Author: Dr. Beena Muktesh

Qualification : MBBS, MS – Obstetrics & Gynaecology

Infertile, but unsure why? It could be unexplained infertility

Infertility is a medical condition when couples are unable to conceive due to a variety of reasons, including lifestyle and environmental problems. Unexplained infertility is a term used when there are no obvious causes for a couple’s or persons’ infertility. This is usually diagnosed after extensive fertility tests of both partners. Most common infertility issues like
  • issues with the uterus
  • irregular ovulation
  • obstructed fallopian tubes
  • low egg count
  • low levels of the hormones needed for reproduction
  • poor semen health
are completely ruled out before doctors diagnose this condition. People diagnosed with unexplained infertility have been trying to get pregnant for at least one year (if you’re younger than 35) or six months (if you’re 35 or older). However, this does not mean that couples must give up on their dream to have a baby. Fertility treatments and assisted reproductive technologies (ART) like IUI (intrauterine insemination) and IVF (in vitro fertilization) can help couples get pregnant. Is unexplained infertility very rare? Not at all. While the parameters for testing differ from one medical provider to another, the phenomenon is not uncommon, according to this study. 8 to 37% of infertile couples in India are diagnosed with unexplained infertility. What causes unexplained infertility? While a definitive cause cannot be pinpointed, there are a few possible reasons why the diagnosis happens. Pregnancy is the result of several bodily functions working together properly, and even subtle changes can put things off balance.
  • An underlying health condition: No one is completely sure how every condition affects fertility. There could be underlying undiagnosed issues such as immunology.
  • There is a reason this doesn’t comes in unexplained infertility – Endometriosis: Endometriosis is a condition wherein the tissue like the tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Even mild endometriosis or endometriosis with no symptoms could contribute to infertility.
  • Egg quality: There is no definitive test to measure the quality of your eggs. Healthcare providers can measure how many eggs you have through an ultrasound, but ultrasound doesn’t tell them about egg quality.
  • Sperm quality: Like egg quality, a sperm analysis reveals most problems with sperm. But there may be other issues with sperm that contribute to unexplained infertility.
Many times, there is just no cause, or the cause is hard to diagnose or treat.  What are the options after this diagnosis? The most comedication and map for unexplained infertility includes making lifestyle changes, getting on medication, and starting IUI (intrauterine insemination) cycles. If that is not successful, the next step is usually trying in vitro fertilization (IVF treatment). Medication Medications that stimulate egg production and ovulation are available in injectable and tablet form and can be used alone or with IUI (intrauterine insemination) and IVF (in vitro fertilization) treatment. Lifestyle changes Several lifestyle factors contribute to infertility. Some things to help your chances of conceiving are:
    • Avoid smoking and alcohol consumption
    • Maintain a healthy weight
    • 30 minutes of exercise each day
    • Limit caffeine consumption
    • Reduce stress
Assisted Reproductive Technology (ART) ART is a type of fertility treatment that usually involves part of the fertilization process happening in a lab. ART treatment includes intrauterine insemination (IUI) and in vitro fertilization (IVF). IUI is when providers wash and concentrate sperm in a lab before injecting it into your uterus at ovulation. IVF involves creating embryos in a lab using your eggs and your partner’s (or donor) sperm, then moving the embryo to your uterus to grow. When it comes to treating unexplained infertility, IVF has the best odds for pregnancy success. Sometimes IVF doctors even recommend trying longer, the problem resolves on its own, and treatment isn’t needed. It is important to remember that couples will have to consider a combination of treatment methods and pick what suits them the most, depending on health conditions, age, and other socio-economic factors. So, if you’re having trouble with infertility and seeking a reputable fertility center in Gurgaon, your search ends here at Motherhood Fertility & IVF Centre. Our center is equipped with state-of-the-art technology and staffed with top IVF Doctor in Gurgaon, establishing us as the premier fertility hospital in the area.  
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