HOW HOR­MONAL IM­BAL­ANCE AF­FECTS IN­FER­TIL­ITY

Woman's Era - - Short Story -

Hor­monal Im­bal­ance and in­fer­til­ity have a di­rect cor­re­la­tion when your hor­mone are not balanced, your body does not work prop­erly, and that is why it is a com­mon cause of in­fer­til­ity in women. When you are try­ing to con­ceive it is im­por­tant to re­plen­ish and bal­ance your hor­mones first.

Some for the com­mon dis­or­der af­fect­ing fer­til­ity are:

Thy­roid dys­func­tion – many women have un­di­ag­nosed thy­roid dis­or­der which can af­fect their abil­ity to get preg­nant. Hav­ing op­ti­mal level of thy­roid hor­mone is im­por­tant for con­cep­tion and a healthy preg­nancy. Hy­pothy­roidism is more com­mon and can af­fect fer­til­ity due to anovu­la­tory cy­cle ( ab­sence of egg for­ma­tion), luteal phase de­fects ( de­fi­ciency of pro­ges­terone hor­mone), hy­per­pro­lactine­mia ( raised level of pro­lactin hor­mone) which again af­fect egg for­ma­tion and loss of li­bido (sex­ual de­sire).

En­dometrio­sis: En­dometrio­sis is a dis­ease where tis­sue sim­i­lar to the tis­sue that line the uterus can be found through­out the pelvis. It is char­ac­ter­ized by painful pe­ri­ods ( dys­men­or­rhea), pain dur­ing in­ter­course (dys­men­or­rhea) and it is a com­mon cause of in­fer­til­ity. Due to for­ma­tion of ad­he­sion’s there is dis­tor­tion of the fal­lop­ine tube and ovaries which can in­ter­fere with the me­chan­ics of fer­til­iza­tion and im­plan­ta­tion. En­dometrio­sis re­lated in­flam­ma­tion procedure chem­i­cals which in­ter­fere with egg qual­ity, im­plan­ta­tion and fer­til­iza­tion. En­dometrio­sis can cause luteal phase de­fect ( low lev­els of pro­ges­terone) and poor buildup of uter­ine lin­ing af­ter ovu­la­tion.

Uter­ine Fi­broids: Uter­ine fi­broids are be­nign tu­mors of the uterus. Many fi­broids do not in­ter­fere with fer­til­ity. The type that has an im­pact on re­pro­duc­tion for­ma­tion is the sub­mu­cous type that pushes into the uter­ine eas­ily.

Ovar­ian cysts: Ovar­ian cysts are fluid- filled growths in the ovaries. Choco­late cysts re­sult­ing from en­dometrio­sis can af­fect fer­til­ity. Func­tional cysts cys­tade­noma and der­moid cyst, un­less they be­come very large, do not af­fect fer­til­ity. Larger cysts can cause pain, dis­tort anatomy, create scar tis­sue ( ad­he­sions) or pos­si­ble dis­place other re­pro­duc­tive or­gans,

PCOS (Poly­cys­tic Ovary Syn­drome): PCOS is a hor­monal dis­or­der com­mon among women of re­pro­duc­tive age. Women with PCOS may have in­fre­quent or pro­longed men­strual pe­ri­ods or ex­cess mole hor­mone lev­els ( hy­per­an­dro­genism) re­sult­ing in ex­ces­sive fa­cial and body hairs an acne. The ovaries de­velop nu­mer­ous small col­lec­tions of flu­ids (fol­li­cles) and foil to reg­u­larly re­lease eggs. Symp­toms and signs of PCOS are typ­i­cally more se­vere if a women is obese.

Preva­lence of in­fer­til­ity in women with PCOS varies be­tween 70 to 80%. Life­style change is con­sid­ered the first line treat­ment for in­fer­til­ity in obese women with PCOS. A 5 to 10% loss in body weight many be as­so­ci­ated with im­prove­ment in hy­per­an­dro­genism and ovu­la­tion rate.

Are you at risk for hor­mone bal­ance prob­lems?

Hor­mone re­lated prob­lems can af­fect any­one. How­ever, you’re more at risk if you are obese, have ir­reg­u­lar men­strual pat­tern, and have ex­ces­sive fa­cial or body hair. Ex­po­sure to hor­mone- mim­ics in per­sonal care prod­ucts can af­fect hor­mone lev­els, too. Be es­pe­cially cau­tious be­fore tak­ing hor­mone con­tain­ing drugs as they can cause se­ri­ous dis­rup­tions in hor­mones, in­crease risk for re­pro­duc­tive can­cer or af­fect fer­til­ity.

What can you do to main­tain a healthy hor­mone bal­ance?

• Main­tain a healthy weight.

• Drink plenty of flu­ids.

• Ex­er­cise reg­u­larly.

• Eat high fiber foods.

About Metro In­fer­til­ity Cen­tre

Metro In­fer­til­ity Cen­tre pro­vides full range of ser­vices, from sim­ple eval­u­a­tions and rec­om­men­da­tions to state- of- the- art re­pro­duc­tive tech­nolo­gies. Pa­tients are seen in a car­ing en­vi­ron­ment, where the ma­jor em­pha­sis is placed not only on tech­no­log­i­cal ex­cel­lence but also on per­sonal at­ten­tion and emo­tional sup­port.

Our Spe­cial­ized Ser­vices

• Coun­sel­ing and eval­u­a­tion of In­fer­tile cou­ple

• Man­age­ment of Male and fe­male fac­tors In­fer­til­ity

• In­tra Uter­ine In­sem­i­na­tion (IUI)

• In vitro fer­til­iza­tion (IVF)

• In­tra Cy­to­plas­mic Sperm In­jec­tion (ICSI)

• Sur­gi­cal sperm re­trieval for Azoosper­mia

• Egg & Sperm Do­na­tion

• Sur­ro­gacy

• Cryo preser­va­tion prior to Can­cer treat­ment

• Oo­cyte freez­ing

• Em­bryo Freez­ing

• La­paro­scopic & hys­teroscopy fer­til­ity en­hanc­ing surg­eries.

The in­fer­tile cou­ples must un­dergo a set of ad­vanced tests be­fore the com­mence­ment of any treat­ment to se­lect the right kind of fer­til­ity treat­ment for cou­ples based on the ini­tial re­ports.

Dr Arun Ku­mar Singh Con­sul­tant - En­docri­nol­o­gist and Di­a­betol­o­gist Dr Vi­neeta Kharb In­fer­til­ity/ivf Spe­cial­ist and Con­sul­tant OBG

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