Infertility Caused By Cervical and Uterine Problem And The Natural Solution: Infertility is a condition defined as not being able to become pregnant after at least one year of unprotected, regular, well- timed intercourse. Women who suffer from multiple miscarriages may also be diagnosed as infertile. Infertility may be classified into two groups, primary and secondary infertility.
Primary infertility
Infertile Person has never had a child.
Secondary infertility
Infertile person has had one or more children in the past
Experiencing infertility is emotionally painful for women. Feelings of frustration, guilt, anger, anxiety, depression and confusion may dominate daily life.
The female reproductive cycle includes the release of the mature egg from the ovary, fertilization of the egg and implantation and growth of the egg in the uterus. The cause of infertility in women could be hidden in any of these stages. Therefore we should first understand the complex process of Conception.
Organs involved
Uterus:
Pear-shaped organ located between the bladder and lower intestine. It consists of two parts, the body and the cervix. When a woman is not pregnant the body of the uterus is about the size of a fist, with its walls collapsed and flattened against each other. During pregnancy the walls of the uterus are pushed apart as the fetus grows. The main function of the uterus is to nourish the developing fetus prior to birth.
Cervix:
Lower portion of the uterus, it has a canal opening into the vagina with an opening called the os, which allows menstrual blood to flow out of the uterus into the vagina.
Fallopian tube:
Two tubes each side of the body of the uterus known as the fallopian tubes. Near the end of each tube is an ovary.
Ovary:
Ovaries are egg-producing organs that hold 200,000 – 400,000 follicles. These cellular sacks contain the materials needed to produce ripened eggs, or ova. Men produce sperms throughout their reproductive years. However, women are born with a specified number of eggs, whose number reduces with age. In order to become pregnant, a woman must release an egg from one of her ovaries. This egg must enter the fallopian tube and head towards the uterus. The sperm must then penetrate and fertilize the egg along the way. The fertilized egg must attach to the inside of the uterus so that implantation can occur. Any interference that occurs during this fertilization process may bring about infertility.
Reproductive hormones:
In women, six key hormones serve as chemical messengers that regulate the reproductive system, the hypothalamus (an area in the brain) and the pituitary gland regulate the reproductive hormones.
Ovulation
– With the start of each menstrual cycle, follicle-stimulating hormone (FSH) stimulates several follicles to mature over a 2-week period until their eggs nearly triple in size.
– Only one follicle becomes dominant, however, during a cycle. FSH signals this dominant follicle to produce estrogen, which enters the bloodstream and reaches the uterus.
– Estrogen stimulates the cells in the uterine lining to reproduce, therefore thickening the walls.
– Estrogen levels reach their peak around the 14th day of the cycle (counting days beginning with the first day of a period). At that time, they trigger a surge of luteinizing hormone (LH).
– LH serves two important roles:
A – LH surge around the 14th cycle day stimulates ovulation. It does this by causing the dominant follicle to burst and release its egg into one of the two fallopian tubes. Once in the fallopian tube, the egg is in place for fertilization.
B – LH causes the ruptured follicle to develop into the corpus luteum. The corpus luteum provides a source of estrogen and progesterone during pregnancy.
Fertilization
The so-called “fertile window” is 6 days long and starts 5 days before ovulation and ends the day of ovulation. Fertilization occurs as follows:
The sperm can survive for up to 3 days once it enters the fallopian tube. The egg survives 12 – 24 hours unless it is fertilized by a sperm.
If the egg is fertilized, about 2 – 4 days later it moves from the fallopian tube into the uterus where it is implanted in the uterine lining and begins its 9-month incubation.
The placenta forms at the site of the implantation. The placenta is a thick blanket of blood vessels that nourishes the fertilized egg as it develops.
Causes
Uterine causes
– Fibroids and polyps:
Fibroids are benign lumps of tissue growing in or on the myometrium (the wall of the uterus surrounding the endometrium).
These can make conceiving difficult by blocking the fallopian tubes or disrupting implantation. This mostly occurs amongst women in the 30s. But facts reveal that many women with fibroids can become pregnant.
– Congenital:
Some women are born with uterine abnormalities like abnormally shaped uterus. Presence of complete or incomplete septum, these women can face problems in conceiving or carrying on their pregnancy.
Cervical cause:
– Antibody:
Presence of antibody for the sperm entering the uterus, Hence the sperm unable to reach the uterus and the ovum which fails to fertilize.
– Hormonal imbalance:
Causing cervical mucus consistency to be thick thus preventing swimming of sperm to travel up to the fallopian tubes.
– Cervical narrowing or blockage:
This defect is also known as cervical stenosis. The reason for cervical stenosis can be inherited malformation or damage to the cervix. These results into the cervix being incapable of producing the quality mucus required for sperm mobility and fertilization. Also the cervical opening can be closed stopping the sperms from reaching the egg.
Fallopian tube cause:
– Fallopian Tube Damage:
The fallopian tube carries the fertilized egg to the uterus and also is the passage for the sperms to meet the egg. Any kind of damage or blockage in the fallopian tube will make conception difficult. A fallopian tube could be damaged by inflammation of the fallopian tubes, a previous history of ectopic pregnancy wherein the fertilized egg continues to develop in the fallopian tube itself or a previous surgery of abdomen or pelvis.
– Tubal blockage:
It is present due to tuberculosis of the fallopian tubes.
Endometriosis
Endometrial tissues form the lining of the uterus. Endometriosis occurs when endometrial tissue, grows outside the uterus. If a part of these tissues grows outside the uterus, it blocks the passage of the egg, resulting in infertility. Between 25 and 50 percent of infertile women are estimated to have this condition.
Diagnosis: A positive diagnosis can only be made by diagnostic laparoscopy, a test that allows the physician to view the uterus, fallopian tubes, and pelvic cavity directly.
Symptoms: includes heavy, painful and long menstrual periods, urinary urgency, rectal bleeding and premenstrual spotting. Sometimes, there will be no symptoms at all.
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