Women’s heartbreaking problems Causes of infertility

Women’s heartbreaking problems Causes of infertility

1. Ovulation Factor
   • As women age, the number and quality of eggs in the ovaries decreases, which can be assessed in various ways, such as blood tests to check the level of AMH (Antimullerian Hormone), etc. Women whose egg production decreases, the hormone AMH is low.
   • In addition, ovulation can be assessed by pelvic ultrasound. If a large egg bubble is found in the ovary, Doctors can predict the day of ovulation. For women who are diagnosed with ovulation problems. The doctor may further investigate the cause by drawing blood to check the thyroid hormone and prolactin levels, and consider giving egg stimulants, which include both tablets and injections.
2. Tubal Factor
   • In the process of natural pregnancy. The fallopian tubes are a very important organ, since it is where the egg and sperm meet and fertilization occurs. Checking if the fallopian tubes are narrowed This is done by a hysterosalpingogram (HSG) scan of women who are suspected of having some form of tubal stenosis. Your doctor may consider laparoscopy to assess the condition of your fallopian tubes and, in some cases, surgery to correct the narrowed fallopian tubes.
3. Uterine / Cervical Factor
   • The causes of uterine infertility include the presence of certain congenital abnormalities of the uterus. Submucous Myoma, Endometrial Polyp, and Intrauterine Adhesion, which can interfere with embryo implantation and increase the risk of miscarriage.
4. Peritoneal Factor
   • Peritoneum is the tissue that covers the internal organs of the abdomen and pelvis, including the uterus, fallopian tubes, and ovaries. It will cause scarring, adhesion, and may cause infertility. It occurs in about 35% of women who experience infertility without detecting any other cause, and they usually come to the doctor with heavy menstrual cramps, chronic lower abdominal pain, or deep pain in the vagina and lower abdomen during sex. The diagnosis of this condition is done by surgical laparoscopy in the pelvis.

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Dr. Veena Krudsawat