Things that can affect your fertility

July 1, 2019 | Yesmom

Yes Mom

While infertility is characterized by the absence of pregnancy or a live birth, its effect on women’s health status like an enhanced risk of cancer is far broader in scope and raises a number of public health concerns. certain lifestyle factors may severely affect female fertility.

Asst.Prof Dr. Supakdee Julvijitipong, the chairman of the Reproductive Medicine Subcommittee in the Royal Thai College of Obstetricians and Gynecologists  explained the four causes of fertility in women- aging, uterus issues, endometriosis and anovulation.

  • It’s a fact well known that aging causes infertility. In each menstrual cycle many primary eggs grow in the uterus. When it’s time for one of the eggs to mature and fertilize, the remaining primary eggs are likely to wither away. This process is repeated every month. However, in aged women the quality and quantity of eggs deteriorate and so does the chance of that egg developing into a quality embryo. Because of inferior quality, the embryo cannot embed into the uterus wall successfully which is detrimental to childbirth for it results in miscarriages. If it does embed however, you will put the baby at risk to be born with down syndrome. 

The ideal age frame to get pregnant is 20-30 years when the ovaries are fully grown. During this period, the number of primary eggs present is abundant in each cycle. Moreover the eggs tend to be a lot healthier which boosts pregnancy rates. For instance, while a woman of 40 will have only 3 primary eggs a woman aged 20 years will have a staggering 20 primary eggs. The functions attributed to ovaries are effective and efficient when you are younger resulting in healthier ovulated eggs. The effectiveness will suffer a gradual decline as you are aging. The ovaries have a life cycle of their own and will become completely redundant when the woman turns 50. The regression of ovaries initiate when the woman turns 30. 

  • What frequently inhabits uterus issues is a tumor which is accompanied by some abnormalities like excessively heavy bleeding. It is advisable to get a pelvic examination or have a thorough and efficient diagnosis for further improved results. 
  • People with endometriosis suffer from unbearable menstrual cramps. Sometimes they are so severe that it disrupts their routine altogether and they have to resort to painkillers. This abnormality is caused by various problems resulting in excruciating pain. If the pain is not very disturbing the cause is usually pelvic adhesion. On the contrary if they are very intense and severe the patient might have a chocolate cyst in the ovaries which is quite normal, widely prevalent in people and cannot be attributed to a single known cause. 
  • Anovulation is the condition when the egg is barely ovulated. It is widespread among patients with polycystic ovary syndrome also known as PCOS. it is a common mistake to interpret it as a tumor, cyst or a blister while in reality it is none of those things but primary eggs that are underdeveloped. Because of their nascent state, ovulation while not impossible, will however not occur naturally by itself. The frequency of anovulation depends on the severity of illness. Women with erratic menstrual cycles or who are overweight will be at a greater risk. While it may not seem like a concern the condition can yield dangerous consequences. Apart from delayed or absent menstruation, it may indicate a malfunction of the hormones that stimulate egg growth since the ovulation doesn’t occur naturally. Obesity might be responsible while genetic diseases like dyslipidemia or diabetes or those associated with metabolic syndrome may also be the reason. Anovulation causes excessive thickening of endometrial tissue. If some cases, the tissue gradually develops into uterine cancer. It is advisable that patients take the birth control pills if they are not so keen on conceiving to discharge the endometrial tissue every month and prevent the thickening. Pills also regulate testosterone which causes metabolic syndrome. 

Since everything occurs in a massive loop, it is ideal to sever it altogether or else the illness will spread rampantly. You should see an obstetrician to get the correct diagnosis and treatment.