What to Do When You’re Having Trouble Conceiving

What To Do When You’re Having Trouble Conceiving

Tweet this As well, magazines that strive to explore into the advantages of yoga and mindfulness, such as LA Yoga, Yoga Journal, and Yogamagazine, serve as gatekeepers for information. Nadine Olu says in a 2019 post for Women of Color Healing Retreats that “publications do not reflect Black women since, in a capitalist system, their intended audience is made up primarily of white people.” This sort of systematic oppression obstructs the healing of Black people, which has a ripple effect across the Black community.” That physical venues are exclusive is insufficient; the tales and narratives around those who practice mindfulness are also exclusive.

According to Olu, “When Black women are portrayed in white yoga magazines, it becomes a show, almost as if the publication wanted an award for finally include Black women.” The statement reads, “Black women are fed up with being meek and underrepresented.” When Black women use their physical bodies to fight against oppression and seek refuge in mindfulness spaces, they are met with a barrage of negative reactions from the wider community.

Between the outcry over the plus-size workout gear on the plus-size Nike mannequin, Little Mix’s Leigh Anne-Pinnockbody positive swimsuit campaign, Rihanna’s Savage X Fentyinclusive lingerie line, and Lizzo’s assed-out twerk and Instagram photos, the conversation about body positivity, wellness, and Blackness erupted this winter.

Lizzo, like Stanley, who also posts nude photos on her social media account on a regular basis, makes comments about who is permitted to be free, healthy, and in a position of self acceptance.

  • A new book by Nicole Byer, The Fat Girl’s Guide to Being Brave and Not a Dejected, Melancholy, Weeping Fat Girl in a Bikini, will help to continue the conversation about Black women’s bodies and what they are or aren’t “allowed” to do will be released in September.
  • Positive and unfavorable comments about Black women’s bodies, especially when these bodies aren’t slender, are a reflection of who is permitted to reach genuine nirvana inside themselves and who isn’t allowed to reach it.
  • This is a source of disappointment for me.
  • In a world where we only perceive one type of person, such as someone who is ‘well’ or ‘healthy,’ anyone who does not fit into that category is denied the right to feel that way.
  • The definition of wellness is subjective.
  • Downward dog is vulnerable enough without having to worry about whether or not everyone in the room is looking at you with disapproving eyes.
  • The practice of yoga is considered to be a solitary one.” Not being involved in your local community isn’t a must anymore.

Having solitary practices that can be done without the presence of other humans is the most important recommendation for cementing a practice.” It appears that a slower pace and tranquillity will be an easier road for so many women of color who travel to the South in search of greater prospects, reduced living costs, and a deeper connection to history.

  1. “Yoga discloses,” according to Octavia Raheem, a yoga practitioner and proprietor of Sacred Chill West+ O+M in Atlanta.
  2. Many people are looking for a physical area where they may converse with others and feel a sense of belonging.
  3. However, the 3 to 5.6 percent increase in Black women engaged in health and a regular practice is a response to the ever-present racial tension and strain of being a Black woman in a largely white, isolating, and otherizing environment.
  4. There has been an almost exponential increase in the number of Black yoga studios in areas like North Carolina, but more than simply lessons and meditation are still required.
  5. It is impossible for people of color and underprivileged groups to live in such a manner.
  6. According to her, it’s necessary to be reminded that we have access to something greater than ourselves and more than what the media portrays us to be.
  7. In order to establish inclusive places that revolve upon Black healing, sites such as Black Girl In Om (founded in 2014 by Lauren Ash) are doing the effort to ensure that everyone, regardless of their physical appearance or where they lie on the gender/sexuality continuum, may participate.
  8. The author describes our time as “a time of dread and confusion.” We must retreat into practice if we are to succeed.
  9. Note from the editor: This item has been modified to clarify that Stanley’s studio is a virtual one.
  10. We are seeking assistance from you, our community, because we are unable to do so ourselves.

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Getting Pregnant: Easy Ways To Encourage Fertility

For some couples, becoming pregnant is a quick and simple process. Others, on the other hand, find things more difficult. Problems can sometimes be traced back to particular physiological concerns, such as blocked fallopian tubes in women or a low to non-existent sperm count in men – issues that can be addressed by a fertility expert and subsequent treatments, such as in vitro fertilization (IVF) or insemination. Many others, on the other hand, find it considerably more difficult to pinpoint the root causes of their infertility.

  1. Pollack adds that normal fertility treatments are typically effective, but that a variety of additional, less expensive approaches can be effective in some circumstances – some of which couples can attempt on their own.
  2. The good news is that with the aid of a medical reproductive workup, doctors believe that both alternatives can be clearly mapped out.
  3. And what if you aren’t anticipating an issue but just want to give your fertility a little nudge forward?
  4. It is important to remember that the American Society for Reproductive Medicine recommends seeking advice from a fertility doctor after 12 months of regular unprotected sexual contact – or six months if you are a woman over 35 – if you are unable to conceive.

Fertility Booster No. 1: Eat Healthfully

“Ovulatory dysfunction” is a broad phrase that refers to a variety of issues related to ovulation in women and is one of the most prevalent reasons of unexplained infertility in women. Although a variety of factors may be involved, many experts now feel that nutrition is one of the most important. In a study of around 17,000 women undertaken by the Harvard School of Public Health, researchers were able to identify a set of “fertility meals” that had the potential to increase the likelihood of conceiving.

  • Increased consumption of monounsaturated fats (such as olive oil) and decreased consumption of trans fats (such as those found in many baked products and fast meals)
  • Increasing intake of plant-based protein (such as soy) while decreasing intake of animal-based protein (such as red meat)
  • A diet consisting of more high fiber and low GI foods – such as whole grains, vegetables, and certain fruits – while decreasing the consumption of processed carbs and sweets
  • Moderate consumption of high-fat dairy products – such as ice cream, whole milk, and cheese
  • And

A study researcher, Dr. Jorge Chavarro, believes nutrition had a role since the majority of women who experienced ovulatory failure also had undiagnosed or subclinical PCOS (polycystic ovarian syndrome), a disorder associated with insulin resistance that also impacts ovulation. It “responds well to diet,” says Chavarro, who turned his medical study findings into a book titled The Fertility Diet. “It responds well to diet, so that might be one of the reasons these foods were so effective,” he says.

