fertility basics

About Unexplained Infertility And Its Treatment

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Female and male infertility issues are common these days and can be treated with fertility treatments. Unexplained fertility can affect your chances of conceiving

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 goes through all of the infertility tests available and everything comes back clear. This is of course 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.

Unexpalined Infertility, Fertility Treatment

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, overstress etc.

  • Progesterone
  • Estrogen
  • Follicle Stimulating Hormone (FSH)
  • Luteinizing Hormone (LH)
  • Androgens, for example, DHEA, Testosterone
  • Thyroid hormones
  • Prolactin

How Can Cervical Mucous Be A Problem?

Low cervical mucus is one of the most important factors to becoming pregnant. If the cervical mucus 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.

  • Thyroid issues
  • Poor Adrenal Health
  • Very low body weight
  • Obesity
  • Diabetes
  • Autoimmune disease
  • Smoking

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.

Male Infertility, Infertility

High stress levels can impact fertility for both female and male and need to opt for some fertility treatment.

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:

  • Progesterone
  • Estradiol
  • Follicle Stimulating Hormone (FSH)
  • Luteinizing Hormone (LH)
  • Androgens (ex: testosterone/DHEA)
  • Thyroid hormone levels
  • Prolactin levels
  • Homocysteine levels
  • Immunological markers

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.

  • Two or more than 2 miscarriages after the age of 35
  • Two IVF cycle failures after the age of 35
  • 3 or more miscarriages before the age of 35
  • 1 or more failed IVF before the age of 35
  • Pre-existing immune problems (Lupus, Rheumatoid Arthritis, MS)
  • Unexplained Infertility diagnosis
  • Previous pregnancies showing retarded and bad fetal growth
  • Endometriosis and at stage 1 & 2
  • 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.

Male Infertility, Fertility, Unexplained Infertility

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. 

Dr. Sunil Eshwar

About The Author

Infertility Specialist, IVF Specialist Dr. Sunil Eshwar
Bangalore

Dr. Sunil Eshwar is an Infertility specialist who is presently specializing in laparoscopic surgery, high-risk pregnancies and infertility treatments such as IVF and IUI. Dr. Sunil Eshwar completed his MBBS from Bangalore Medical College and Research Institute in 2000 and MD from Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) in 2004. Later, he completed DNB from National Board of Examination in 2006. Dr. Sunil Eshwar is currently practicing at Apollo Fertility, Brookfield, Bangalore. For more information about Dr. Sunil Eshwar, visit elawoman.com

SOURCES AND REFERENCES:

  1. Infertility profiling tests to check if not getting pregnant infertility, Elawoman - 2017
  2. Which are the most fertile days to plan pregnancy fertility, Elawoman - 2017
  3. Five things you need to know about fertility treatments fertility treatment, Elawoman - 2017
  4. 5 reasons for irregular periods irregular periods, Elawoman - 2017

5 Comments

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Pratima Bishnu

My progesterone and estrogen level were variable since I took out my birth control patch after using it for one year. It took 6-7 months to normalize and then I was able to conceive.

June 30, 2018, 9:34 a.m. 4.5

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Ashista Roy

I have a thyroid issue but I never had a problem like infertility. I think it's because of the healthy diet I have regularly.

Jan. 2, 2018, 11:02 a.m. 5.0

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Varsha Gautam

Sexually transmitted diseases or STDs i.e. chlamydia or gonorrhea can cause irritation and perpetual scarring of the fallopian tubes. This can create obstacle in conceiving and can even cause infertility issues for a longer period of time in women.

Nov. 2, 2017, 2:29 p.m. 5.0

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Shakti Priya

I have read some facts regarding infertility. It's been found that In Europe, North America and in other parts of the world, 85% of the couples (approx) will conceive within one year if they have regular unprotected sex. The rest 15% have some kind of health issues or it's their lifestyle that hi...

Nov. 2, 2017, 2:24 p.m. 4.5

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Nitya Rathore

My son has diabetes at very younger age, will he have trouble like infertility in future? What can I do other than feeding him healthy food?

May 16, 2017, 9:57 a.m. 5.0

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