TREATMENT FOR FERTILITY
FERTILITY
Fertility is the ability of an individual or couple to reproduce through normal sexual activity or Fertility is defined as the natural capacity to conceive a child.About 90 percent of healthy, fertile women are able to conceive within one year if they have intercourse regularly without contraception.
Normal fertility requires the production of enough healthy sperm by the male and viable eggs by the female, successful passage of the sperm through open ducts from the male testes to the female fallopian tubes, penetration of a healthy egg, and implantation of the fertilized egg in the lining of the uterus. A problem with any of these steps can cause infertility. However, fertility does not come easily to everyone. About 11% of couples will face infertility—the inability to conceive naturally after one year of unprotected sexual intercourse.
Fertility is not only a female health issue. Both men and women can experience infertility, and both men and women can take steps to improve their fertility.Problems with the ovaries, fallopian tubes, or uterus can cause fertility problems for women. Issues with the testes, vas deferens, prostate gland, or seminal vesicles can cause problems for male fertility.
SIGNS AND SYMPTOMS OF FERTILITY PROBLEM
It’s common for a couple to only discover they have a fertility issue after they have tried to get pregnant unsuccessfully for a year. Many causes of infertility are “silent” and don’t have obvious symptoms. However, the following signs might indicate a fertility problem:
- You are 35 or older, and you've been trying to get pregnant for more than six months.
- You're younger than 35 and have had unprotected sexual intercourse for one year without getting pregnant.
- You have had two or more successive pregnancy losses.
- You have any risk factors for infertility.
The most common symptoms of a fertility problem are:
- Irregular menstrual cycles
- Unusually light or heavy bleeding and bad menstrual cramps
- Unusually heavy periods or abnormal menstrual bleeding
- Pelvic pain or pain during sexual intercourse
- Sexual dysfunction (including erectile dysfunction or low libido)
Causes
- Unexplained infertility
- Ovulation problems
- Endometriosis
- Poor egg quality
- Polycystic ovarian syndrome (PCOS)
- Low testosterone
- Fallopian tube problems
- Diabetes
- Hypothyroidism
- Periodontal disease
- Untreated celiac disease
- Medications side effects
- obesity
- Poor sperm quality
- Smoking, excessive drinking, and recreational drugs
- Age
DIAGNOSIS
If you and your partner have been trying unsuccessfully to get pregnant, you will both be offered fertility tests.
Tests for women-Fertility tests for women may include:
- Pelvic exam : Your provider will perform a pelvic exam, including a Pap smear to check for structural problems or signs of disease.
- Blood test : A blood test can check hormone levels, including thyroid hormones.
- Transvaginal ultrasound : Your doctor inserts an ultrasound wand into the vagina to look for problems with the reproductive system.
- Hysteroscopy : Your provider inserts a thin, lighted tube (hysteroscope) into the vagina to examine the uterus.
- Saline sonohysterogram (SIS) : Your provider fills the uterus with saline (sterilized salt water) and conducts a transvaginal ultrasound. A full uterus makes it easier to see inside the uterus.
- Hysterosalpingogram (HSG) : X-rays capture an injectable dye as it travels through the fallopian tubes. This test looks for blockages
- Laparoscopy : Your provider inserts a laparoscope (thin tube with a camera) into a small abdominal incision. Female pelvic laparoscopy helps identify problems like endometriosis, uterine fibroids and scar tissue.
Tests for men-Men should be offered a semen test to measure the quantity and quality of their sperm.These tests can help diagnose or rule out a male fertility problem
- Semen analysis : This test checks for problems with sperm, such as low sperm count and poor mobility. Some men need a needle biopsy to remove sperm from the testicles and test it. For most men, this is the only test that will be needed in the workup of infertility.
- Blood test : A blood test can check testosterone, thyroid and other hormone levels. Genetic blood tests look for chromosomal abnormalities.
- Scrotal ultrasound : An ultrasound of the scrotum identifies varicoceles or other testicular problems.
TREATMENT
- Assisted reproductive technologies (ART) : in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), zygote intrafallopian transfer (ZIFT)
- Injectable fertility drugs : gonadotropins (Gonal-F, Follistim, Ovidrel)
- Insemination : intracervical insemination (ICI), intrauterine insemination (IUI), intracervical insemination (ICI), intratubal insemination (ITU), intravaginal insemination (IVI
- Oral fertility drugs : Arimidex (anastrozole), Clomid (clomiphene), Femara (letrozole)
- Surgery : laparoscopic surgery, ovarian drilling
- Third-party reproduction : using an egg donor, embryo donor, sperm donor, or surrogate
- Treatment of an underlying medical condition, or tapering of any medications causing reproductive side effects
- Weight loss and other lifestyle changes
As many as 80% to 90% of couples are treated with medications or surgery. IVF is not required for the majority of infertile couples.
