Are you struggling with infertility? While men may only need a couple of tests to determine the cause of their infertility, women often need several due to the many factors that could contribute to infertility in women. BYY fertility expert, Dr Rodriguez, tells us more.
Common causes of infertility in women and treatment options:
Polycystic Ovary Syndrome (PCOS)
According to the USA’s National Center for Chronic Disease Prevention and Health Promotion, PCOS is the leading cause of infertility in women1. Up to 26.7% of women of childbearing age may have PCOS, with up to 70% unaware of it. PCOS is characterised by symptoms such as ovarian cysts, excessive male hormones, and irregular periods. PCOS isn’t a straightforward condition either, says Stephanie Watson, a writer at healthline.com. It’s called a syndrome because it usually consists of at least two of the following symptoms:
- Ovarian cysts
- Excessive male hormones
- Irregular or skipped periods
This often presents with symptoms like:
- Acne
- Weight gain
- Insulin resistance / diabetes
- Male-pattern hair growth / loss
The most common treatments include the contraceptive pill and diabetes medication, but natural treatments include:
- Weight loss
- Regular exercise
- Contraceptive pills
- Dietary intervention
- Natural approaches like weight loss, regular exercise, and herbal supplements1
Other ovulatory disorders
Not ovulating is usually caused by an hormonal imbalance that can be aggravated by:
- Genetics
- Endocrine problems
- Diet, stress or poor lifestyle
- Obesity or low body weight
- Long-term use of hormonal medications, like the contraceptive pill
- Xenohormones (Chemicals found in substances like plastic and soy that act like hormones in the body and disrupt the body’s natural hormones)
Babycentre.co.uk says that ovulation-stimulating drugs and in-vitro fertilisation can be used to help induce a pregnancy in PCOS sufferers. For a natural approach, Rodriguez (2010) recommends fertility cleansing, herbs and a fertility diet. Read the Natural Guide for Menstrual Health here.
Treatments include:
- Ovulation-stimulating drugs
- In-vitro fertilization (IVF)
- Natural methods like fertility cleansing, herbs, and a fertility diet1.
YOU MUST CHECK OUT: Ovulation calculator
Endometriosis
Mayo Clinic explains that endometriosis is an “often painful disorder in which tissue that normally lines the inside of your uterus – the endometrium – grows outside your uterus”. Just like the lining of the uterus, this tissue thickens and sheds with every menstrual cycle. But, with nowhere to go, it becomes trapped and can develop scar tissue and adhesions.
Common symptoms of Endometriosis include:
- Painful periods and cramping
- Pain during intercourse
- Pain with bowel movements or urination
- Excessive or unusual bleeding
- Other symptoms, like fatigue, diarrhoea, constipation, bloating or nausea
Treatments range from pain medication to hormone-related drugs and surgery, Mayo Clinic (2018) says. Natural approaches involving lifestyle changes and diet2 are recommended. Rodriguez (2014) suggests natural treatment options, like lifestyle changes and diet. Read here detailed article here.
Blocked fallopian tubes
The fallopian tubes are “the pathways in which the ova travel from the ovaries … into the uterus”, and blockages affect as many as 25% of female infertility cases. Rodriguez (2014) explains that blocked tubes can be caused by sexually transmitted diseases, endometriosis, a history of abdominal surgery, or a previous ectopic pregnancy.
Fertility treatments include minimally invasive surgery to unblock the tubes, in-vitro fertilisation, or Natural methods like diet, herbal supplements, and alternative therapies3. Get her insight here.
Remember that early diagnosis and personalised treatment plans are essential for managing infertility. Consult a healthcare provider for guidance tailored to your specific situation.
RELATED ARTICLE: Causes of male infertility & how to treat them
Frequently asked questions (FAQ’s) about infertility in women
Q1. What are the common causes of infertility in women?
A1. Common causes of infertility in women include ovulation disorders, fallopian tube damage or blockage, endometriosis, uterine or cervical abnormalities, age-related factors, and unexplained infertility.
Q2. How do ovulation disorders contribute to infertility in women?
A2. Ovulation disorders prevent the release of eggs from the ovaries, making conception difficult. Conditions like polycystic ovary syndrome (PCOS) and hypothalamic dysfunction are common ovulation disorders affecting fertility.
Q3. What treatment options are available for ovulation disorders?
A3. Treatment options for ovulation disorders include medications such as Clomiphene Citrate, Letrozole, and Gonadotropins to stimulate ovulation. Lifestyle changes, weight management, and addressing underlying conditions like PCOS can also help.
Q4. How can fallopian tube damage or blockage be treated?
A4. Treatment for fallopian tube damage or blockage may involve surgical procedures like laparoscopy to remove blockages or repair damage. In severe cases, in vitro fertilisation (IVF) may be recommended to bypass the fallopian tubes altogether.
Q5. What is endometriosis and how does it affect fertility?
A5. Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, causing pain and potentially affecting fertility. It can lead to inflammation, scarring, and blockages in the reproductive organs.
Q6. What treatments are available for endometriosis-related infertility?
A6. Treatments for endometriosis-related infertility include medications to manage symptoms, hormonal therapies to reduce endometrial tissue, and surgical interventions to remove endometrial growths. IVF may also be an option for affected women.
Q7. How do uterine or cervical abnormalities cause infertility?
A7. Uterine or cervical abnormalities, such as fibroids, polyps, or structural anomalies, can interfere with implantation or prevent sperm from reaching the egg. These abnormalities can create an inhospitable environment for conception.
Q8. What are the treatment options for uterine or cervical abnormalities?
A8. Treatment options for uterine or cervical abnormalities include surgical procedures to remove fibroids or polyps, corrective surgery for structural anomalies, and assisted reproductive technologies like IVF if surgery is not effective.
Q9. How does age affect fertility in women?
A9. Age affects fertility in women due to the natural decline in the number and quality of eggs over time. Women over the age of 35 may experience reduced fertility and an increased risk of miscarriage and chromosomal abnormalities in their eggs.
Q10. What fertility treatments are recommended for age-related infertility?
A10. Fertility treatments for age-related infertility include IVF, egg donation, and fertility preservation methods such as egg freezing. Early consultation with a fertility specialist can help in planning and selecting the most appropriate treatment.
Sources:
- https://my.clevelandclinic.org/health/diseases/17774-female-infertility
- https://www.mayoclinic.org/diseases-conditions/female-infertility/symptoms-causes/syc-20354308%20
- https://www.news24.com/life/archive/infertility-in-south-africa-a-parent24-series-20210709
- https://www.nichd.nih.gov/health/topics/infertility/conditioninfo/causes/causes-female
- https://my.clevelandclinic.org/health/diseases/17774-female-infertility
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