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Page 1: Dr sumita prabhakar dehradun infertility

INFERTILITY

CARE-Best Infertility treatment in Uttrakhand.

By. Dr Sumita Prabhakar

Page 2: Dr sumita prabhakar dehradun infertility

FEMALE INFERTILTYProblems with tubes

Problems of egg formation or ovulation

Problems in cervix(mouth of womb)

Problems in womb(uterus)

The peritoneal Factor

Page 3: Dr sumita prabhakar dehradun infertility

Problems with TubesIn India, problems of tubes are very common.Main function of tubes are to bring eggs

formed in ovaries to womb.Tuberculosis and other infections are common

cause of infertility and damaged tubes.X-ray procedure, shows blocked tubes, scar

tissue may be present.Laparoscopy tell us the exact status of tubes,

uterus, and ovaries.Laparoscopy procedures are used to opened

up blocked tubes.

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Problems of egg formation or ovulation

Imp clues are revealed by menstrual pattern.

Irregular or abnormal ovulation accounts for approx 25% of all infertility cases.

Ultrasound and endometrial biospy help to evaluate ovulation.

If anyone is not ovulating, medication is prescribed to stimulate ovulation.

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Problems in cervix(mouth of womb)

Cervix can be a cause of infertility but it is quite rare.

For determining cervix problem, Postcoital test(PCT).

This test evaluates cervical mucus, sperm, and interaction between two.

Cervical problems are generally treated with antibiotics, hormones, or by intrauterine insemination.

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Problems in womb(uterus)

A special x-ray called HSG can reveal defects of the inside of uterus or fallopian tubes.

HSG is conducted when menstrual period stops and before ovulation.

HSG may also suggest blockage of the fallopian tubes.

Surgery may be required to further evaluate and possibly correct uterine structural problems of fallopian tubes.

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The peritoneal Factor

It concerns about conditions and abnormalities involving the peritoneal surfaces of pelvic organs or abdominal cavity.

Laparoscopy is the simplest way of diagnosing peritoneal and tubal disorders.

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Male infertilityIn approx 40% of infertile couple, male partner

is a cause of infertility.Therefore, semen analysis is important.Treatment for male factor of infertility may

include antibiotic therapy, surgical correction of varicocele or obstruction of ducts, hormones to produce improve sperm production.

IVF also provide treatments for male infertilization.

Intracytoplasmic sperm injection is another option for treating severe male infertility.

For unresponsive patients, anonymous donor is an option.

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TuberculosisTB is an infectious disease and enhance the

infertility in couples.

In women, it damage to endometrium and fallopian tubes.

In men, it cause TB of epididymo-orchitis, resulting in inhibiting sperm to get into the semen.

TB is easily treated by antitubercular therapy using drugs.

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Premature ovarian failureIt is a condition where ovaries stop

functioning before the age of 35 yrs.

Venal infection thyroid disorders autoimmune disorders chronic medical distress, renal and liver dysfunctions can cause POF.

DHEA can help in such cases.

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Recurrent abortionsAbortions more than three times is a

cause of infertility.

It require series of blood tests and ultrasounds investigate the causes.

Abnormalities and anatemical defects of uterus and cervix can be corrected surgically and also laproscopically.

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Thin endometriumSometimes with good egg formation

but lining of womb remains thin, this makes infertility.

It is because of tuberculosis or hormonal problem.

There are some medicines for its treatment.

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Thank you

Contact UsDr. Sumita Prabhakar

CMI Hospital, 54, Haridwar Road, Dehradun.

Uttarakhand, India. PIN:248001Phone: 0135-6542172, 0135-2520042, 2720142, 2720238

Mob: +91-7895333429Email:

[email protected]