Pollack feels it’s worthwhile to give the diet a go, but cautions that it shouldn’t be relied on as a sole method of conception. “Make it just one aspect of your total efforts to conceive,” he says.

Fertility Booster No. 2: Weight Control

Maintaining a healthy weight, regardless of whether or not you consume so-called “fertility foods,” is another method to improve your reproductive health. A very low or extremely high BMI (body mass index) has been shown to interfere with ovulation and may also impair the generation of essential reproductive hormones, according to research findings. Dr. Janet Choi, a reproductive endocrinologist at Columbia Presbyterian Medical Center in New York City, says that one of the first topics she discusses with her patients is the role of weight in influencing fertility.

  1. Having said that, a recent Dutch research of over 3,000 women discovered that being overweight can interfere with fertility even when a woman is ovulating correctly.
  2. There was an overall decline in the capacity to conceive for women with a BMI more than 35 percent, with a maximum reduction of 43 percent.
  3. According to a 2007 report by the British Reproductive Society, members should delay fertility treatments in extremely obese women (with a BMI more than 35) unless they have attempted to lose some weight first.
  4. Getting pregnant might be difficult for women who are exceedingly slim because they are unable to maintain a normal menstrual cycle – for these women, it is more favorable to gain weight, according to Chavarro.

Fertility Booster No. 3: Reduce Stress

However, despite the fact that the relationship between stress and infertility has long been contested, evidence continues to rise indicating the two are related. Women who received stress reduction treatment, according to research done by Alice Domar, PhD, at Harvard’s Mind-Body Institute, had huge improvements in their capacity to conceive, according to the findings. Actually, ladies who were already receiving reproductive treatments had better outcomes when their stress levels were maintained under control.

  • Sarah Burga’s latest research at Magee Women’s Hospital in Pittsburgh found a relationship between stress and a disorder known as functional hypothalamic amenorrhea, which causes irregular periods (FHA).
  • “I don’t recommend quitting your job only to get rid of stress,” Choi adds, “but if you can strive to improve your day-to-day management of your concerns, I feel it can work in concert with other techniques to boost fertility.” Choi has published a paper on the topic.
  • Taking part in activities such as listening to music, doing yoga, having frequent massages, writing in a diary, reading, gardening, or simply conversing on the phone with friends may all help you relax, according to health professionals.
  • In a new study published in the journal Psychological Science, researchers discovered that the simple act of holding hands with your spouse may significantly reduce stress levels.
  • If you’re inclined to cope with your stress by smoking or consuming alcohol, experts advise against doing so.

A large number of studies have demonstrated that smoking leads to both male and female infertility and can even negatively impact the effectiveness of fertility treatments, while excessive alcohol intake can impede ovulation in women as well as sperm production in men.

Fertility Booster No. 4: Acupuncture

Studies relating acupuncture to conception have overwhelmingly been carried out on women who are receiving reproductive treatments. Many experts, however, are quick to point out that this ancient Chinese medicinal practice may also be effective in promoting general fertility – even that of couples who are attempting to conceive through natural means. According to Pollack, “I occasionally offer acupuncture in combination with stress-reduction practices such as yoga to assist in the promotion of pregnancy.” “I wouldn’t suggest a couple to rely solely on acupuncture or to attempt it without first undergoing a fertility evaluation, but acupuncture may be beneficial if everything checks out,” she adds.

Fertility Booster No. 5: Ovulation

While being intimate during the “correct time of the month” will not help you become more fertile, it will boost your chances of becoming pregnant – merely by ensuring that you and your spouse connect during a period when conception is likely. Pollack emphasizes the importance of timing, stating that “an egg only survives for 24 to 36 hours.” However, sperm can survive in the lower region of a woman’s reproductive canal for an extended period of time – sometimes as long as five days. Consequently, if you want to enhance your chances of conceiving, you should have sexual relations with your spouse starting three to four days before ovulation and continuing up to 24 hours following ovulation.

According to experts, there are numerous approaches that may be used to approximate.

  1. Chart your basal body temperature (BBT): Your basal body temperature (BBT), which is the lowest temperature your body reaches during the day, is influenced by the hormones that determine the timing of ovulation. In the few minutes before egg release, your BBT lowers by approximately a half degree, and then increases again after you ovulate. After one or two months of meticulously recording and charting your daily temperature, Pollack predicts that you will see a pattern developing. If you have sexual relations on the days when your body temperature dips, there is a significant possibility that you will be in your fertile window
  2. Nevertheless, Keep a record of your cervical mucus: Adaptations in cervical mucus occur in response to variations in internal body temperature. The mucus will appear more abundant, thinner, and clearer than it does on previous days just before ovulation occurs. Depending on your skill level, you could even be able to separate the pieces so that they seem like rubber cement, which is a phenomena known as “spinbarket.” By examining your cervical mucus on a regular basis and comparing its consistency to your BBT, you may narrow down your most fertile period even more. Using an ovulation prediction kit (OPK) can help you: These over-the-counter tests, which range in price from $20 to $75 each month, are used to detect hormonal changes in urine that occur before to ovulation. A color-sensitive dipstick is used in some OPKs, but modern OPKs include digital readouts that may be easier to understand. OPKs can provide you with an alert up to two days before ovulation. If the OPK results are good, Pollack recommends that you “have sexual relations that day and every day for the next three days to assist boost your chances of pregnancy.” In addition to the “ferning” microscope, which may be used to identify changes in saliva that occur before ovulation, there are additional devices that can be used to predict fertility. Experts, on the other hand, believe that this strategy may not be as reliable as an OPK. Invest in a fertility monitor. They are not inexpensive, costing between $200 and $400. A fertility monitor, on the other hand, can detect as many as six or seven fertile days in a single cycle. This can help you gain a better understanding of your reproductive window and, in certain cases, boost your chances of conceiving. A wristwatch fertility predictor, which detects chemical changes on the skin that signal ovulation, may be worth experimenting with. These fertility watches assist women in identifying the four days leading up to ovulation.
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Fertility Booster No. 6: Conception Kits and Other Tests

A kit that aids in the prediction of ovulation may also inform you when the optimal time to have sexual relations is, but most of them did nothing else to promote fertility – until now. An innovative new kit produced by Conceivex not only provides accurate ovulation prediction, but it also includes a little latex-free cervical cap that can really aid in the process of conception. When using a cap, the goal is to concentrate ejaculate into a little amount of fluid that may be inserted into a woman’s body right at the opening of her cervical canal.

