Causes of Inferlity in WomenCauses of Infertility in Women

7/28/2019 Causes of Inferlity in WomenCauses of Infertility in Women

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Inability to conceive despite tryinghaving regular intercourse forone ye

causes could be due to female fac

male factors

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Causes InWomen

Cervical

Tubal

Uterine

Ovarian

Endometriosis

Unexplained

Age

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Laser conization- low secre

Anti-Sp

Blockage of the vagina

Imperforate hymen

Extremely narrow vagina

Painful infections in the vagina

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Uterine Causes

Infertility inWomenCongenital

Asherman Syndrome

Fibroids

Fibrosis

Endometrial Polyps

Adenomyosis

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Treatment:

Hysteroscopic resection o

adhesions can be done bu

need multiple sessions, in

to giving steroids with est

three weeks after surgery

recurrence.

Asherman Syndrome:

Intra uterine adhesion

(srepeated curettage, severe

endometritis, scars of uterine

surgery). Decreased amount of blood

loss during menstruation.

Can be diagnosed easily using

hysterosalpingogram.

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Fibroids:

Benign uterine tumor .

Adenomyosis They usually do not causeinfertility unless it affects the intrauterine cavity in

an obvious way, but if no other reason for infertility

can be found, it is better to do myomectomy

(excision of the fibroid ) and restore the

intrauterine cavity.

Myomectomy can be done either by Hysteroscopic

resection or by laparotomy

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Endometrial polyp: Its presence mimics IUCD, polyps can be diagnosed

ultrasound or hysteroscopy then polypectomy (removing the polyp) can

easily.

Adenomyosis: Symptoms include secondary dysmenorrhea, some horm

treatments could be helpful e.g. GNRH analogues, or Danazol, the decis

treatment should be taken by the treating physician.

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Chronic Pelvic

Infections

Fimbral End

Destruction

Adhesions

Short tub

Tubal Tumors

Tubal Cause Of Infertility

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Chronic Pelvic Infections:

Cause tubal congestion.

Obstruction (>3cm ) results in impeding of the oocyte

transfer, May result in pelvic adhesions that will affect tubal

movement.

Slowing it so inappropriate time for oocyte transfer interferes

with fertilization.

Tubal occlusion or pelvic adhesions that cause inability for

the fimbrial ends to catch the oocyte from the ovary or as

mentioned before abnormal movement of the tubes and

oocyte transfer. Causes for PID include infections with E.coli, or Gonococcus

infection (STD) PID affects ovarian function and tubal

movement

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Destruction of the fimbrial ends : Disabling its function

in catching oocytes into the tubes, PID or endometriosis

can cause this.Adhesions: Caused by tubal surgery done for ectopic

pregnancy, pelvic surgery done to the tubes or due to

appendicitis.

Tubal Tumors affecting it's function.

Short tubes (less than 4cm).

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Polycystic Diseases

Functional Failure

Pituitary Failure

Endocrino

Hypothalamic Fa

Ovarian Dysfunction

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Polycystic ovarian disease:

have what is called polycys

involves having follicles con

than the normal condition.

woman has normal fertili

associated with some condit

polycystic ovarian syndro

pathological.

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Women with e tubal occlusion

Male abnormal semen analysis

Women with PCOD will need IVF, should be individualized

Treatment of hormonal imbalance is the best thing

Recurrent abortions in PCO:

Increased LH level

Control before starting induction of ovulation.

Ovarian diathermy lowers LH

lower recurrent miscarriages w


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Congenital: Genetic and chromosomal causes

Ovarian agenesis. Hereditary causes for accelerated loss of ovarian

reserve.

Familial premature ovarian failure.

Chromosomal abnormalities (47XXX).

Exposure to certain factors:

Large amount of radiation exposure.

Chemotherapeutic agents as in cancer

treatment.

Viruses such as mumps.

Heavy smoking.

Congenital : enzymatic dy

17- Hydroxylase Defici

Galactosemia.

Extras :

Autoimmune causes: Preantibodies.

Lack of (or dysfunction)

ovarian receptors.

Idiopathic causes.

Surgical oopherectomy.

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Secondary disorder of Gonadotro

Regulation:

1. High prolactine level

2. Pituitary adenoma

3. Idiopathic hypothyroidism

4. side effect to medication

5. Suprapituitary Tumors

6. Pituitary Tumors, trauma such

7. Radiation exposure to the pitu

8. Idiopathic causes.

LH and FSH gonadotrophin Defici

1. Pituitary tumors.

2. Destructive pituitary lesion.

3. Pituitary ablation.

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Causes :

Rapid and sudden increase or decrease

weight.Severe psychological and neurological st

strenuous exercises.

Radiation exposure.

Medications that cause hypothalamic fa

Tumors.

Unknown causes.

Endocrinopathy

Adrenal gland dysfunction

Thyroid gland problems.

Hypothyrodism

Pancreatic problems ww


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"Endometriosis Is Presence of Endometrial Tissues Outside Endom

Affects pregnancy either by forming chocolate cyst

(endometrioma) or by causing adhesions.

Diagnos -Laparoscopy

Treatment:

Laparoscopic adhesiolysis,

Cauterization of endometriotic spots,

Salpingostomy and reanastomosis of fallopian tube problems.

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Hypotheses

Stress and worries changes in internal hormones ,decre

secretions or muscular spasm, including those lining fallopian

its obstruction, or muscles lining the vagina causing dyspareun

Stress also has its effects on the hypothalamus and ovarian fu

Couple seeking pregnancy to try, as much as possible, to allevia

worries and have trust in god and trust their treating ph

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Learn More

To Get

World Class

Infertility IVF Gynecology and ObstetricsFacilities

www.layyous.com

Dr Najeeb Layyous

Amman, Jordan

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Causes of Inferlity in WomenCauses of Infertility in Women

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