH to compensate for the lack of hormones. It may be caused by a condition like Polycystic ovary syndrome (PCOS) and hypothyroidism (an underactive thyroid gland), which can also contribute to these symptoms in women.

Ageing: 

Our bodies naturally produce less AMH and more follicle-stimulating hormone (FSH) as we age. It can lead to higher estrogen levels and lower progesterone levels, which can cause high AMH levels.

Genetic:

If you have a family history of high blood pressure, heart disease, or type 2 diabetes, you could also inherit high levels of AMH from your parents — conditions often linked to high blood pressure or heart diseases risk factors like smoking and obesity.”

Interpretation of AMH Test Results

Some of the considerations that are to be kept in mind while interpreting the AMH Test results are:

Age-related Considerations

A woman’s age does not influence the results of the AMH test. As early as the age of 20, individuals can undergo this test and receive accurate results as late as 44, with most women having a typical result between ages 25 and 35. The AMH level for a woman between 20–25 years old is 4.23 ng/mL.

Relationship to Fertility Potential

The AMH test has been used to predict fertility potential in older women who wish to conceive. A woman’s AMH level is believed to decline with age, which may be related to decreased production of eggs or sperm, decreased ovulation rate, or both.

Other Factors Affecting Interpretation

Women who have undergone cancer treatment or had multiple pregnancies may have slightly lower levels of AMH than those without these conditions. However, these factors do not affect the interpretation of the result and should be considered if they are high enough to cause concern about fertility potential.

Treatment Options

High AMH Levels Treatment

 There are various treatment options available based on different AMH levels.

  • Treatment for Low AMH Levels

In the case of low levels of AMH, various treatment options are available to women with diminished ovarian reserve. Some of these treatments include:

  • Assisted Reproductive Techniques (ART)

ART treatment is designed to help a woman who cannot become pregnant on her own through natural means become pregnant by using assisted reproductive technology such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). Assisted reproductive techniques can help a woman conceive if her eggs are not viable enough for IVF or ICSI. For women with low amounts of AMH and a compromised ability to make eggs, this may occasionally also be a possibility.

  • Ovarian Stimulation

This treatment uses hormones to stimulate the release of one or more eggs from your ovaries during a menstrual cycle. The amount of stimulation depends on the woman’s age and her response to previous stimulation treatments, which can vary widely from woman to woman. Because this method involves injecting hormones directly into your bloodstream, there is always a risk that you might develop side effects such as nausea, vomiting, or headaches while receiving medications through your IV line.

  • Egg or Embryo Freezing

In some cases, women may have low levels of AMH due to low levels of progesterone production caused by premature ovarian failure or menopause. Conditions that may require medical treatment before freezing embryos can occur.

Treatment for High AMH Levels

  • Management of Polycystic Ovary Syndrome (PCOS)

Among the many treatment options for women with high AMH levels, ovary-intact women with PCOS often benefit from medication. PCOS are at increased risk of developing endometrial cancer and should be monitored regularly. In addition, ovarian stimulation is an option for women undergoing IVF or other fertility treatments.

  • Treatment for Ovarian Hyperstimulation Syndrome (OHSS)

Ovarian hyperstimulation syndrome (OHSS) can occur when a woman ovulates multiple times more than usual during ovulation induction. This syndrome can be life-threatening if left untreated, so doctors may recommend that patients take medications to reduce the high levels of AMH in their bodies.

At any point in your menstrual cycle, you have the flexibility to undergo the AMH test. A straightforward blood test that provides valuable insights into your reproductive health. It means you or a health care provider can perform it.

In addition to being an excellent diagnostic tool, the AMH test has many other benefits. It can:

  1.  Identify if your ovaries are making too much estrogen. This imbalance of sex hormones can ensue, causing a disruption in their normal levels and functions within the body.
  2.  Identify if there are any issues with egg development or fertilization;
  3.  Evaluate treatment options for PCOS, OHSS, or other conditions related to abnormal ovulation.

Why Choose Imprimis IVF for AMH Testing?

What is AMH Test

 Imprimis IVF may be a suitable choice for your AMH test due to the following reasons:

 Specialization: Imprimis IVF specializes in reproductive medicine and fertility treatments, ensuring expertise in conducting AMH tests.