  1. According to Shari Brasner, MD, who has prescribed the kit to patients, it is particularly beneficial for women who have had past cervical difficulties as well as males who have poor sperm volume or performance anxiety.
  2. Despite the fact that she claims Conceivex will not correct any faults, she believes it is a viable alternative.
  3. Despite the fact that Conceivex requires a prescription, it may be purchased online after completing a questionnaire that is assessed by one of their medical professionals.
  4. Fertell is the name of a second brand-new kit.
  5. It costs $99 and does not require a prescription to purchase.
  6. “There is no risk in experimenting with these kits, or with any of the other fertility-inducing procedures available.

However, if you are unable to become pregnant within the recommended time limit, you should consult with a fertility doctor immediately “Pollack expresses himself. Colette Bouchez is the author of Getting Pregnant: What Couples Need to Know, which is available on Amazon.com.

Having trouble conceiving

Endometriosis is a common and frequently painful illness that affects roughly ten percent of all females in their reproductive years. It happens when the tissue that typically lines the uterus (the endometrium) begins to develop outside the uterine lining, resulting in an abnormal pregnancy. The misplaced tissue most usually develops on the uterine (fallopian) tubes, the ovaries, or the tissue lining the pelvis, although it can occur elsewhere (the peritoneum).

How does endometriosis affect fertility?

Although it is believed that around 30% of women who are affected with endometriosis are infertile, more study is needed to substantiate this estimate. The inability to conceive in the presence of mild endometriosis cannot be explained by any clear explanation. It is possible that this is due to the production of chemicals by endometriosis cells, which interfere with the capacity to conceive or disrupt the early normal development of the embryo. As a result of damage or obstruction to the fallopian tube in women with moderate to severe endometriosis, scarring may cause problems with ovulation and the transit of the egg along the tube.

Not all women who have endometriosis are unable to conceive.

Treatment options

It is believed that surgical treatment of endometriosis, such as a laparoscopic procedure to remove the endometriosis, increases the likelihood of becoming pregnant. In a laparoscopic procedure, the overall pregnancy rate for women with endometriosis was roughly 42 percent, according to the results. After having laparoscopic surgery for endometriosis, around 45 percent of women will experience a recurrence of the disease. If surgical therapy is unsuccessful, in vitro fertilization (IVF) therapies may be explored as an alternative therapeutic option.

Adenomyosis

As its name suggests, adenomyosis (also known as uterine polyps) is a disorder in which cells that typically line the interior of the uterus begin to proliferate and develop in the muscular wall of the uterus. If adenomyosis is concentrated in a specific place, it can develop into a mass of adenomyosis, which is known as an adenomyoma. Adenomyosis is only found in women throughout their reproductive years since the hormone oestrogen is required for the formation of the tumor. Because of the absence of oestrogen during menopause, adenomyosis becomes less severe.

Does adenomyosis affect fertility?

Some research suggests that the capacity of the uterine muscles to contract correctly may be impaired during pregnancy. In addition, these endometrial cells within the muscle may emit bodily substances that contribute to infertility in women.

Fibroids

Fibroids (also known as uterine fibromyomas, leiomyomas, or myomas) are noncancerous growths or lumps of muscle tissue that occur inside the walls of the uterus. Fibroids are most commonly found in women who have had children (womb). It is possible to have fibroids that are as little as the size of a pea or as huge as the size of a rock melon or greater. It is yet unknown what causes fibroids to form. We do, however, know that the female hormones oestrogen (estrogen) and progesterone, as well as other factors, play a key role in the development and proliferation of fibroids.

Fibroids appear in women of reproductive age and develop at variable rates until the start of menopause, at which point they tend to reduce in size and may slowly shrink in size as a result of the reduction of oestrogen and progesterone levels.

Do fibroids affect fertility?

Fetal infertility is not a frequent concern for women who have fibroids; in fact, less than 3% of women may experience reproductive issues as a result of having fibroids. Depending on the size and location of the fibroids, they can cause problems with implantation of the embryo into the uterus, raise the chance of miscarriage, or slow the development of labor.

Polycystic Ovary Syndrome (PCOS)

Among women, PCOS is the most prevalent endocrine (hormonal) condition, accounting for around 20% of all cases. Anovulation (lack of ovulation) and menstrual irregularities are among the symptoms of PCOS. Other symptoms include high androgen (testosterone) levels, which can result in male patterned hair growth and acne, and metabolic problems, which can result in weight gain and an increased risk for type 2 diabetes.

PCOS and fertility

When you were originally diagnosed with PCOS, one of the first things you may have been told was that the disorder might interfere with your ability to have children. However, while this is true for some women with PCOS, 60 percent of women with PCOS are able to become pregnant through natural means. Some women may suffer decreased fertility or may have a more difficult time conceiving. Among women with PCOS, the hormonal changes that can cause irregular periods may also have an effect on ovulation, which can have an impact on reproductive ability.

An anovulatory cycle is a menstrual cycle in which ovulation does not take place during the period.

A woman’s body weight, in addition, has an influence on her ability to conceive, particularly if she has PCOS.

Further help

After being diagnosed with PCOS, one of the first things you may have been informed was that the illness might interfere with your ability to become pregnant. Some women with PCOS do experience pregnancy complications because of their condition; nonetheless, 60 percent of women with PCOS have spontaneous conceptions. A woman’s fertility may be diminished or it may take longer for her to become pregnant for certain women. The hormonal alterations that can cause irregular periods in women with PCOS may also impact ovulation and, as a result, fertility in these individuals.

