What is Infertility

The inability to become pregnant after 1 year of sexual activity without contraception. Infertility occurs in 10 to l5% of all couples. Female fertility depends on normal functioning of the reproductive tract and the production of hormones necessary for normal sexual development and functioning. About 40 to 50% of all infertility is attributed to the female.

Infertility primarily refers to the biological inability of a person to contribute to conception. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term. There are many biological causes of infertility, some which may be bypassed with medical intervention.

Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile during the rest of the menstrual cycle. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature.

primary vs. Secondary Infertility

Couples with primary infertility have never been able to conceive, while, on the other hand, secondary infertility is difficulty in conceiving after already having conceived (and either carried the pregnancy to term, or had a miscarriage). Technically, secondary infertility is not present if there has been a change of partners.

Sub fertility

A couple that has tried unsuccessfully to have a child for a year or more is said to be sub fertile meaningless fertile than a typical couple. The couple's fecund ability rate is approximately 3-5%. Many of its causes are the same as those of infertility. Such causes could be endometriosis, or poly cystic ovarian syndrome.

General Causes of Infertility

Endometriosis

Endometriosis is a condition that occurs when tissue found in the uterine lining (called endometrial tissue) grows outside your uterus, usually in the abdominal-pelvic cavity.

Possible symptoms: Some women have no symptoms, while others have painful menstrual periods or intercourse, and general pelvic pain.

Possible solutions: fertility drugs with artificial insemination, surgery to remove abnormal tissue or unblock tubes, assisted reproductive technologies (ART), or adoption

Success rates: When fertility drugs to increase egg production are combined with artificial insemination, the success rate is between 8 and 17 percent per cycle. Between 20 and 50 percent conceive after surgery (either naturally or with treatment). And between 20 and 30 percent conceive with ART treatments.

Poor egg quality

If your eggs are damaged or have chromosomal abnormalities, they can't sustain a pregnancy. The quality of your eggs declines significantly with age.

Possible symptoms: none

Possible solutions: in vitro fertilization (IVF) using donor eggs or embryos, or adoption

Success rates: Couples who undergo IVF with donor eggs have about a 30 to 50 percent chance of having a baby per IVF cycle.

Blocked fallopian tubes

Blocked or damaged fallopian tubes prevent your partner's sperm from getting to your egg, and prevent the fertilized egg from getting to your uterus. Leading causes include pelvic inflammatory disease, sexually transmitted infections such as chlamydia, and previous sterilization surgery.

Possible symptoms: none

Possible solutions: surgery to open the tubes, or in vitro fertilization (IVF) if surgery fails or the tubes are too badly damaged to repair

Success rates: Conception rates vary widely — from 20 to 60 percent — depending on the location and severity of the blockage and the amount of scar tissue that develops after surgery. Couples who try in vitro fertilization have about a 20 to 40 percent chance of having a baby per IVF cycle.

Combination fertility problems

A couple is said to have "combination" fertility problems when both the man and the woman have fertility trouble, or when one partner has multiple problems.

Possible symptoms: Symptoms vary, depending on causes.

Possible solutions: Treatments vary, depending on causes.

Success rates: Rates vary, depending on causes.

Ovulation problems

An ovulation problem is any condition (usually hormonal) that prevents the release of a mature egg from your ovaries.

Possible symptoms: absent or infrequent periods and abnormally light or heavy bleeding

Possible solutions: fertility drugs and in vitro fertilization

Success rates: About 70 to 90 percent of couples ovulate with treatment, and of those, 20 to 60 percent get pregnant.

Polycystic ovarian syndrome

Polycystic ovarian syndrome (PCOS) is a condition in which small follicles in your ovaries don't develop into larger, mature follicles. It's also characterized by hormone imbalances and unpredictable ovulation patterns.

Possible symptoms: Irregular periods, excessive hair growth, acne, and obesity

Possible solutions: Lifestyle modifications (diet and exercise) or fertility drugs and in vitro fertilization. A new treatment for PCOS uses a diabetes drug called metformin (Glucophage), which can help restore regular ovulation.

Success rates: Many overweight patients who lose 5 to 10 percent of their body weight will start ovulating regularly. About 70 to 90 percent of women who take fertility drugs ovulate, and of those, 20 to 60 percent go on to conceive. Unfortunately, 1 in 5 of those pregnancies miscarries. Fertility drugs also come with a higher risk of multiple births.

Sperm allergy

If you have an immune reaction to sperm — and less than 2 percent of women do — your body may produce antibodies that kill sperm cells.

Possible symptoms: none

Possible solutions: artificial insemination or assisted reproductive technologies (ART)

Success rates: About 20 to 40 percent of couples conceive with each cycle of in vitro fertilization.

Unexplained fertility problems

Your doctor may diagnose you with an "unexplained fertility problem" if there's no clear explanation for your infertility (all the tests are normal). Some experts think weight problems (being significantly under- or overweight), excessive exercise, and even environmental toxins may be contributing factors, but no direct links between fertility and those possible problems have been confirmed.

Possible symptoms: none

Possible solutions: fertility drugs combined with artificial insemination or assisted reproductive technologies (ART) procedures such as in vitro fertilization

Success rates: When fertility drugs to increase egg production are combined with artificial insemination, the success rate is between 8 and 17 percent per cycle. After three years of infertility, the chance that a couple will conceive decreases by about 20 to 25 percent each year.

Most of us would not be aware of the fact that ayurveda has always believed that besides the reasons mentioned above there is one more factor – “yoni vyapad” Which could also possibly lead to infertility among women. A list of such yoini vyapads are listed below :

CHARAK

DOSH

 

SHUSHRUT

DOSH

VATALA

VATTA

 

VATALA

VATTA

PITTALA

PITTA

 

PITTALA

PITTA

SHLESHMALA

KAPHA

 

SHLESHMALA

KAPHA

SANNIPATIK

K-V-P

 

TRIDOSHJA

K-V-P

ASRUJA

PITTA

 

SHANDHA

K-V-P

ARAJASKA

PITTA

 

RUDHIRKSHARA

PITTA

ACHARNA

VATTA

 

ACHARNA

KAPHA

ATICHARNA

VATTA

 

ATICHARNA

KAPHA

PRAKCHARNA

VATTA

 

ATYANANDA

KAPHA

UPLUKTA

K-V

 

VIPLUTA

VATTA

PARIPLUTA

P-V

 

PARIPLUTA

VATTA

UDAVARTINI

VATTA

 

UDAVARTA

VATTA

PUTRAGHNI

VATTA

 

PUTRAGHNI

PITTA

KARNINI

K-V

 

KARNINI

KAPHA

ANTARMUKHI

VATTA

 

SANSRINI

PITTA

SUCHIMUKHI

VATTA

 

SUCHIVAKTRA

K-V-P

SHUSHKA

VATTA

 

FALINI

K-V-P

SHANDHI

VATTA

 

VANDHYA

VATTA

VAMINI

P-V

 

VAMINI

PITTA

MAHATI

VATTA

 

MAHATI

K-V-P

Vayu is the main dosh (reason) for the above 20 yoni vyapad. It is therefore necessary to eliminate vayu first and then cure other doshas. The following treatment can cure the above dosha :
» UTTARVASTI

» DOOSH

» PICHUDHARAN

» BANDHARAN

» GENERAL HYGINE

» ORAL MEDICINE