  1. Advanced Facilities: They have state-of-the-art laboratory facilities and advanced diagnostic technology for accurate and reliable testing.
  2. Comprehensive Services: Imprimis IVF offers a range of fertility treatments beyond AMH testing, providing integrated care.
  3. Positive Reputation: The clinic has a strong reputation for delivering high-quality care and achieving successful outcomes.
  4. Patient-centered Approach: Imprimis IVF focuses on compassionate and personalized care throughout your fertility journey.
  5. Affordability: They offer cost-effective options and may partner with insurance providers to help manage expenses.

Conclusion

It’s essential to take note of both your age and your AMH levels when trying to conceive. You can use an AMH blood test for the same reasons as the anti-mullerian hormone (AMH) test. It’s a few days long but a relatively quick and easy procedure. If you’re concerned about your fertility and want to do everything possible, including affordable testing. Check with your fertility clinic or IVF experts to learn more about an AMH blood test.

Blocked Fallopian Tubes: Causes, Symptoms, and Treatment

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Blocked fallopian tubes are one of the reasons for female infertility. Its medical name is Tubal occlusion. Although several risk factors can increase your chances of getting the disease, there are usually no symptoms.

The fallopian tubes are muscular tubes with a fine hair-like structure inside. These “hairs” help in both directions: They help the sperm to travel up into the uterus. Fimbriae, which look like fingers, adjoin each fallopian tube. When the ovary releases an egg, the fimbria captures and guides it.

Since most eggs are fertilized in the fallopian tubes, they are essential for fertilization. If any injured part is there, for example, by surgery or infection, scar tissue may form.

Describe Hydrosalpinx.

The Greek originates the hydrosalpinx, which means water and tube. A woman’s fallopian tubes are blocked by hydrosalpinx, which is caused by fluid buildup and enlargement at the end of the tube. The end of the tube fibroid closest to the ovary is where it usually occurs, although it can also occur at the end of the tube that connects to the uterus.

One type of infertility caused by tubal factors is blocked fallopian tubes. Fallopian tube cells secrete fluid when blocked, causing the tubes to widen. Preventing an ovulated egg from being fertilized by sperm from the ovary to the fallopian tube prevents fertilization and thus prevents pregnancy. Most likely, hydrosalpinx prevents a fertilized egg from travelling to the uterus for implantation and pregnancy, even if an ovulated egg has come into contact with sperm.

Additionally, it can lead to a dangerous ectopic pregnancy, in which the embryo implants in the fallopian tubes and becomes seriously fatal. Bilateral hydrosalpinx is the condition of having hydrosalpinx in both fallopian tubes simultaneously.

Hydrosalpinx is detrimental to fertility treatments. According to a study, the success rate of assisted reproductive technologies, such as IVF, is reduced by 50% in women with hydrosalpinx fluid compared to women without it. So doctors recommend that patients who use IVF have the hydrosalpinx surgically removed before starting treatment.

If a woman becomes pregnant (naturally or through fertility therapy), the presence of hydrosalpinx impacts the pregnancy outcome. Scientists don’t fully understand why this happens. Still, they believe that hydrosalpinx poisons the egg and embryo and damages the endometrium in such a way as to disgorge the implantation and development of the developing embryo.

Symptoms of Blocked Fallopian Tubes :

Symptoms of Blocked Fallopian Tubes

Unlike anovulation, which can be indicated by irregular periods, blocked fallopian tubes rarely cause symptoms. The first symptom of blocked fallopian tubes is infertility. In addition to regular fertility tests, if you haven’t gotten pregnant after a year of trying, your doctor may order a special X-ray to check the tubal occlusion.

Pain in the lower abdomen and abnormal vaginal discharge are possible signs of a specific type of fallopian tube blockage called hydrosalpinx, although not all women have these signs. Fertilization and pregnancy are prevented because the fluid blocks the sperm and egg.

Blocked fallopian tubes can have many causes, some of which have unusual symptoms. For example, painful periods and painful sexual activity can be caused by endometriosis and pelvic inflammatory disease (PID).

