Unexplained infertility is a very common term we hear in the reproductive world. Unexplained infertility is the term used when there is no proven or found cause for infertility in men and women.Commonly happens that the couple go through all of the infertility tests available and everything comes back clear. This is of corse a good news but can be so frustrating at times when you have not got pregnant after so many years of TTC. In such cases of unexplained infertility, it is too hard to figure out what to do next.
Sometimes it could be as simple as some kind of nutritional deficiency, the inaccurate timing of sexual intercourse, a pre-existing health issue, or it may be that you need to explore options. It is important to cover all the basics, including additional testing that may need to take place. We are now going to cover the important areas that need to be focussed, some areas may or may not apply to you, but some may not have been taken into consideration when you were given your diagnosis.
What Role Hormonal Balance Play?
If the hormones are not balanced or there is some issues with the menstrual cycle is, it's hard to believe that you cannot get pregnant. Even if pregnancy does occur, the risk of miscarriage may increase. This is important for the male partner to know as well. Men can also have a hormonal imbalance as well, which may also create issues and difficulties in becoming pregnant due to poor sperm health or motility or sperm count, or other health-related issues.
What problems may women have?
Menstrual cycle irregularities or painful menses or excessive bleeding may be a sign of hormonal imbalance in women or other more severe fertility issues.
If any of the below hormones are not at the correct levels, the menstrual cycle may become irregular or you may face excessive bleeding or cramping. Hormonal imbalance may cause lots of other health related issues. For example thinning hair, heart palpitations, low libido, depression, over stress etc.
3- Follicle Stimulating Hormone (FSH)
4- Luteinizing Hormone (LH)
5- Androgens, for example, DHEA, Testosterone
6- Thyroid hormones
How Can Cervical Mucous Be A Problem?
Low cervical mucous is one of the most important factors to becoming pregnant. If the cervical mucous is nonexistent or too acidic, scant, then the sperm will not be able to make their way to the cervix.
What Are The Other Health Related Factors and Problems that Affect Both Women and Men’s Fertility?
Hormonal imbalance, poor egg health, low ovarian reserve, or poor/abnormal immune response which may affect conception badly. If you have any of the below health issues, it is very important to first watch out those issues, because problems with any of the below may directly impact your ability to conceive.
1- Thyroid issues
2- Poor Adrenal Health
3- Very low body weight
6- Autoimmune disease
Stress: Our bodies sometimes prevent the conception during the times of extreme stress. The presence of adrenaline and the hormone that is released by our bodies during some stressful times signals to our body that such conditions are not ideal for conception. It also makes the pituitary gland to release higher levels of prolactin, this also contributes to infertility that prevents conception from curing.
What Are The Necessary Testing fordiagnosesa couple with unexplained infertility?
There is a wide range of infertility tests that doctors do before they diagnose a couple with such unexplained infertility issues. Be sure you get the following hormones tested.
Full hormone panel including:
3- Follicle Stimulating Hormone (FSH)
4- Luteinizing Hormone (LH)
5- Androgens (ex: testosterone/DHEA)
6- Thyroid hormone levels
7- Prolactin levels
8- Homocysteine levels
What Is Immunological Fertility Testing?
A Reproductive Immunologist always differs from a Reproductive Endocrinologist, which most couples are referred, when infertility issues are not found by an OB-GYN.
1- Two or more than 2 miscarriages after the age of 35
2- Two IVF cycle failures after the age of 35
3- 3 or more miscarriages before the age of 35
4- 1 or more failed IVF before the age of 35
5- Pre-existing immune problems (Lupus, Rheumatoid Arthritis, MS)
6- Unexplained Infertility diagnosis
7- Previous pregnancies showing retarded and bad fetal growth
8- Endometriosis and at stage 1 & 2
9- Cold and flu-like symptoms, sore throat noted regularly after ovulation, IUI, or IVF transfer
What Are The Natural Options for Unexplained Infertility?
If you have been diagnosed with infertility for unknown reasons or unexplained fertility, what should you do then? Let’s start by taking a good look at daily lifestyle and eating habits and then what you can do naturally to conceive? You may need to opt for the fertility treatment.
The great thing about herbs and natural therapies or organic products is that the focus is on bringing the body back into balance to live a healthy life. With unexplained infertility, there are a few areas you can look into.
Eat a Fertility Diet: Diet and some foods are the most important way to support fertility health and even boost the fertility and avoid you going for the fertility treatment. Having a nutritional deficiency can cause the menstrual cycle to become imbalanced with irregular periods, may cause a lack of beneficial hormones to be produced, this may also contribute to poor sperm count and health or cause the body to lack overall health.
Eat Whole Foods: Fresh vegetables, fruits, raw seeds and nuts, whole grains, lean grass fed free range organic meats and dairy products.
Anti-Mullerian Hormone (AMH) is the hormone produced by ovarian follicles. AMH level denotes ovarian reserves and quality of ovarian eggs for a female. It is also known as Mullerian Inhibiting Substance (MIS). Normal AMH levels of 1.5 to 4.0 ng/ml,is associated with good fertility and have been found to have better response rates to fertility treatments.Low AMH level is not a good indicator of fertility.
The uterus is a female reproductive organ and is responsible for different reproductive functions such as implantation, menses, gestation, labor and delivery. It is located in the pelvic area between the bladder and the rectum. It is also receptive to hormonal changes within the female body thus allowing adaption to different stages of reproductive cycle.
Sperm Motility refers to the movement and swimming capability of a sperm. Motility is a standard measurement to know whether a sperm can swim properly inside a womens uterus and fallopian tube. Normal values are more than 50% and below 25% its considered almost infertile.
Normally a count of 40 to 300 million sperms per milliliter of semen is considered healthy and effective for natural pregnancy. In case your sperm count falls less than 20 million, your sperm is not healthy and you need proper treatment along with dietary and lifestyle changes.
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