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FEMALE INFERTILITY: CAUSES, DIAGNOSIS AND TREATMENT

The infertility is defined as the inability of a couple to achieve pregnancy after 12 months of intercourse without using contraception or the inability to complete the pregnancy.

affects about one in five couples in the U.S. and usually originates from both partners, so it becomes important to consider both men and women. The female infertility accounts for approximately 55% of infertility and its causes are often multiple.

The main causes of female infertility are caused by :

-Hormonal problems.
-Alterations in ovulation.
-Problems in the cervical mucus.
-uterine malformations and fallopian tubes.
-Problems in the implantation of the egg.
-Endometriosis.
-ovarian cysts or tumors.
-pelvic inflammatory disease.
-Obesity.
-thyroid disease, diabetes mellitus, renal or adrenal disease.
-environmental factors like smoking and alcoholism. -both physical and psychological stress.

The female infertility may have no symptoms or may have one or more of the following:

- excessive facial hair.

- heavy periods, irregular or absent.

- smelly menses accompanied by blood clots.

- Issue liquid over the breast.

- severe menstrual cramps.

- Excessive pain during intercourse.

- brown spots to spend the period.

- persistent lower abdominal swelling.

- vaginal bleeding.

- Changes in mood in the period.

When a couple does not desired pregnancy after a year of sexual intercourse is recommended medical evaluation to both members. The assessment consists of conducting a medical and sexual history, physical examination, evaluation ovulation, semen analysis, hormonal examination, pelvic or transvaginal ultrasonography, hysterosalpingogram, including specific assessments that depend on the patient's condition.

Once the diagnosis the doctor determines the course of treatment based on patient age, health status, medical history, the cause of the disorder, drug tolerance and preferences.

The currently available treatments for female infertility include:

* ovulation medications.
* Intrauterine insemination.
* Surgery.
* Technology reproductive isolation.

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