Symptoms of pelvic infection include the following:
  • general pelvic pain and discomfort during sex
  • nausea and vomiting
  • fever over 101
  • Pelvic pain with severe pain in the lower abdomen or foul-smelling vaginal discharge

Causes of Blocked Fallopian Tubes :

Causes of blocked Fallopian Tubes

PID is the leading cause of the fallopian tube barrier. However, not all pelvic infections are associated with STDs, pelvic inflammatory disease results from an STD. Additionally, a PID or pelvic infection history increases the risk of tubal obstruction even without PID.

Additional factors that can block the fallopian tubes include:
  • Currently infected or previously infected with gonorrhoea or chlamydia as an STD
  • History of uterine infection resulting in miscarriage or stillbirth
  • History of appendix rupture.
  • history of abdominal surgery
  • ectopic pregnancy in the past
  • previous fallopian tube surgery, including tubal ligation
  • endometriosis

Diagnosis of Fallopian Tubes:

A hysterosalpingogram, or HSG, is a specialized X-ray commonly used to identify blocked tubes. One of the basic fertility tests required of all couples who have problems getting pregnant is the HSG. A small tube injects dye into the cervix during the test. After applying the dye, an X-ray of the pelvic area is taken. If all goes well, the dye should pass through the uterus and fallopian tubes before spreading around the ovaries and into the pelvic cavity. Your fallopian tubes can become blocked if the dye cannot pass through the tubes.

It is essential to know that 15% of women experience a “false positive,” in which the dye fails to enter the tube after passing through the uterus. The site of the blockage appears to be the junction of the uterus and fallopian tubes. If this happens, the doctor may order a new test to confirm or repeat the test one more time. Hysteroscopy, exploratory laparoscopic surgery, and ultrasound are examples of additional tests that may be ordered. It is also possible to request a blood test to detect antibodies against chlamydia.

Effects on Fertility:

The ovaries, uterus, and fallopian tubes comprise the female reproductive system. Getting pregnant can be more difficult if any of these three points are affected by a medical condition. The fallopian tubes connect each of the two ovaries to the uterus. An egg releases one egg every month from the ovary, which stores and releases them randomly.

For example, the left ovary can release an egg in one month, while the right ovary releases an egg for three consecutive months. An egg can be fertilized even if one of the fallopian tubes is blocked. It is less likely to happen if both are blocked.

Treatment of Blocked Fallopian Tubes : 

Treatment of Blocked Fallopian Tubes

If you are healthy and one of your tubes is open, you may be able to get pregnant without too much help. Your doctor may prescribe fertility drugs to increase your chances of ovulating on the side of the still-open tube. But if both tubes are blocked, there is no other option.

It is essential to understand that although this medication is provided to aid conception, a blocked fallopian tube cannot be unblocked. Exercise, just like a clogged tube, cannot be unblocked. Surgery is the only option to help clear blocked tubes, but it is only sometimes effective. Below are those you need to know about tubal ligation, IVF, and blocked tubal surgery.

Laparoscopic Surgery

In some circumstances, laparoscopic surgery can remove scar tissue or open blocked channels. Unfortunately, this action plan is only sometimes effective. The chances of success are affected by your age (the younger, the better), the location and severity of the blockage, and its underlying cause. Getting pregnant after surgery is good if there are only a few adhesions.

After surgery to relieve the tubal blockage, the chances of ectopic pregnancy increase. If you become pregnant, your doctor should monitor you closely and be available to advise you on what would be best for you.

However, surgery is not the best solution every time. Vital scars, moderate to severe endometriosis, or moderate to severe male infertility can benefit from IVF. 10 Your doctor can discuss your case with you to determine whether it would be better to have surgery to fix it or go straight to IVF treatment.

In Vitro Fertilization

Before the development of in vitro fertilization (IVF), women with blocked tubes had no choice but to become pregnant if reconstructive surgery did not work or was not an option. IVF makes pregnancy possible.

Fertility drugs are taken to stimulate ovulation during IVF. Sperm from the male spouse or sperm donor is combined with the egg in a laboratory. Ideally, some eggs will fertilize, and others will produce healthy embryos. The uterus receives one or two selected workable embryos.

