Female Infertility

Female infertility

 

The medical definition of female infertility is the most common causes of female infertility include problems with ovulation, damage to fallopian tubes or uterus, or problems with the cervix. when a woman is unable to conceive a child after 12 months of regular intercourse with her partner Age can contribute to infertility because as a woman ages, her fertility naturally tends to decrease. without the use of contraception. This includes miscarriages and chemical pregnancies.

Over the past few years, modern medical science has developed many modalities like -hormonal therapy, IUI, in-Vitro fertilization (IVF), embryo transfer, gamete intrafallopian transfer, ICSI, etc., but with minimal success rates only. Moreover, these procedures are associated with adverse effects and are not affordable to all. Considering these inconveniences, the population is turning towards traditional medicines like Ayurveda.

What are the essential healthy factors for baby-making? Ayurveda says, preparing for conception can be easily compared to the process of farming. Just like the health of a crop depends on the quality of soil, seed, the timing of sowing, and amount of watering it gets, the health of a baby depends on the health of the women.

 

Ayurvedic way of baby making- the essential ingredients for women

 

For a pregnancy to be healthy and successful, a couple needs to take care of the following four essential factors which should be free form all kind of diseases:

1.Ovum -quality of eggs (Seeds)

2.Reproductive system of a female -Uterus, tubes and ovaries,etc.(Soil/land)

3.Nourishment – diet and lifestyle of a female (Water, sunlight etc.)

4.Time for Conception- ovulation time (Timing of Sowing)

 

Role of Doshas in fertility

 

Tridoshas have an impact over all the process involved in ovulation and baby making.

-Vata stands for proliferation and division of cells (granulosa and theca cells), rupture of the follicle, etc.-initiation/ activation of the process.

-Pitta is associated with its conversion power, like conversion of androgens to estrogen in Graffian follicle maturity of follicle by its function of Paka Karma.- maintenance of the process.

-Kapha stands as a building and nutritive factor. It binds all the cells together and gives nutrition for growth and development of the cells.- further development.

 

Causes of female infertility

 

Ovulation disorders, can prevent the ovaries from releasing eggs (anovulation). The most common symptoms are infrequent or absent menstrual periods. Underlying causes may include hormonal imbalances, Problems with ovulation are the most common cause of female infertility. eating disorders and excessive exercise, In addition, Underlying medical conditions some medications and recreational drugs can be associated with ovulation disorders. and ovulation disorders are the cause of subfertility in around 25% of couples who have difficulty conceiving.-

 

Polycystic ovary syndrome (“PCOS”) is a condition in which a woman has an imbalance of female sex hormones that may lead to menstrual cycle changes, cysts in the ovaries, trouble getting pregnant, and other health changes. At the time of ovulation, the ovaries produce small cysts and typically, one follicle ripens to release an egg. In PCOS, the follicles fail to ripen, forming multiple small cysts. PCOS affects between 12-18% of women of reproductive age.

 

Endometriosis is a condition in which cells from the lining of the uterus (the endometrium) are found outside of the uterus and can cause pain and infertility. Endometriosis has an estimated prevalence of 0.5-5% in fertile and 25-40% in infertile women.

 

Fallopian tube damage or blockage which can result from inflammation of the fallopian tube (salpingitis). Chlamydia, a sexually transmitted infection, is a frequent cause.

 

Age as women age their fertility and the chance of becoming pregnant is reduced because the quality and number of eggs decreases. This becomes significant after the age of 32 with a gradual decrease in the chance of conceiving and an increase in the chance of pregnancy complications.

 

Fibroids Uterine fibroids or uterine myomas occur more frequently with advancing age. A fibroid is a non-cancerous growth of the muscle in the uterus. These may require treatment if they are causing problems with fertility.

 

Unexplained: Unexplained infertility (idiopathic) is defined as not being able to conceive after one year, even though the cycle is normal, semen is normal, the results of internal examinations are normal and there is normal sperm-mucus penetration.

 

Female Infertility in Ayurveda- Bandhyatva

 

Bandhytava is a condition where a female is not able to concieve due to various reasons.

 

Types of Bandhyatva and tubal blockage: Although Bandhyatva, has not given classification of , his literature in successive order denotes the three types:

1.Bandhya — absolute sterility caused by congenital absence of uterus and / or Artava or the condition of absolute sterility. This condition does not indicate tubal blockage directly;

2.Apraja— primary infertility in which a woman conceives after treatment. This type of infertility can be due to tubal blockage, but it is not a direct indication of tubal infertility;

3.Sapraja— a condition in which a woman after giving birth to one or more children does not conceive in her reproductive age. The most important cause behind this type of secondary infertility is tubal blockage, which is due to post-partum infection of the reproductive organs that can lead to infertility by causing tubal blockage.

 

Vandhyatva is a vāta dominating pitta and Kapha associated problem among females.