In women, an anovulatory cycle is defined as a menstrual cycle in which ovulation does not take place.

A woman’s body weight, in addition, has an influence on her fertility, particularly if she has PCOS.

Prematureearly menopause

When you were diagnosed with PCOS, one of the first things you may have been informed was that the disorder might interfere with your ability to have children. While this is true for some women with PCOS, 60 percent of women with PCOS are able to conceive on their own. Some women may suffer diminished fertility or may have a more difficult time conceiving. The hormonal alterations that can cause irregular periods in women with PCOS may also have an effect on ovulation and, as a result, on fertility.

An anovulatory cycle is a menstrual cycle in which ovulation does not take place at the appropriate time. This indicates that you bleed but do not ovulate or release an egg. Furthermore, body weight has an influence on fertility in women, particularly in those who have PCOS.

  • It is possible that your periods have ceased naturally but too early (premature ovarian failure)
  • You have had both ovaries surgically removed (oophorectomy)
  • Chemotherapy has caused your ovaries to fail
  • Or you have had a hysterectomy.

Early menopause

Early menopause is defined as the last period occurring before a woman reaches the age of 45. Again, the causes might be spontaneous, surgical, or chemical in nature.

Effect on fertility

If you have premature or early menopause, this means that your ovaries have run out of eggs sooner than expected, and you are unable to create an egg or the hormones necessary for conception. After being diagnosed with premature or early menopause, a woman may experience a spontaneous pregnancy on a very rare occasion (about a 2-5 percent lifetime probability). When a woman seeks reproductive treatment, she may be diagnosed with premature/early menopause, which is rare. If the ovaries do not respond to the hormones that are used to stimulate egg production, or if the eggs do not fertilise, this might indicate the onset of premature/early menopause.

Having a spontaneous pregnancy after being diagnosed with premature or early menopause is extremely unusual (about a 2-5 percent lifetime probability).

If the ovaries do not respond to the hormones that are used to stimulate egg production, or if the eggs do not fertilise, this might indicate the onset of premature or early menopause.

Fertilitychemotherapy

If you have been diagnosed with cancer and you are concerned that you will experience premature or early menopause as a result of cancer therapy, there are some things you can do to prepare yourself before beginning treatment. Pre-treatment research might include looking into your possibilities for egg preservation before undergoing chemotherapy and/or radiation therapy. There are a variety of choices available, including:

  • Egg preservation, ovarian preservation, ovarian biopsy, and ovarian freezing are all options.

Egg preservation

This procedure is performed prior to chemotherapy. The ovaries are induced to create eggs by hormones, and the eggs are then collected for analysis. It is possible to get your eggs fertilized with your male spouse’s sperm and then freeze the embryos if you have a male partner. When you are ready to get pregnant, the embryos are put into your uterus for fertilization. If you do not have a spouse, you may choose to have the unfertilized eggs frozen. When you are ready to get pregnant, the eggs are frozen and fertilized with a male partner’s sperm or donor sperm, depending on your situation.

Ovarian preservation

This is done prior to undergoing chemo. In order to stimulate the production of eggs, the ovaries are hormonally stimulated and subsequently the eggs are harvested. The eggs can be fertilized with your spouse’s sperm and the embryos can then be preserved if you are with a male partner. It is necessary to transfer the embryos into your uterus when you are ready to get pregnant.

It is possible to freeze unfertilized eggs if you do not have a spouse. In order to get pregnant, the eggs must be thawed and fertilized with either your partner’s sperm or that of another man. The success of this technology is currently restricted (it is still in the early stages of development).

Ovarian biopsyfreezing

This technique is performed prior to the initiation of chemotherapy. A section of the ovary is excised (cut out) and placed in liquid nitrogen. After the chemotherapy is finished, the ovarian tissue is implanted beneath the skin, and the eggs are harvested with the help of hormone stimulation. This approach has lately demonstrated considerable effectiveness, despite the fact that it is still in the research stage.

Thyroid problems

The thyroid gland is a tiny, butterfly-shaped gland that is found in the neck, wrapped around the windpipe. It produces thyroid hormone. Thyroid hormones are produced by the thyroid gland with the help of iodine, which is usually present in foods such as seafood and salt. The thyroid hormones triiodothyronine (T3) and thyroxine (T4) are the two most important (T4). These hormones aid in the transport of oxygen into cells and the regulation of the body’s metabolism. Thyroid hormones have an impact on a variety of other vital activities of the body, including growth.

  • • a personal history of autoimmune diseases, such as Type 1 diabetes
  • It is possible that you grew raised in a region where iodine was scarce. If you have been exposed to head and neck radiation in the past, you should consult your doctor.

A personal history of autoimmune diseases, including Type 1 diabetes; and In the event that you grew up in a region where iodine levels were low; If you have been exposed to radiation to the head and neck in the past, you should consult with your physician.

How a problem thyroid affects fertility and pregnancy

According to Dr Jennifer Wong, a consultant endocrinologist at Monash Health, a dysfunctional thyroid is related with a range of health concerns, including the following:

  • Reduced fertility, which makes it considerably more difficult to become pregnant
  • Increasing the likelihood of miscarriage
  • Increasing the likelihood of a pre-term or early birth
  • High blood pressure (hypertension) is a condition in which the blood pressure is too high. The delivery of a child too soon

Diagnosing thyroid dysfunction

The detection of thyroid issues in women before to pregnancy and during the first 12 weeks of pregnancy is extremely crucial due to the fact that the foetus is completely dependent on the mother’s thyroid hormone throughout the first trimester of pregnancy. It is possible to tell if you have thyroid dysfunction by doing a simple, particular blood test. This test can be performed at your doctor’s office.

Thyroid treatment

The therapy for thyroid conditions is straightforward and simple if you have been diagnosed with one.

Prematureearly menopause

Premature menopause happens when a woman’s last menstruation begins before she reaches the age of 40. Premature menopause may occur as a result of the following factors:

  • It is possible that your periods have ceased naturally but too early (premature ovarian failure)
  • You have had both ovaries surgically removed (oophorectomy)
  • Chemotherapy has caused your ovaries to fail
  • Or you have had a hysterectomy.

