You've been trying to get pregnant for some time now and still no luck. When should you feel is the right time to seek assistance? What are some of the signs you should look for that may indicate infertility factors?
As you know, the sperm of a male and the egg of a female are needed for natural conception. Through intercourse, a males sperm needs to be able to find and fertilize a females egg to create an embryo. That embryo must then be implanted to the female uterus for a successful pregnancy. Sounds simple, right? So why is it that you're still unable to conceive that easily?
Here are common factors to consider for females:
Advanced Maternal Age
Although every women's egg quality and ovarian reserve varies from patient to patient, a delay in pregnancy until a later age may decrease both egg quality and ovarian reserve. The traditional definition of advanced maternal age refers to women >35 years of age who are looking to get pregnant. It is possible for women who have a low egg quality (high FSH level) or low ovarian reserve (low AMH level) to get pregnant through infertility treatment such as egg preservation, egg donor and IVF. A woman with advanced maternal age may experience a higher risk of miscarriages and irregular periods.
Releasing of the egg in an ovary is called ovulation. If a woman is not able to ovulate, she is unable to conceive. Ovulatory disorders are broken down into two groups: anovulation and oligo-ovulation. Anovulation is the state in which ovulation does not occur at all. Oligo-ovulation is the state in which ovulation may occur irregularly or infrequently.
Polycystic Ovarian Syndrome (also known as PCOS) is a common hormonal disorder that falls within both the anovulation and oligo-ovulation category. It is one of the most leading causes of infertility in today's reproductive age. PCOS occurs when a woman's reproductive hormone levels are imbalanced causing issues in the ovaries. Because the ovaries creates the egg that is released as a part of a normal menstrual cycle, any problems in the ovaries will not allow proper ovulation to take place.
Common Signs of PCOS:
Increased or thick facial hair
Hair loss or thinning of hair
Weight gain or difficulty losing weight
Uterine or Cervical Abnormalities
The lower part of the uterus is called the cervix. The uterus or womb of a female is where implantation occurs. Abnormalities in the uterus (most common abnormalities are congenital uterine conditions, polyps or fibroids) interfere with the implantation of an embryo.
Congenital uterine conditions are abnormalities that start at birth. The types of congenital uterine conditions may refer to size, shape or structure of the uterus which includes:
Septate Uterus. During the embryological development, a tissue or septum wall divides a normal uterus either partially or fully into two sections.
Bicornuate Uterus or heart shaped uterus is a condition in which the uterus is split by a septum wall and partially slit on the outside of the uterus creating two horns at the end.
Unicornuate Uterus or one sided uterus is the malformation of the uterus that only forms one side of the uterus.
Didelphic Uterus or double uterus is a condition where two small uterus cavities are formed with two separate cervix openings.
Women with congenital uterine conditions may not necessarily have issues conceiving but have higher risks of pregnancy complications such as miscarriages, pre-term labor or breech positioned babies during delivery.
A condition in which tissue that is similar to the endometrial lining (also known as the endometrium), forms on the outside of the uterus is called endometriosis. Severe endometriosis may lead to the distortion of pelvic anatomy and pelvic scarring which causes infertility. In some cases, severe endometriosis may affect the ovaries leading to decreased egg quality and quantity or ovarian reserve.
Common Signs of endometriosis:
Pain in the lower abdomen or pelvic area
Pain during sexual intercourse
If left untreated, endometriosis may progress and get worse with time.
Blocked Fallopian Tube
The Fallopian Tubes are two thin tubes that are connected to the uterus, one on each side. Each month when ovulation occurs, the egg that is released from the ovary travels through the Fallopian tube and fertilizes with the sperm creating an embryo. The embryo then makes its way to implant into the uterus. Fluid in a