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1. INFERTILITY
CARE-Best Infertility treatment in
Uttrakhand
By. Dr Sumita Prabhakar

2. FEMALE INFERTILTY
 Problems with tubes
 Problems of egg formation or
ovulation
 Problems in cervix(mouth of womb)
 Problems in womb(uterus)
 The peritoneal Factor

3. Problems with Tubes
 In India, problems of tubes are very common.
 Main function of tubes are to bring eggs
formed in ovaries to womb.
 Tuberculosis and other infections are
common cause of infertility and damaged
tubes.
 X-ray procedure, shows blocked tubes, scar
tissue may be present.
 Laparoscopy tell us the exact status of
tubes, uterus, and ovaries.
 Laparoscopy procedures are used to opened
up blocked tubes.

4. Problems of egg formation or
ovulation
 Imp clues are revealed by menstrual
pattern.
 Irregular or abnormal ovulation
accounts for approx 25% of all
infertility cases.
 Ultrasound and endometrial biospy
help to evaluate ovulation.
 If anyone is not ovulating, medication
is prescribed to stimulate ovulation.

5. Problems in cervix(mouth of
womb)
 Cervix can be a cause of infertility but it is
quite rare.
 For determining cervix problem, Postcoital
test(PCT).
 This test evaluates cervical mucus, sperm,
and interaction between two.
 Cervical problems are generally treated
with antibiotics, hormones, or by
intrauterine insemination.

6. Problems in womb(uterus)
 A special x-ray called HSG can reveal defects of
the inside of uterus or fallopian tubes.
 HSG is conducted when menstrual period stops
and before ovulation.
 HSG may also suggest blockage of the fallopian
tubes.
 Surgery may be required to further evaluate and
possibly correct uterine structural problems of
fallopian tubes.

7. The peritoneal Factor
 It concerns about conditions and
abnormalities involving the peritoneal
surfaces of pelvic organs or abdominal
cavity.
 Laparoscopy is the simplest way of
diagnosing peritoneal and tubal
disorders.

8. Male infertility
 In approx 40% of infertile couple, male
partner is a cause of infertility.
 Therefore, semen analysis is important.
 Treatment for male factor of infertility may
include antibiotic therapy, surgical correction
of varicocele or obstruction of
ducts, hormones to produce improve sperm
production.
 IVF also provide treatments for male
infertilization.
 Intracytoplasmic sperm injection is another
option for treating severe male infertility.
 For unresponsive patients, anonymous donor
is an option.

9. Tuberculosis
 TB is an infectious disease and enhance the
infertility in couples.
 In women, it damage to endometrium and
fallopian tubes.
 In men, it cause TB of epididymo-orchitis,
resulting in inhibiting sperm to get into the
semen.
 TB is easily treated by antitubercular therapy
using drugs.

10. Premature ovarian failure
 It is a condition where ovaries stop
functioning before the age of 35 yrs.
 Venal infection thyroid disorders
autoimmune disorders chronic medical
distress, renal and liver dysfunctions can
cause POF.
 DHEA can help in such cases.

11. Recurrent abortions
 Abortions more than three times is a cause
of infertility.
 It require series of blood tests and
ultrasounds investigate the causes.
 Abnormalities and anatemical defects of
uterus and cervix can be corrected
surgically and also laproscopically.

12. Thin endometrium
 Sometimes with good egg formation but
lining of womb remains thin, this makes
infertility.
 It is because of tuberculosis or hormonal
problem.
 There are some medicines for its treatment.

13. Thank you
Contact Us
Dr. Sumita Prabhakar
CMI Hospital, 54, Haridwar
Road, Dehradun.
Uttarakhand, India. PIN:248001
Phone: 0135-6542172, 0135-
2520042, 2720142, 2720238
Mob: -
Email: sumitaprabhakar@gmail.com