Early menopause

Early menopause is defined as the last period occurring before a woman reaches the age of 45. Again, the causes might be spontaneous, surgical, or chemical in nature.

Effect on fertility

If you have premature or early menopause, this means that your ovaries have run out of eggs sooner than expected, and you are unable to create an egg or the hormones necessary for conception. After being diagnosed with premature or early menopause, a woman may experience a spontaneous pregnancy on a very rare occasion (about a 2-5 percent lifetime probability). When a woman seeks reproductive treatment, she may be diagnosed with premature/early menopause, which is rare. If the ovaries do not respond to the hormones that are used to stimulate egg production, or if the eggs do not fertilise, this might indicate the onset of premature/early menopause.

If a woman has had premature or early menopause, she may be able to have children in one of the following ways, depending on her circumstances:

Request a referral to a fertility expert who is a member of one of the in vitro fertilization (IVF) clinics from your doctor to help you determine the best course of action for you to take.

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Turner’s syndrome

Turner’s syndrome is the hereditary cause of infertility in women that is most commonly seen. A chromosomal disorder known as Turner’s syndrome affects the development of girls and causes them to grow abnormally. This disease affects around 1 in every 2,500 female births throughout the world. It is caused by the absence of one or more of the X chromosomes, either completely or partially (female sex chromosome). Stunted growth and development are among the consequences, as is deafness, a higher risk of heart and renal disorders, as well as infertility.

  1. They are also more likely to become pregnant than the ordinary woman.
  2. Turner’s syndrome is classified into two types: XO, which is characterized by the absence of periods, and XX/XO Mosaic, which is characterized by the presence of periods but an early menopause.
  3. At the moment, pregnancy can be obtained with the use of IVF technology and donation eggs or embryos.
  4. It is highly suggested that all women with Turner’s syndrome get counseling regarding fertility and childbearing options.

Why Can’t I Get Pregnant?

Trying to conceive and failing to become pregnant may be both disappointing and daunting when you’re ready to start a family. In particular, if you’ve tried all of the usual strategies to increase your chances of getting pregnant, such as having many sexual encounters within your fertile window, taking your temperature every morning, and utilizing tools such as ovulation tracker apps and prediction kits. You may begin to question if you have a medical condition or if you simply need to be more patient with yourself.

One in in eight couples has difficulty conceiving.

Chantel Cross, M.D., a reproductive endocrinologist and infertility specialist with theJohns Hopkins Fertility Centerat theJohns Hopkins Health CareSurgery Center — Green Spring Stationin Lutherville, Maryland, describes the factors that can affect your ability to conceive as well as when you should seek infertility treatment.

How is infertility defined?

The inability to conceive after one year of unprotected intercourse for women under the age of 35, or after six months for women 35 and older, is classified as infertility in these terms: Cross argues that the great majority of persons who attempt to conceive through frequent unprotected sexual contact will become pregnant within the first 12 months of attempting to conceive.

“We recommend that a couple come in for an infertility examination after six months to a year of trying, depending on the age of the lady.” The likelihood of there being a problem preventing conception increases at that stage.”

Medical Conditions Affecting Infertility

Infertility can be caused by a number of different circumstances. The following are the most often encountered issues:

Fallopian tube obstruction

Infertility is sometimes caused by blocked or damaged fallopian tubes, which prevent sperm from accessing the egg. This is especially true among African Americans. If you have a history of pelvic infection, sexually transmitted illness, or endometriosis, you are at greater risk for fallopian tube blockage.

Irregular uterine shape

An unevenly shaped uterus might make it difficult for a fertilized egg to connect to the uterine wall, which can result in an unsuccessful pregnancy. Abnormalities can be produced by uterine fibroids (noncancerous growths on the uterine wall), scar tissue following surgery or infection, or a combination of these factors. The shape of your uterus might possibly be contributing to your symptoms.

Ovulation disorder

Women may have irregular and inconsistent ovulation at times. In certain cases, sporadic menstrual periods are caused by medical disorders such as polycystic ovarian syndrome (PCOS), hormonal imbalances, or obesity. Excessive physical activity, stress, and a low body weight can all have an effect on ovulation.

Male factor

In more than 30% of instances of infertility, a problem with sperm is present, such as a low sperm count or aberrant sperm motility or shape, among other things. It is possible that male factor infertility is caused by a variety of factors such as trauma, physical disorders such as diabetes, and bad behaviors such as excessive alcohol use and smoking.

The Impact of Stress on Fertility

When you’re trying to conceive, it’s normal to feel nervous and apprehensive. However, whether or not this has an influence on fertility is still up for discussion. What we do know is that stress management is beneficial to everyone, regardless of their age or stage of life.

Age Is a Major Factor for Women

It’s likely that you’ve heard the expression “your biological clock is ticking.” This expression refers to the time period during which you are most fertile. Women are unable to conceive when their menstrual periods have stopped, which commonly occurs in their 40s or 50s. However, whereas males continue to generate sperm throughout their lives, women are born with a limited quantity of eggs, which diminishes as you get older. The average person has around two million eggs at birth, but she or he normally loses hundreds of millions of them by the time they reach adolescence, according to Cross.

Dr.

“They finish that process, or mature, when you ovulate them 20 to 40 years later,” says the researcher.

As a result, women are less likely to become pregnant, have miscarriages, or have infants who are born with genetic diseases caused by chromosomal abnormalities.” Finally, the overall quality and amount of eggs a woman possesses falls during her lifespan, with egg loss increasing significantly around the age of 37, making it more difficult to become pregnant.

Do I Need Infertility Treatment?

You should consult with an infertility professional if you are experiencing problems conceiving for whatever reason. A fertility exam should be scheduled after 12 months of attempting to conceive (or six months if you are 35 or older) to determine if you are infertile. The following are the components of this multipart assessment:

  • Physical examination
  • Pelvic ultrasound
  • Blood work
  • Sperm analysis
  • Evaluation of the uterus and fallopian tubes (using specialist x-rays or ultrasounds)
  • Implantation of the embryo

Physical examination; pelvic ultrasound; blood work; sperm analysis; evaluation of the uterus and fallopian tubes (using specialist x-rays or ultrasounds); and counseling.

