Unexplained Infertility

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Unexplained Infertility

Approximately 15% to 30% of couples will be diagnosed with unexplained infertility after their diagnostic workup.

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General Infertility Causes

Unexplained Infertility Causes

Infertility is described as having trouble becoming pregnant while having regular, unprotected sex for at least a year. Basic evaluations of fertility can be done after a year of unsuccessful trying to conceive. The cause of infertility is considered unexplained when the outcomes of common infertility testing are normal. In the sense that its aetiology is still unknown despite infertility tests, it is also known as idiopathic infertility.

These consist of:Semen analysis, ovarian reserve assessment, ovulation assessment, and hysterosalpingogram/HyCoSy (tubal patency)Evaluation of an infertile couple's male partner may involve any of the following: • Keeping a thorough medical history of the patient; • Physical examination; • Semen analysis.The diagnosis of testicular anomalies, such as a varicocele or the absence of the vas deferens, is aided by a physical examination.The following are evaluated via sperm analysis:Sperm morphology, motility, and count are all important factors (shape)

Evaluation of Ovulation: Ovulatory dysfunction is present when a menstrual cycle is irregular. Serial ultrasound scans and blood tests to track hormone levels, including as luteinizing hormone (LH), estradiol, and progesterone levels, are the most reliable ways to identify ovulation.• Evaluation of Ovarian Reserve: Ovarian reserve describes a woman's capacity to procreate based on both the quantity and quality of her eggs.

The best methods for evaluating it are an ultrasound scan to count the antral follicles (AFC) and a blood test to measure the levels of antimullerian hormone (AMH). One of the best indicators of ovarian reserve in women is her age.• Fallopian Tube Evaluation: Tubal patency can be assessed by hysterosalpingography (HSG) and hysterosalpingo Contrast sonography (HyCoSy).

Women under 35 who have had frequent, unprotected sexual contact for a year without becoming pregnant should see a doctor. Women who are 35 years of age or older or who have any known illnesses that could negatively influence their fertility, such as endometriosis, should seek help sooner rather than later. It is significant to remember that if you have a risk factor that impacts your fertility, you should get counsel as soon as possible regardless of your gender.

Lifestyle Modifications: Consume a diet that is well-balanced. No cigarette smoking or drug usage for pleasure. Reduce your intake of alcohol and caffeine. Physical activity is suggested frequently. Aim for a body mass index (BMI) that falls within the range of normal.Around the time of ovulation, sperm are directly inserted into the uterus during intrauterine insemination (IUI) ( the ovary releases one or more eggs). Sperm will ideally reach the fallopian tube where they will attempt to fertilise an egg, leading to a pregnancy.

Unknown causes of infertility can be treated using IUI, which is frequently combined with ovulation-inducing drugs.Intracytoplasmic Sperm Injection (ICSI) and in vitro fertilisation (IVF): There are a number of methods available to assist persons with reproductive issues in becoming pregnant.

In IVF/ICSI, a woman's ovaries are removed, and eggs are then fertilised with sperm in the lab. The fertilised egg, now known as an embryo, is next placed back inside the mother's uterus. Which treatment choice is best for you can be determined with the assistance of your doctor.

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