Blockages in the fallopian tubes are irrelevant. However, studies show that irritated tubes can significantly reduce the chances of IVF success. If you have hydrosalpinx, your doctor may recommend surgical tube removal. IVF may be attempted once you have recovered from your procedure.

Tubal Ligation Reversal

Reversing a tubal ligation is a permanent method of birth control, also known as “tying your tubes.” Various tubal ligations can be performed. A surgeon can cut the tubes, bandage them, sear them, or place special coils inside them, among other options.

The good news is that although this form of birth control is meant to be permanent, many women can take it off. Compared to women who undergo tubal surgery to remove blockages caused by the disease, surgical repair of tubal ligation has a higher chance of success. A microsurgical repair can be up to 50% cheaper per delivery than IVF.

Conclusion

In the above article, we have talked about blocked fallopian tubes. Blocked fallopian tubes are a possible reason for female infertility. The woman’s fallopian tubes are blocked by hydrosalpinx. There are many symptoms like fever, vomiting, pain, etc. We have shared all the details of fallopian tubes in the above article. If you want to know more about blocked fallopian tubes, this article is for you.

If you want a suggestion for treatment for blocked fallopian tubes, you can rely on Imprimis IVF & Fertility Centre. Check out this hospital for Female Infertility Treatment. It is the best Best IVF Centre in Srinagar for blocked fallopian tubes. Here you will get the cooperative staff for treatment. The treatment is affordable and delivers the best quality hospitality services in Srinagar.

PCOD Causes, Symptoms, and Treatment?

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Polycystic ovary disorder (PCOD) is a hormonal disorder that causes irregular menstrual cycles in women. If an ultrasound of a woman’s lower abdomen shows a row of abnormally large pearl-shaped eggs may be visible. Genetics is one of the many possible causes of PCOD. However, the disease became progressively more common in 1721. Antonio Vallisneri, an Italian physician, was the first to identify it. The disease’s original name was Stein-Leventhal syndrome. Get the PCOD treatment done by Imprimis IVF at a very affordable price in Srinagar.

What is PCOD Treatment?

PCOD, a polycystic ovary syndrome, is a hormonal and metabolic disorder. It happens when a woman’s body does not complete the monthly ovulation process. PCOD patients have less than eight menstrual cycles per year. Cysts on the ovary lining are immature eggs trapped in the ovarian walls because they are not mature enough to leave the body. It causes an imbalance in the body’s hormonal levels, which increases androgen levels. These hormones cause unwanted body hair, weight gain, hair loss, and other medical issues.

Most women’s health problems currently affect 2-40% of women worldwide between 12 and 45 years old. The problem is difficult to solve due to its awareness and prevalence, and no one knows exactly why a woman gets PCOD. Although obesity contributes to symptoms, not all obese women have PCOD.

Types of PCOD:

As noted above, PCOD is a relatively new subject of study, so there is still a lot of uncertainty surrounding it. In general, there are two forms of PCOD:

Insulin Resistant PCOD

Type 1 PCOD, or insulin resistance, is usually accompanied by all the classic symptoms of PCOD, including obesity, facial hair growth, hair loss, and acne, all caused by high amounts of male hormones in the blood. The inability of the body to absorb sugar from the blood, as a result of which fat is stored, is a sign of this type of PCOD. Type 2 diabetes and heart disease can develop in people with PCOD type 1. The doctor advised these to start a diet and lose a few pounds. However, these patients may have difficulty losing weight. In addition to weight loss, patients may take medicines to control blood sugar.

Non-insulin-resistant PCOD

Non-insulin resistant or type 2 PCOD is a condition in which the patient has no symptoms of insulin resistance but still has PCOD. Other factors, such as adrenal stress, thyroid, vitamin D deficiency, iodine deficiency, and others, can also contribute to non-insulin PCOD. For the body to heal naturally, PCOD type 2 treatment focuses more on rest and rhythmic activities.

PCOD Symptoms:

PCOD Symptoms

Symptoms of PCOD include:

  • Excessive or scanty menstrual flow.
  • Spotting during menstruation.
  • Irregular/late/early periods.
  • Short or long periods.
  • Abdominal pain.
  • Abnormal white discharge.