Infertility treatment options

Depending on the findings of your infertility exam, you may be eligible for one of the following treatments:

  • Pregnancy-inducing drugs: Oral or injectable treatments that enhance ovulation patterns or that may promote more than one egg to be produced each month, increasing the probability of conceiving. Assisted reproductive technology (ART): This treatment can be performed on its own or in conjunction with ovulation medicines to increase the chances of having a child. By using a tiny catheter to deliver high-quality sperm straight into a woman’s uterus, there is no need for sperm to travel through the vaginal canal. In vitro fertilization (IVF) is a technique in which one or more eggs are taken from the ovaries and fertilized with sperm in a laboratory environment. The resultant embryo is subsequently transplanted into the uterus, so avoiding the difficulties associated with fertilization within the body.

It is impossible to generalize about every couple and their road to become parents. Consult with your doctor about your treatment choices.

Infertility

Infertility occurs when a couple is unable to conceive (get pregnant) despite having frequent unprotected intercourse on a regular basis. Approximately one in every seven couples may have trouble conceiving. If a couple has frequent unprotected intercourse on a regular basis for a year, they have a good chance of conceiving spontaneously (every 2 or 3 days). The chances of getting pregnant naturally during the following year are 1 in 4, or fewer, for couples who have been trying to conceive for more than three years without success.

Getting help

Some women become pregnant quite fast, but others may take longer to conceive. If you have not conceived after a year of trying, it is recommended that you consult your doctor. Women over the age of 36, as well as anybody who is already aware that they may be experiencing reproductive issues, should consult their doctor as soon as possible. They can screen for common reasons of infertility and make recommendations for therapies that may be beneficial. A couple is often diagnosed with infertility if they have not been successful in conceiving after a year of attempts.

  • A primary infertility is a condition in which a woman who has never been pregnant before is having problems conceiving. When a woman has had one or more pregnancies in the past, but is having trouble conceiving again, she is said to have secondary infertility.

Learn more about how infertility is diagnosed in this article.

Treating infertility

Treatments for infertility include the following:

  • Medical treatment for irregular ovulation
  • Surgical procedures such as endometriosis treatment, repair of the fallopian tubes, or removal of scarring (adhesions) within the womb or abdominal cavity
  • Assisted conception methods such as intrauterine insemination (IUI) or in vitro fertilization (IVF)
  • And other methods of conception.

The type of treatment provided will be determined by what is causing the reproductive difficulties and what is accessible via your local clinical commissioning group or health authority (CCG). Treatment in a private setting is also available, but it is more expensive and there is no assurance that it will be effective. It is critical to make an informed decision when selecting a private clinic. You can get guidance from your doctor, and you should make sure that the clinic you pick is licensed by the Human Fertilisation and Embryology Authority (HFEA) (HFEA).

As an illustration:

  • Pregnancy with more than one embryo — If more than one embryo is implanted in the womb as part of IVF therapy, there is an increased possibility of having twins
  • While this may not seem like a negative thing, it dramatically raises the risk of difficulties for you and your infants. Ectopic pregnancy– If you use IVF, your chances of having an ectopic pregnancy are somewhat raised.

Learn more about the treatment options for infertility.

What causes infertility?

Infertility can be caused by a variety of factors, and issues with fertility can impact either couple.

However, in one-quarter of cases, it is not feasible to determine the underlying reason. The following are some of the most common reasons of infertility:

  • Infertility can be caused by a variety of factors, and it can impact either partner in the relationship. It is not feasible to determine the reason in one-quarter of instances, though. The following are examples of common reasons of infertility:

Risk factors

There are a variety of other variables that might influence fertility. These are some examples:

  • Age – fertility falls with age
  • Weight – being overweight or obese (having a BMI of 30 or above) affects fertility
  • And ethnicity – being a minority reduces fertility. Weight issues in women, such as being overweight or extremely underweight, might interfere with ovulation. STIs (sexually transmitted infections)– a number ofSTIs, including chlamydia, can have an impact on fertility. Smoking– may have an impact on fertility: smoking (including passive smoking) can diminish your chances of conceiving as well as the quality of your sperm. further information about stopping smoking
  • The safest method is to avoid consuming alcohol altogether in order to minimize hazards to your baby to an absolute minimum. Drinking too much alcohol can also have an adverse effect on the quality of sperm (the Chief Medical Officers of the United Kingdom recommend that adults consume no more than 14 units of alcohol per week, which should be spread evenly over three days or more)
  • Environmental factors– exposure to certain pesticides, solvents, and metals has been shown to have an adverse effect on fertility, particularly in men
  • And genetic factors– genetic factors have been shown to have an adverse effect on fertility. Stress may have a negative impact on your connection with your spouse and cause a decrease in sex drive. Stress can also have a negative impact on ovulation and sperm production in extreme circumstances.

Neither caffeine-containing beverages such as tea, coffee, and colas nor their consumption have been linked to infertility difficulties in studies. The page was last reviewed on February 18, 2020. The deadline for the next review is February 18, 2023.

8 Possible Reasons You Can’t Get Pregnant

So, you’ve been trying to conceive for a while now, but nothing seems to be happening. What is it that you are not able to conceive? There are a variety of probable causes, including ovulation abnormalities, structural difficulties in the reproductive system, low sperm count, or an underlying medical condition that must be addressed. While infertility might manifest itself in the form of symptoms such as irregular periods or severe menstrual cramps, the reality is that the majority of reasons of infertility are quiet.

Here are eight reasons why you may not have been able to conceive yet.

Not Trying Long Enough

The first thing to examine is how long you have been attempting to achieve your goal. Even though it may seem like you’ve been trying for a long time—and perhaps you have!—it’s vital to remember that many couples will not become pregnant immediately away. After six months of trying, over 80 percent of couples become pregnant. In the first 12 months of attempting to conceive, around 90 percent of women will become pregnant. This is based on the assumption that you have well-timed intercourse every month.

