cysts in ovaries
My 19-year-old daughter has irregular menstrual periods. She also has put on a lot of weight in the past few months. As advised by our general physician, she underwent an ultrasonograph examination. The doctor says she has multiple cysts in her ovaries. Will there be problems when she conceives?
Your daughter is suffering from polycystic ovaries. Women with this problem have difficulty in releasing eggs (ovulation) and often have problems in conceiving. The best solution is to go for weight loss through drastic dieting and vigorous regular exercise. In addition, a medicine called Metformin is given to treat the associated problem of insulin resistance, which usually is the cause of weight gain. This leads to a hormonal imbalance and is responsible for the cysts.
pain before menses
I suffer from a terrible low back pain for nearly a week before the onset of menstruation. I have also failed to conceive for the past couple of years. Are these two problems related? If so, what is the treatment?
Your symptoms indicate a disease called pelvic endometriosis in which menstrual blood accumulates inside the body (in pelvis or lower back region) during periods, giving rise to pain before or during menstruation. It also causes infertility. You should see a specialist to get the endometriosis cleared. This can be done using a laparscope, without a surgery. This procedure offers a permanent cure, as opposed to taking painkillers or fertility drugs.
blocked tubes
After I failed to conceive in six years I consulted a gynaecologist. He suggested me a test called hysterosalpingography (HSG) to see if my fallopian tubes (a pair of tubes through which eggs from the ovaries go to the uterus) are blocked. The test indicated that both the tubes are blocked. Is it possible to correct it through medicines?
There is no medical treatment for blocked fallopian tubes. However, you may undergo a laparoscopic and hysteroscopic surgery to open the blocked tubes. Otherwise, to conceive, you have to opt for a test tube baby in which eggs are fertilised by sperms in a laboratory to form an embryo. This embryo is then transferred inside the uterus, thereby bypassing the use of the fallopian tubes. You may also undergo a laparoscopic and hysteroscopic surgery to open the blocked tubes.
infertility
We have been trying to have a baby for the last three years. Whenever we’ve consulted a doctor he has said that all our tests are normal. Then why am I not conceiving? Is there any solution?
You may be suffering from the problem of unexplained infertility which indicates that there are subtle problems in one or more of these steps: egg release (ovulation), egg pickup by the fallopian tube, fertilisation of the egg by sperm, or implantation of the embryo inside the uterus. Unfortunately, routine investigations often cannot detect these problems. The solution is to undergo special procedures like induction of ovulation (egg formation), study of the follicles (sacs in ovary) and intrauterine insemination (artificial fertilisation) for six times followed by IVF.
absent sperm
My husband’s semen report shows absence of any sperm which my doctor thinks could be a cause of a mump infection in his childhood. Is there any medicine to cure the problem?
There is no medicine to cure his problem. There are some cells in the body which, once destroyed, cannot be rejuvenated or recovered. The only solution in this case is to go for donor insemination which is a time-tested and effective treatment. This is an anonymous procedure in which the donor as well as the recipient won’t be informed of the individual’s identity. The donors undergo a thorough screening before the procedure to cut down the chances of transmitting an infection or an inherited illness.
YOUR HEALTH
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