Other lifestyle changes that could improve infertility are:
- Avoid emotional eating or junk food binges
- Eat a wholesome diet, with lots of antioxidant-rich vegetables and fruits, healthy fats like olive oil and nuts, and healthy proteins
- Exercise, but don’t over-exercise.
- Get enough sleep at night, at the right hours. (Night-shift workers may be at a higher risk of miscarriage and infertility.)
- Maintain a healthy weight—not too heavy or too thin.
- Practice mind-body and relaxation techniques
- Take a folic acid supplement
Risk factors
- Age (over age 35 for women or over 40 for men)
- Diabetes
- Eating disorders, including anorexia nervosa and bulimia.
- Excessive alcohol use
- Exposure to environmental toxins, such as lead and pesticides.
- Over exercising.
- Radiation therapy or other cancer treatments.
- Sexually transmitted diseases (STDs)
- Smoking.
- Stress
- Substance abuse.
- Weight problems (obesity or underweight)
These factors can contribute to female infertility:
- Abnormal menstruation
- Blocked fallopian tubes
- Celiac disease
- Kidney disease
- Past ectopic (tubal) pregnancy.
- Pelvic inflammatory disease
- Pituitary gland disorders, such as Cushing’s syndrome.
- Polycystic ovary syndrome (PCOS), ovarian cysts and primary ovarian insufficiency.
- Sickle cell anemia
- Uterine problems, including endometriosis, uterine fibroids and uterine polyps.
- Thyroid disease.
These factors can cause male infertility:
- Enlarged veins (varicocele) in the scrotum, the sac that holds the testicles.
- Genetic disorders, such as cystic fibrosis
- High heat exposure to testicles from tight clothing or frequent use of hot tubs and saunas.
- Injury to the scrotum or testicles
- Low sperm count or low testosterone (hypogonadism).
- Misuse of anabolic steroids.
- Premature ejaculation or retrograde ejaculation (semen flows back into the bladder).
- Testicular cancer and treatments.
- Undescended testicles.
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PREVENTION
Men and women can take these steps to protect their fertility, especially while trying to conceive:
- Eat a well-balanced diet and maintain a healthy weight.
- Don’t smoke, misuse drugs or drink excessively.
- Get treated for STDs
- Limit exposure to toxins
- Stay physically active, but don’t overdo exercise.
COMPLICATION
If conception does not occur after many months or years of trying, it can lead to
- stress
- depression
Effectiveness of Acupuncture treatment
Acupuncture can be used to treat many types of fertility disorders in both men and women. In addition, with the many physical and hormonal changes that occur throughout pregnancy, it can be a time of discomfort during which acupuncture can help.Acupuncture can be used to help regulate ovulation to increase predictability. It can also regulate hormones, increasing the success rate of fertility treatments. For older couples, acupuncture can address erectile dysfunction or impotence, low sperm count, painful intercourse, and low libido. Acupuncture can also help improve the quality of both the egg and the sperm.
During the first trimester of pregnancy acupuncture can be used to strengthen the lining of the uterus to hold the baby as it grows. Acupuncture is a safe treatment for morning sickness and can help reduce or eliminate nausea and vomiting. Acupuncture can also help with
heartburn, mood swings, headaches, fatigue, memory issues, stress, preeclampsia, frequent urination, gestational diabetes, edema, and low back and/or pelvic pain.
Mechanism of Acupuncture
Acupuncture is not only a way to relieve stress when you’re trying to conceive, it has also shown some promise for increasing fertility.Acupuncture works by stimulating nerve endings deep below the surface of the skin. By manipulating the needles in conjunction with gentle electrical stimulation (a practice known as electropuncture), your nerves are activated, helping your body release substances called endorphins. This can have positive effects on fertility, including relieving any stress and depression that may be weighing you down.
The acupuncturist will use a variety of points in an effort to enhance fertility or blood flow to certain organs. Pressure points on the head promote relaxation, while points around the stomach help open up the supply of fresh blood to the ovaries. Other points around the lower legs are used to promote blood flow to the reproductive organs, which starts at the feet.Studies have shown that acupuncture helps increase fertility.