When to Call a Doctor

If you are experiencing problems with your fertility, doctors urge that you consult with a fertility specialist.

  • The fact that you’re 35 years old or older, and that you’ve been trying for at least six months You’re under the age of 35 and have been trying for at least a year
  • You’re not married

When you’re 35 years old or older, and you’ve been trying for at least six months, you qualify. if you are under the age of 35 and have been trying for at least a year, you are considered young.

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Not Ovulating

An egg and a sperm are required for human conception. Unless you are in the process of ovulating, you will not be able to become pregnant. As a prevalent cause of female infertility, anovulation can be produced by a variety of causes. Anovulation may be caused by PCOS, which is a hormonal imbalance. Besides being overweight or underweight, other probable reasons include primary ovarian insufficiency, thyroid dysfunction, hyperprolactinemia, and excessive physical activity. The majority of women who are having ovulation issues have irregular periods.

Even if you haven’t been trying for a year, you should consult your doctor if you are experiencing irregular periods.

Problem Is With Him, Not You

It takes two to tango; women may carry the baby, but men must dance as well. Twenty to thirty percent of infertile couples learn that the guy is responsible for their infertility. Another 40% of couples discover infertility issues on both sides of the family. Another thing to keep in mind is that male infertility seldom manifests itself in the form of symptoms that can be observed without the use of an asemen analysis, which is a test that assesses the health of the sperm and the semen.

When you do go to the doctor, ensure sure you and your partner are both tested.

Age-Related Infertility

It can take longer for women beyond the age of 35, and for males after the age of 40, to become pregnant. Some women believe that if they are still having regular periods, their fertility is OK; however, this is not the case. Both the quality and number of eggs are affected by the age of the hen. Additionally, if your spouse is five or more years older than you, this might raise your chances of developing reproductive difficulties beyond the age of 35.

Blocked Fallopian Tubes

Women who are unable to conceive because of ovulatory problems account for approximately 25% of all female infertility cases. The remaining women may experience issues such as obstructed fallopian tubes, uterine structural difficulties, or endometriosis, among other things. In case you didn’t know, the fallopian tubes are the tubes that connect your ovaries to your uterus and allow you to reproduce. In contrast to the ovaries, the fallopian tubes do not connect directly to them. Sperm must travel up the cervix, into the uterus, and into the fallopian tubes in order to fertilize the egg.

  1. Conception takes occurs inside the fallopian tube, which is where the sperm and egg come together for the first time.
  2. There are a variety of factors that might contribute to obstructed fallopian tubes.
  3. Only a fertility test will be able to tell whether or not your tubes are open.
  4. This is something that your OB/GYN can request.

You Have Endometriosis

Basically, it is the condition in which endometrium-like tissue (which is the same type of tissue seen in and around the uterus) begins to develop in sites other than the uterus. It is believed that up to 50% of women who have endometriosis will have trouble conceiving a child at some point in their lives. The most frequent symptoms of endometriosis are painful periods and pelvic discomfort that occurs at other times of the month except when you are menstruating. However, these symptoms are not experienced by all women who have endometriosis.

Endometriosis is frequently misdiagnosed, or it is just not recognized.

It necessitates laparoscopic surgery for diagnostic purposes.

Underlying Medical Problems

Infertility can be caused by underlying medical issues that affect both men and women. Infertility can be caused by a variety of factors, including a thyroid imbalance or untreated diabetes. Depression is connected with infertility, for reasons that are not fully understood. Lupus and other undiscovered sexually-transmitted illnesses, as well as other autoimmune conditions, have been shown to induce infertility. There are drugs that are administered that may have an affect on fertility. However, you should never discontinue taking a prescription without first consulting your doctor.

Make sure that both your doctor and the doctor of your partner are aware that you are attempting to become pregnant. A neglected sexually transmitted infection can also result in infertility if it goes untreated. It is possible that you will not experience any signs of the condition.

Unexplained Infertility

Between 10 percent and 30 percent of infertile couples never find out why they are unable to conceive after trying for years. Some doctors believe this is due to a lack of accurate diagnosis. Undiscovered or undetected difficulties in fertility, according to some, are the exception rather than the rule. The truth remains, however, that some couples do not receive responses to their questions. However, just because you don’t have answers does not rule out the possibility of being treated. It is still possible (and recommended) to undergo therapy for infertility even if the cause of your condition is unknown.

A Word From Verywell

Please be aware that there is assistance available if you are experiencing problems becoming pregnant. Many couples put off testing and treatment because they are hoping for a miracle or because they believe they should just “try a little longer.” This is a grave error. Some reasons of infertility become more severe with time. The sooner you seek assistance, the more likely it is that fertility treatments will be successful for you. Another reason why couples put off testing is that they believe they are in excellent health and appear to be so.

Even if you have a standard 28-day menstrual cycle, it doesn’t ensure you’ll have quick and smooth outcomes while attempting to conceive, and it doesn’t rule out the possibility that you have a reproductive problem.

Therefore, if you have been trying to conceive for more than a year (or six months if you are 35 years or older), please seek professional assistance.

What to Do When You Can’t Get Pregnant

Chelsea Damraksa’s “Very Well” When you’ve been trying to conceive for a long period of time, it might be distressing to discover that you are unable to conceive. However, there are things you can and should do to mitigate the situation. Sometimes the underlying reason of infertility is straightforward to identify and cure. Whether you’re under the age of 35 and have been trying to get pregnant for a year, or if you’re over 35 and have been trying for six months, it’s time to get assistance. If you’ve had two or more miscarriages in a row, you should consult with a medical expert.

Step 1: Make an Appointment with Your OB/GYN

Chelsey Damraksa’s /Very good When you’ve been trying to conceive for a long period of time, it might be distressing to discover that you are unable to do so. However, there are actions you can, and should, take to mitigate the situation. There are some cases where the reason of infertility is straightforward to identify and cure. Getting help is essential if you are under the age of 35 and have been trying for one year, or if you are beyond the age of 35 and have been trying for six months.

