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It is normally assumed that women do not get pregnant after tubal ligation but this is not the case.
It is certain that the chances of getting pregnant even after tubal ligation are limited but if your period becomes weeks late then you could really get pregnant.
Women opt for tubal ligation after considering it as a permanent decision but you will wonder that it is still possible to conceive after this form of birth control. The second option is that of in vitro fertilization which like the first option has low success rate which is between 10-25%. These women are given doses of female hormones to increase the production of several eggs in one cycle and this forms the reason behind the ovarian cancer.
Even if any one of the option is adopted, the women produces several eggs when hormones are given to them. Featured Preconception Articles5 Conversations To Have With Your Partner Before You Have Your BabyMoving Forward After MiscarriageWhy Don’t Your Kids Look Like You? With the advancement of women socio-economically, many are delaying marriage and child-bearing.
Compared to other major organ systems, the female reproductive system ages to the point of failure at a relatively young age.
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women, affecting an estimated five to ten million women of reproductive age. For comparison, an ovary with a mature follicle at midcycle in a woman that ovulates monthly.Blue circle is around the ovary, the black area is the fluid in the follicle. The basic problem is that although the polycystic ovaries contain many follicles with eggs, the follicles do not develop and mature properly so that they do not ovulate.
When they attempt to get pregnant, women with polycystic ovaries will usually have difficulty. If this fails after about 6-9 ovulatory cycles, the next step is usually injectable gonadotropins.
If this fails after about 3-6 ovulatory cycles, the next step is usually in vitro fertilization.
Inflammation of the fallopian tubes can occur from the inside, that is, from the uterus, as is the case with sexually transmitted diseases such as gonorrhoea or chlamydia. A hydrosalpinx is a particular type of tubal blockage in which the tube is obstructed near its fimbrial end.
Endometriosis is a disorder of the female reproductive system, where endometrial tissue (the normal lining of the uterus) is found in areas other than the uterus. Because these fragments are made of the same tissue as the lining of the uterus, they too respond to the hormonal changes that occur during the menstrual cycle and, therefore, "bleed". The presence of endometriosis may be diagnosed at the initial consultation and examination, however, a firm diagnosis can be made when the endometriosis is actually seen, using a surgical procedure known as a laparoscopy.
These medications are usually taken for 6 months, depending on the severity of the condition. Possible side effects include weight gain of 1-4kgs, some decrease in breast size, a tendency towards acne, occasional increase in body hair, oily skin and symptoms of the menopause such as hot flushes and nausea.
Where more severe forms of endometriosis exit, particularly where "chocolate cyst" formation in the ovary and tubal adhesions prevent normal egg transportation, surgery is indicated to restore normal anatomy as far as possible. Surgical procedures may range from simple cautery of endometriosis spots to extensive removal of scar tissue and microsurgery.
Fibroids are benign lumps of tissue growing in or on the myometrium (the wall of the uterus surrounding the endometrium). Certain women conceived accidentally even after getting tubal ligation done as the remedy to this problem is by cutting, tying and burning the ends of the fallopian tubes.
The success rate of this option is highly dependent upon the age of the woman, the technique adopted for ligation, tubal length after rejoining and if one or both the tubes are rejoined.


