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Conditions That Affect
Fertility
There are many reasons why
a couple may have difficulty in conceiving a child. Disease,
drugs, heredity, lifestyle habits or even exposure to certain.
...
Date : January 16, 2006
There are many reasons why a
couple may have difficulty in conceiving a child. Disease,
drugs, heredity, lifestyle habits or even exposure to certain
toxins can affect fertility. Reasons for diminished reproductive
capacity include:
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- Endometriosis - This
condition affects a woman's pelvic cavity, where tissue
fragments from the innermost lining of the uterus (the
endometrium) grow and function outside the uterus. They
are one of the causes of painful menstruation and infertility.
These displaced pieces of tissue are not shed vaginally
with normal menstrual blood but instead accumulate inside
the pelvis on the surface of pelvic organs. If they cause
scar tissue on the ovaries or at the ends of the fallopian
tubes, the scar tissue can block the tubes and prevent
the egg and sperm from meeting inside the tubes for fertilization.
In some instances, endometriosis can be surgically removed.
Drugs can reduce discomfort related to endometriosis but
are less successful at improving fertility.
- Luteal Phase Defect (or deficiency)
(LPD) - A condition that occurs when the uterine
lining does not develop adequately because of inadequate
progesterone stimulation; or because of the inability
of the uterine lining to respond to progesterone stimulation.
LPD may prevent embryonic implantation or cause an early
abortion.
- Reproductive Tract Infections
- A leading cause of infertility in both men and women
is sexually
transmitted diseases (STDs) - particularly Chlamydia
and gonorrhea. If untreated - and many infected women
have no symptoms - scarring or damage of the fallopian
tubes may cause infertility. In men, an STD can lead to
scarring and blockage of the ejaculatory ducts and other
reproductive structures, thereby causing infertility.
- Pelvic Inflammatory Disease (PID)
- This infection of a woman's upper reproductive system
involves the fallopian tubes, uterus and ovaries. The
most common cause of PID is an STD, but it may also occur
after complications from an abortion, dilatation and curettage
(D&C) surgery, childbirth or even use an intrauterine
device (IUD). A single episode of PID is associated with
approximately a 15 percent risk of infertility. A second
episode doubles infertility risk to about 30 percent.
For three or more episodes, the risk rises to more than
50 percent.
- Female Hormonal Imbalances
- If your female hormones fail to transmit their chemical
signals at precisely the right time, ovulation may be
irregular, infrequent or fail to occur. Periods will likely
be erratic and unpredictable. Female hormonal imbalances
can often be treated with fertility drugs.
- DES Exposure - Men and
women exposed in the womb to diethylstilbestrol (DES),
a drug used in the past to prevent miscarriages, may find
that their fertility is compromised. DES daughters may
have reproductive system abnormalities - including an
unusually shaped uterus or vagina or abnormal fallopian
tubes. These abnormalities can cause ovulation problems
in some women, as well as an increased risk of miscarriage,
premature delivery and ectopic pregnancy. The data related
to sons with DES exposure are not conclusive. Some studies
suggest an association with low sperm counts or abnormal
sperm, undescended testicles or abnormal openings of the
urethra.
- Varicocele - This condition
of dilated scrotal veins affects one or both testicles.
These dilated, varicose veins are quite common in fertile
as well as infertile men. This condition can raise the
temperature in the testicles and alter sperm production,
causing low sperm counts. Because varicoceles do not always
explain a couple's infertility, a urologist will consider
all the possible causes of infertility to evaluate whether
corrective surgery has a reasonable chance of success.
- Prostatitis - Another
potential cause of male infertility, prostatitis is an
infection in the prostate gland. Symptoms range from none
to urgency, painful urination, and pain during or after
ejaculation, with or without pain in the prostate. Prostatitis
can usually be diagnosed though a physical examination
and lab tests, and may be require treatment with antibiotics.
- Caffeine - Some women
who consume an excessive amount of caffeine - equivalent
to five cups of coffee - take longer to get pregnant.
In one study, those who consume the most caffeine had
a 45 percent risk of waiting more than nine months before
becoming pregnant.
- Social drugs - Marijuana
and cocaine may reduce sperm count and motion, and increase
the percentage of defective sperm.
- Diabetes - It is thought
that type 1 diabetes
associated with accelerated aging may contribute to premature
ovarian failure. It is also thought that early menopause
is a previously unknown complication of diabetes, rather
than a result of existing diabetic complications.
- Strenuous Exercise and Weight Loss
- Many women will overdo it in the gym in a mad scramble
to reclaim their figures after childbirth. This can affect
ovulation. Whatever the cause, couples with secondary
infertility will need to consider the same options as
couples dealing with primary infertility.
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