BEST CURE FOR FERTILITY
Looking for the best relief for infertility in Chennai, here’s why you should reach out to the expert Acupuncturist. A. Shaji Bharath from the best rated clinic Dr.Bharath’s Acu Heal. He is currently treating patients for a wide range of conditions. As a best acupuncture practitioner with 15 years of experience, and having worked with several urologists, gynecologists and endocrinologists, Acupuncturist. A. Shaji Bharath can create the treatment plan for the best cure for fertility problems to manage the condition that's tailored to your needs. As the top acupuncture doctor in Chennai he has witnessed acupuncture doing wonders for people suffering from infertility.The effectiveness rate increases several times just with one course of Acupuncture. So, take some time to find the right pain management and bbest remedy for acupuncture approach that suits you. Most of the people swear by acupuncture, citing it as a best cure and a ‘miracle’ to improving their quality of life. To contact the top acupuncture doctor in Chennai, Dial: +91 9884746916 or Visit: drbharathsacuheal.com for more details.
BEST ACUPUNCTURE DOCTOR NEAR ME
To choose the Best doctor for Acupuncture, it's important that the Acupuncturist should have a decade of experience and treated at least 1000 to 2000 patients.
You can also search for the Best Acupuncture Doctor near me or ask your primary care physician to refer an experienced Acupuncturist nearby. Once you find the Best Acupuncture Doctor in Chennai, you may go through their google reviews first and then fix an appointment with the doctor only when you are satisfied with the reviews.
The Best Acupuncture Doctor should address your concerns and help you feel more comfortable before your first session. Acupuncture usually takes numerous sessions or several weeks to get a complete cure in any ailment but within 3 or 4 sessions the patients will experience positive differences.
BEST ACUPUNCTURE CLINIC NEAR ME
There are numerous clinics popping up and it is sometimes skeptical to choose the best or even the safe one. To address such concerns, you can look into the following points to choose the best acupuncture clinic for treating infertility. Acupuncture is also offered in hospital, pain clinics and by healthcare organizations but it is ideal to visit the best Acupuncture Clinic. If you are not sure, it would be a good idea to contact your local doctor to see if they would be prepared to refer to the bbest rated acupuncture clinics.Acupuncture is offered in top rated acupuncture clinics near me because conventional treatment has failed or produces unacceptable side effects. Most of the best acupuncture clinics will spell out very clearly what type of acupuncture they practice and how professional they are - at present anyone can set themselves up as an acupuncturist but reputable practitioners will belong to an organization. So while you are filtering the best clinics for acupuncture that treats fertility problems , you can look out for these factors.Treatment without surgery for infertility is possible through acupuncture and it gives the best result.
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THE BOTTOM LINE
If you’re facing infertility, you have a reason for hope. Please don’t keep your fertility problems a secret. There is no reason to be ashamed, and you don’t need to deal with infertility alone. The vast majority of couples will be able to get pregnant with the help of acupuncture treatments..Dial: +91 9884746916 or Visit: drbharathsacuheal.com for more details.
SCIENTIFIC REFERENCES
- Berkley M. Infertility And Acupuncture. 2016. www.americanpregnancy.org .
- Sowter I. Treating Endometriosis with Acupuncture and Herbs. 2013. www.houseoffertilityandhealing.com.au .
- Pascual J. TCM for Infertility. 2005 www.vitalitymagazine.com .
- Zhu J, Arsovska B, Kozovska K. Case Report:Oligoasthenoteratozoospermia, Treatment with Acupuncture. Imperial Journal of Interdisciplinary Research (IJIR) 2016;2(9).
- Zhu J, Arsovska B, Kozovska K. Case Report-Male Infertility Acupuncture Treatment. Imperial Journal of Interdisciplinary Research. 2017;3(11).
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FAQ:
What are the services provided for fertility by Dr. Bharath’s Acu Heal?
The Acupuncturist can understand the condition of the disease only after a thorough investigation using pulse and tongue diagnosis. Infertility for women occurs due to age factors, ovulation problems, endometriosis, poor egg quality, PCOS, diabetes, hypo/hyperthyroidism, obesity, etc. The causes for male infertility are varicocele, other infections, ejaculation issues, hormonal imbalance, problems with sexual intercourse, erectile dysfunction, prior surgeries or mediations, low sperm count, unhealthy sperm, etc. The acupuncture treatment will be given either one or more of the above-mentioned conditions based on the exact requirement of the patients. Simultaneously the patient will be advised on a diet with food restrictions and exercise regime which includes an induced sound sleep that plays a vital role in improving the health of an individual.
What are the benefits of acupuncture for fertility?
(a) Acupuncture is a drugless therapy and there are no side effects.
(b) No post-treatment complications.
(c) Doubles the chances of pregnancy.
(d) Once the treatment gets over the patients will feel healthier and lighter compared to the pre-treatment days.
(e) The imbalance of hormones is brought to normalcy by increasing the estrogen levels and decreasing the androgen levels and also increasing the femininity in a woman. This makes the skin looks glowing, the vanishing of facial hair starts and the muscles get soften.
How many sessions do you need for fertility?
It takes around 40 sessions in 5 months.