Moreover, the success rates are very low in women in whom it is found that the tubes have been burned.
As this option is not performed on enough women the studies are yet not clear n this topic. These eggs are removed from the body through a needle and then fertilized outside the body and then implanted back in the womb. With all this complexity, there are many possible causes of female infertility; it's a very complicated problem. This has resulted in an increase of women seeking pregnancy in their mid-thirties and early forties. There is a gradual loss of fertility as a function of female age with the rate of decline in fertility becoming more dramatic after the age of 35. For women trying to conceive a child, PCOS is a serious, common cause of infertility - nearly half of all female factor infertility cases can be traced to PCOS. Women with this syndrome do not ovulate regularly and have ovaries that contain multiple small cystic structures, usually about 2-9 mm in diameter. Women without polycystic ovaries normally develop one mature follicle each month which ovulates (releases) one egg. This means that their ovaries produce an excess amount of male hormones testosterone and androstenedione which can cause increased hair growth - hirsutism, and sometimes other problems as well, such as weight gain, diabetes, cardiovascular disease. Some women with this disorder will ovulate (release a mature egg) occasionally, others do not ovulate at all.
The majority of women with polycystic ovaries that have not gotten pregnant with the above treatments will conceive with IVF. It can also come from outside the tube by the spread of infection from another organ such as the appendix. The most common sites are in the pelvis - the ovaries or tissues near the uterus and fallopian tubes, including the bladder, ligaments and bowel. It is believed that endometriosis occurs as a result of normal tissue from the uterus escaping into the fallopian tube and out into the pelvic area at the time of menstruation ("retrograde menstruation"). Whereas menstrual blood can escape from the body, this has no exit and, as a result, the areas surrounding the implants of tissue become irritated or inflamed. And although some women with endometriosis remain fertile, endometriosis is regarded as one of the most common factors associating with infertility in women over 25 years.
For women with severe endometriosis, their fallopian tubes may be so damaged that it is impossible for the egg to reach the sperm. It may be experienced as a sharp stabbing pain, a constant or intermittent dull ache, or as a severe cramping pain.
Some women may have severe pain from just a slight build-up of tissue, whereas other women may have only the mildest symptoms despite an extensive build-up of tissue. This enables the doctor to view the ovaries, fallopian tubes, uterus and other pelvic organs. Some of the drugs used are the oral contraceptive pill, progesterones (which cause a pseudo-pregnancy), Duphaston (which causes a pseudo-menopause), Danazol, Synarel and Zoladex – a new once-monthly injectable drug. These synthetic hormones suppress the function of the ovaries by acting on the pituitary so that hormones necessary for ovulation are not produced. Not every woman suffers from these side effects but for others the side effects can be worse than the original symptoms. The closer they are to the endometrium, the more likely they are to cause symptoms such as heavy bleeding, dysmenorrhea and infertility. The cancer is caused in women who are trying to opt for pregnancy twenty to thirty years after tubal ligation.
If this procedure gets successful there are high chances of multiple births which pose many health related risks to the mother as well as the child.


Pregnancy & ParentingMay 02, 2012015 Early Signs And Symptoms Of PregnancyThe most joyful and exciting news that you can get is that you are pregnant. In fact the issues involved with female infertility are far more complex than male infertility. Although there is a very well demonstrated decline in female fertility as a function of age, this phenomenon has typically has been under-recognized not only by the general population, but also by many health care providers. This decline in fertility occurs in spite of the fact that women generally maintain regular, ovulatory menstrual cycles well into the fifth decade.
New medical insight into the disease has led to treatment options, including insulin-reducing ovulation medication (clomiphene, glucophage, Metformin), dietary changes (low glycemic diet) and surgery (ovarian drilling), which have proven successful and allow many women to overcome PCOS and conceive a child naturally, while reducing the risk of miscarriage. This gives the ovaries a characteristic "polycystic" (many cysts) appearance on ultrasound.
The typical story seen in women with polycystic ovaries is irregular menstrual cycles, onset of hirsutism in the teens or early 20s, and gradually worsening excess hair growth. When this happens, the tube is often damaged by adhesions, where two damaged surfaces actually join together. Sometimes after IVF the rise in progesterone causes the tube to relax and this fluid can be passed into the uterus, washing out the transferred embryo. Otherwise it can rupture and form an abscess in the pelvis, much like a burst appendix, and then requires an operation to drain both it and the abscess. These tissue fragments are then thought to implant and grow onto the surrounding pelvic tissue and, sometimes, organs. Some of the blood and tissue may form into cysts (fluid filled lumps) - sometimes known as "chocolate" cysts, due to the colour similarity. It has been further estimated that between a third and a half of all women with infertility problems have some degree of endometriosis. Options for treatment may include no treatment at all (if the symptoms are tolerable), drug therapy or surgery. By keeping a woman free of menstruation ("pseudo-menopause") the endometrial tissue does not have a chance to bleed, thus enabling the inflamed areas to heal. Normal ovulation and ovarian functions should return to normal following cessation of medication. This is probably related to the fact that in previous decades women generally had completed childbearing by the late 30’s and in fact many of the pregnancies that occurred in the later reproductive years were unplanned. Women who undergo treatment for PCOS but are still unable to conceive naturally often turn to assisted reproductive technologies, including IVF, and experience high pregnancy success rates. But even where it is mild or where the endometriosis is not found on the tubes or ovaries, women can remain infertile. An increased awareness of the effects of aging on fertility for patients and health care providers is critical to the prevention of age-related infertility. About 75% of women with polycystic ovaries will ovulate with clomiphene, but only about 40% will get pregnant with it. Adhesions can obstruct in a number of ways - by separating the ovary and tube with new tissue or by blocking the outer end of the tube. It will encourage patients to avoid delaying treatment once they reach the critical age group.



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