Female Fertility & Pregnancy – Female Fertility Treatments in Basaveshwara Nagar

1. Female Fertility & Pregnancy – Female Fertility Treatments in Basaveshwara Nagar Ovulation Treatment in Bangalore When you have tried to conceive or get pregnant continuously for a period of 12 months and have not experienced success, it might be due to infertility. We, at Janisthaa, believe in helping our clients by empowering with the right information. Read below to understand more about Female fertility, causes of female fertility problems, the diagnostic methods and the treatments available at our center. What is female fertility? Female Fertility refers to a woman’s ability to conceive a biological child. Most often, fertility is related to age. A female’s fertile years are considered to be between the ages of her menarche to 40’s. The ability to conceive or have live births is affected post this period and reduces drastically. What causes Female Fertility Problems? PCOS/ PCOD: is a hormonal condition in which the ovaries produce more than normal levels of male • hormones called as androgens. This affects the menstrual cycle, ability to conceive or have difficulties during pregnancy.

2. Tubal Disease: In Tubal disease, the fallopian tubes that lead the eggs to travel to the uterus is blocked or • damaged. Thus, the subsequent embryo is also prevented from reaching the uterus where it has to be planted. It can lead to Ectopic pregnancy or pregnancy outside of uterus Endometriosis: is a condition where the tissue that is supposed to be the lining of the uterus grows • outside of the uterus in the pelvic cavity (ovaries, fallopian tubes). This causes obstruction of the tubes or form cysts that prevent conception from taking place Management of Borderline Ovarian Failure: Borderline Ovarian Failure refers to borderline tumors of • the ovary that have low-malignant potential. Treatment of this involves removal of ovaries, fallopian tubes and the womb, including the cervix Ovarian failure: is essentially the stopping of menstrual periods due to increased levels of FSH (Follical • Stimulating Hormones) and decreased levels of Estrogen before the age of 40. Thin Endometrium : Thin uterine lining that preventing the implantation of the embryo along its lining. • Thin uterine lining is usually as a result of low level of estrogen, damaged endometrial lining, decreased blood flow, fibroids and infection of the endometrial cells Repeated miscarriages : also known as recurrent miscarriages, it is defined as two or more consecutive, • spontaneous loss of pregnancy or miscarriages. Causes include genetic defect, abnormally shaped uterus, uterine fibroids, and scar tissue in the uterus that may hinder implantation or growth of the fetus. Hormonal imbalances and illnesses or immune system abnormalities can also cause frequent miscarriages Fibroid uterus: are basically benign tumors that originate in the uterus, and are thicker than the normal • muscle fibres found in the uterine lining. They are known to cause complications during pregnancy such as first trimester bleeding, breech presentation, placental abruption and problems during labour. Ovarian Cysts: are sacs or pockets that are solid or filled with fluid, which are found within or on the • surface of the ovary. Polycystic Ovary Syndrome or clusters of cysts cause infertility. How is fertility diagnosed?

3. There are several methods through which fertility and issues related to fertility could be • diagnosed. Series of medical tests and examinations help evaluate primary fertility factors such as age, physical health, fertility health such as ovarian function and egg quality, uterine and fallopian tube anatomy etc. These could be invasive and non-invasive How is fertility diagnosed? oPhysical examination: : involves check of patient’s Body Mass Index (BMI), fat distribution and abdominal obesity etc. This is often included along with history taking and helps in deciding the diagnosis evaluation to be carried out. Physical examination helps discover scars of previous surgeries, tenderness, speculum examination, inspection of cervix etc. oUltrasound: Ultrasound scans that are done transvaginally (via the vagina) are specialized equipments used for fertility testing. They are painless and provide information on the internal health of the reproductive system (health of the ovaries, endometrium lining, fallopian tubes and the uterus). They are also used during the fertility treatment to test follicle development in the ovaries, thickness of the endometrium lining etc. oHormonal profile: a lot of important hormones are involved in controlling and supporting reproduction. The profile testing helps in evaluating the levels of hormones such as FSH, LH, Prolactin, Oestradiol through sample collection oFertility profile: Fertility Profile is yet another battery of lab tests that are conducted to check the hormonal imbalances. The tests included are Thyroid Panel II (T4, T3 and TSH), Thyroid Peroxidase Antibody(TPO) Thyroid Blood Test, Progesterone Ovarian Function Blood Test, Testosterone Hormone Test, DHEA-S Hormone Blood Test, FSH, LH and Estradiol Hormone Blood Test examinations help evaluate primary fertility factors such as age, physical health, fertility health such as ovarian function and egg quality, uterine and fallopian tube anatomy etc. These could be invasive and non-invasive

4. oHSG /SSG: Hysterosalpingography or HSG is an X-ray test to check the health of the internal reproductive organs such as the shape of the uterus, fallopian tubes (to detect bloackages) etc. It is carried out with the help of fluoroscopy,that follows the direction of the dye. Sonosalpinggography or SSG, also known as the Sion test is primarily used for evaluating patency of fallopian tubes. It is carried out in combination with an Ultrasound as saline is injected into the uterine cavity. oLaparoscopy : performed under general anesthesia, it is an invasive procedure where one to three very small cuts are made in the abdomen, through which laparoscope and other specialized surgical instruments are inserted to observe the abdominal organs oHysteroscopy : Is a diagnostic procedure that allows the physician to look inside the uterus to diagnose abnormal bleeding and other problems with the uterus. It is also used in supplement to the HSG, Laparoscopy for confirmation of results. oWhat infertility treatments are available? oListed below are the methods of treatment available for female infertility at our center. Ovulation Induction ▪ IUI ▪ IVF ▪ ICSI ▪ PICSI ▪ Laparoscopy ▪ Hysteroscopy ▪