After experiencing two or more miscarriages in a row, you should consult with a doctor. Even if you haven’t tried for a kid for a year and are experiencing any concerning symptoms or have risk factors for infertility, you should seek medical attention.

  • Even if you menstruate on a regular basis, you should know the dates of your previous six cycles. You should bring the last six months’ worth of information from a fertility calendar or body basal temperature chart if you have one. List of drugs that you and your partner take on a regular basis (if applicable). Some medications, including some antidepressants and even over-the-counter allergy medications, can have an adverse effect on fertility. List any infertility symptoms or risk factors that you are experiencing
  • Please feel free to ask any queries you may have. Putting your questions in writing increases your chances of getting them answered.

Even if you have a regular menstrual cycle, you should know the dates of your previous six cycles. You should bring the last six months’ worth of information from a fertility calendar or a body basal temperature chart. List of drugs that you, as well as your partner, regularly take. Certain medications, including some antidepressants and even over-the-counter allergy medications, can have an adverse effect on fertility; they include: If you have infertility symptoms or risk factors, please provide a list.

The likelihood of asking them is higher if they are written down.

Step 2: Begin Basic Fertility Testing

Women’s fertility testing comprises blood tests, while men’s fertility testing includes sperm analysis. Testing may also involve a hysterosalpingogram (HSG), a vaginal ultrasound, or a diagnostic laparoscopy, depending on the severity of your symptoms. Along with the basic pelvic exam and blood test, your doctor will likely do a Pap smear, as well as tests for specific sexually transmitted illnesses and disorders. Basic fertility testing may or may not result in a positive result for infertility.

When you are going through fertility testing, it is normal to feel frightened and concerned.

An in-person support group or an online fertility forum can also be beneficial in terms of providing emotional assistance.

Step 3: (Maybe) Begin Basic Fertility Treatment

Depending on the findings of your fertility testing, your doctor may recommend that you pursue some sort of fertility therapy to help you become pregnant. Taking a prescription such asClomid(clomiphene),Femara(letrozole) – a breast cancer therapy that boosts estrogen levels – or Metformin – an insulin-sensitizing drug that is used to treat infertility and is occasionally taken in conjunction with Clomid – may help you conceive. If testing finds that you have structural abnormalities (such as those of your uterus) or endometriosis, your doctor may recommend that you undergo surgical treatment.

While undergoing treatment, some modifications in your way of life may significantly enhance your chances of becoming pregnant (and even if you choose not to pursue treatment).

  • Quitting smoking
  • Reducing one’s intake of alcoholic beverages Being overweight or obese (fat can also be driven by a hormonal imbalance) and losing weight are two important goals. If you have a tendency to overwork out or are underweight, you should consider reducing the quantity of exercise you perform.

Step 4: Look For a Fertility Clinic

If your basic fertility therapy is unsuccessful, or if your test results indicate that you require treatment that falls outside of your gynecologist’s scope of practice, they may send you to a fertility specialist or fertility clinic for further evaluation. Because your fertility treatment is unlikely to be covered by insurance, you should narrow your search for a doctor or clinic to those that provide the finest available care at the most reasonable price. When you begin your search for fertility clinics, be sure you understand how much the initial consultation will cost before proceeding.

If you decide to proceed with treatment, you should discuss payments with your doctor ahead of time. If you’re thinking about going to a clinic that isn’t close by, remember to account for travel time and lost work time. Many therapies need many follow-up visits.

Step 5: More Fertility Tests

It is common (but not usually) for a fertility clinic to request more testing or even rerun some of the tests you’ve previously completed. If, for example, your gynecologist has determined that you have low follicle-stimulating hormone (FSH) levels, the fertility clinic may elect to do further tests such as an antral follicle count or other ovarian reserve tests. If you’ve ever experienced a miscarriage, it’s possible that your gynecologist submitted the tissue from the miscarriage to a laboratory for testing.

Step 6: Create a Plan of Action

After you receive the results of any second-round or repeated testing, your fertility specialist will discuss the results with you and propose a course of action. You may also meet with a financial counselor from the clinic to discuss payment expenses and choices with him or her. Your doctor should give you and your spouse enough time to think about the planned therapies and determine what you can afford to pay for them with.

Step 7: Begin Fertility Treatment

Treatments for infertility range from being quite easy to being difficult and time-consuming. For example, if you have endometriosis, your doctor may recommend that you have surgery to remove endometrial deposits before proceeding with the procedure. Once that, you can begin in vitro fertilization treatments or even try to conceive on your own for a period of time after you have had time to heal.

Step 8: Reevaluate Treatment Plans

Treatment for infertility is less about finding a single answer and more about going through a series of “try this, then that” steps. Even if you conceive on your first treatment cycle, it is more probable that you will require a few more cycles before you are successful. A qualified doctor will assist you in determining when it is best to continue with the present treatment plan and when it is necessary to make significant or minor modifications. Treatments are also subject to prescribed limitations.

If you’re feeling overwhelmed but aren’t quite ready to give up, talk to your doctor about taking a vacation from your current activities.

Furthermore, your mental health is sometimes more vital than your physical health.

Step 9-A: Plan for a Healthy Pregnancy

If treatment is successful and you become pregnant, the fertility clinic will likely monitor you for the first several weeks of the pregnancy, and you may be required to continue certain hormone therapies or injections over the course of pregnancy. According on the cause of your infertility and whether or not you conceive multiple children, you may require more frequent monitoring throughout your pregnancy. Pregnancy following infertility is not the same as a pregnancy that was “easily conceived.” Even determining when to tell folks you’re pregnant might be a difficult decision.

Though you have infertile friends, you may sense survivor’s guilt or feel as if you are abandoning them because you were successful.

Step 9-B: Decide to Move On

Not all infertile couples will be successful in their attempts to conceive. If you are eventually unable to become pregnant or are forced to discontinue treatment due to financial constraints, it can be devastating. If your dissatisfaction is overpowering, get professional counseling or join a self-help group to get some perspective. Thank you for sharing your thoughts! Thank you for taking the time to join up. There was a clerical error. Please try your search again. Verywell Family relies on only high-quality sources, such as peer-reviewed research, to substantiate the information contained in its articles.

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