Female Infertility

Female Infertility Overview:

Infertility is clinically defined as the inability to concieve after 12 months or more of regular unprotected intercourse.


Aetiology:

  • 10–15 % of all couples
  • Fallopian tubes—infection may close or partly obstruct (PID, endometriosis).
  • Ovarian dysfunction
    • (a) ovulation may not occur;
    • (b) ovulation is irregular with anovulatory cycles;
  • Vagina—congenital malformation.
  • Uterus—fibroids/congenital malformation.
  • Immunological rejection of sperm

+ Primary

Never pregnant.

+ Secondary

Has had previous conception

+ Ovulatory Disorders

  • HPO Axis Dysfunction
  • Genetic disorders
    • Turner's syndrome
  • Autoimmune conditions
  • Disorders of gonadotrophin regulation
    • Hyperprolactinaemia
  • Gonadotrophin deficiency
    • Pituitary tumor
    • Pituitary infarction
    • Pituitary ablation
  • Polycystic ovarian syndrome (PCOS)

+ Tubal Obstruction

  • STIs
  • Pelivc Inflamatory Disease (PID)
  • Ectopic Pregnancies

+ Endometriosis

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+ Other Causes

  • Uterine abnormalities
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Female Hormone Dysregulation

Hormone Excess Deficiency
Oestrogen Heavy periods, PMS, Menorrhagia, Endometriosis, Fibroids, Cyclic breast swelling/tenderness, Mastalgia, Fibrocystic breast disease, Breast or endometrial cancer. Low bone density, poor fertility, low libido, irregular periods, immature ageing, vaginal dryness, brittle/dry skin.
Progesterone insert Dysfunctional uterine bleeding, failure to ovulate, PMS, infertility, endometrial hyperplasia, benign breast disorders, early miscarriage.
FSH insert insert
LH insert insert
Prolactin insert insert
 

Symptoms:

Inability To Concieve

Symptom

Symptom

Symptom

Symptom

Symptom

Symptom

 

Diagnostic Considerations:

  • Considered infertile after 1 year of unprotected intercourse without successful conception.
  • Screening exam for thyroid, diabetes, cushing, PCOS, autoimmune.
  • Referral for Gynae exam and Ultrasound, lab Ix
  • Urinary or serum hormone levels
 

Therapeutic Aims:

1. Modify Risk Factors Associated With Lowered Fertility

...

  • Lifestyle Habits (Smoking, alcohol, caffeine, trans fats, sugar, environmental toxin expoure, sub-optimal weight)
  • Manage Underlying Conditions (PCOS, Fibroids, Endometriosis, PID, UTI, Stress)
  • Optimise nutritional Status (a-lipoic acid, Vitamins A, B, C, & K, Co!10, Zinc, Iron, Calcium, Selenium, Iodine, Chromium, Magnesium, Lycopene, Essential fatty acids.

2. Regulate The HPO Axis

...

  • HPO Axis Modulators (Vitex agnus-castus, Paeonia lactiflora, Glycyrrhiza glabra, Asparagus racemosa, Tribulus terrestris)

3. Improve Fertility Potential

...

  • Uterine Tonics (Angelica polymorpha, Chamaeleriumm luteum, Actaea racemosa, Dioscorea villosa)
  • Antioxidants (Curcuma longa, Vitis vinefera, Camellia sinensis, Silybum marianum)
  • Ovarian Tonics (Chamaelirium luteum, Asparagus racemosa)
 

Differential Diagnosis:

  • Male partner infertility
 

Cautions:

Consider herbs that are contraindicated during pregnancy or herbs that may affect fertility:

  • Albizia lebbeck (Albizia)
  • Curcuma longa (Turmeric)
  • Andrographis panniculata (Andrographis)
 

Herbs For Female Infertility:

 

Author:

Justin Cooke

The Sunlight Experiment

Updated: April 2018


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