Causes of PCOD:

PCOD Causes

The exact cause of PCOD in women is unknown, but here are some of the important risk factors:

Excess insulin generation

A body with excess insulin can produce more androgens. This male hormone is too low in women and interferes with ovulation.

Excess androgen synthesis

The ovaries produce abnormally high levels of androgen hormones, which can cause acne and hirsutism (excessive growth of body and facial hair).

Minor Swelling

According to a new study, women with PCOD have low levels of inflammation that lead to increased androgen production, which can cause heart or vascular problems.

Heritage

Women with PCOD show a specific genetic correlation.

PCOD Treatment:

PCOD Treatment

Since PCOD is a chronic condition, many ways exist to treat its symptoms. Most women choose to combine several different strategies. Several Female Infertility Treatment methods are listed here:

Allopathy uses a variety of medications and diets. Women may need to use monthly birth control pills to promote regular periods. A woman may receive ovulation-inducing drugs to cure infertility or to help her get pregnant.

Patients can also follow a diet in addition to these to help with weight loss. To achieve the same results, the doctor may also recommend vigorous activities. When a woman loses even 3% of her body weight, her fertility improves.

Lifestyle Changes for PCOD Treatment:

PCOD affects the hormonal balance of most women. The following actions will help women reduce androgen levels in their bodies:

Maintain a healthy weight.

A BMI between 18.5 and 24.9 is optimal and healthy for women, while a number above 30 is considered obese and unhealthy. Losing weight or keeping it off improves overall cholesterol levels in the body, reduces the risk of diabetes, high blood pressure, and heart disease, maintains proper insulin and testosterone levels, and regulates the ovulation phase of the menstrual cycle. Consult a dietitian about a weight loss plan to achieve a healthy BMI.

Limit carbohydrate intake

If you have PCOD, follow a low-carbohydrate diet or a diet high in complex carbohydrates to stabilize your insulin levels. Avoid sugar and starches, and eat fish, meat, eggs, vegetables, and natural fats.

Participate in frequent activities and exercises.

Regular exercise and staying active will help control your weight and blood sugar if you have PCOD.

Can PCOD lead to other chronic diseases?

Yes, PCOD can lead to other chronic diseases. Losing weight can indeed help reverse PCOD. However, PCOD makes weight loss a challenge in itself. Here are some common chronic conditions caused by PCOD:

Diabetes

No one can explain why type 1 PCOD causes type 2 diabetes, but it does, as has already been shown. However, PCOD also causes gestational diabetes, so it doesn’t just cause type II diabetes. We all know that diabetes is a chronic, lifelong disease that contributes to 50% of deaths worldwide. It was India’s top killer in 2016-17. It is also true that most cases of PCOD go untreated in Indian society. Thus the number of cases of diabetes in women has increased.

Blood Pressure

There is a close relationship between blood pressure and diabetes. No one is sure about the relationship between blood pressure and diabetes. However, the existence of one is a dead sign that the other exists.

Liver Disorders

As we all know, PCOD affects the liver, making it weak and prone to infections. A recent study has highlighted and supported this reality. Hormonal imbalance in the body directly affects the state of the liver. Moreover, it causes obesity, which leads to the development of NAFLD.

Anxiety and Depression

Female sex hormones influence a woman’s psyche. It means mood swings result from any disruption in the delicate balance of hormones. In addition, social isolation and a negative self-image are consequences of obesity. All these, combined with prolonged periods of persistent stress, can cause women to develop anxiety or depression. One study found that postpartum depression is more common in women with PCOD.

Infertility

PCOD is the main contributing factor to female infertility. While PCOD reversal medications can help treat this infertility, some women can only get pregnant after IVF or surgery.

Conclusion

PCOD is a common problem in women. It causes irregular periods and other issues. But it can be prevented by some lifestyle changes and treatments. In the above article, we have talked about PCOD in detail. If you want to know more about PCOD Treatment, this article is for you. If you want medical help in Srinagar, Best IVF Treatment Centre in Srinagar, Imprimis IVF, is always available. You will get the best services and PCOD treatment here.