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    Early Menopause - Signs, Precautions and Treatments

    Early menopause is a serious health issue in women and has potential health complications if left untreated. It is obvious for a woman to suspect an early menopause if she experiences lighter menstrual periods with increasing length of the cycle or does not menstruate at all and gets symptoms like hot flashes, night sweats and irritability when she is still under the age of 45 years. Early menopause is not only about infertility but in addition to that it also means many other serious health problems that can cause a woman to have a cardiovascular disease, bone disease like osteoporosis and damage to brain leading to dementia due to the fact that female sex hormones protect these vital organs in various ways. The risk is elevated for those women who have their ovaries removed before the age of 45 years. Early menopause if not addressed in time may affect sexual desire, overall mood and may cause pain while intercourse because of reduced estrogen in the vaginal tissues. Hormone therapy is known to reduce all these complications and improve sexual functioning. Importantly, early menopause therapy along with estrogen therapy is safe and can be continued till the natural age of menopause that is around 51 years.

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    What is Frozen Embryo Transfer (FET)?

    Frozen Embryo Transfer (FET) is done after embryos are prepared and transferred after few menstrual cycles. In a Fresh IVF cycle, embryos are prepared and transferred into uterus during the same cycle. There are various benefits of FET over a fresh cycle embryo transfer; firstly the success rate in case of women over the age of 35 years was quite high as compared to the ones who had a fresh cycle embryo transfer. Secondly, the patients that had elevated levels of progesterone hormone before egg retrieval. This has inspired the fertility experts to think if other patients can benefit from the freeze- all approach.

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    What is Endometriosis?

    It discusses Endometriosis, a common cause of infertility and other complications in a woman’s health. It is a condition that causes the uterine tissues to grow outside of uterus. Women suffering from endometriosis can have severe to no symptoms at all. Symptoms like excessive pain during or in between periods, pain while passing urine and stool, and dyspareunia (painful sex) are strong indicators of the condition. Surgery and biopsy are the methods that can definitively diagnose endometriosis. Impact of this health condition is not clear on fertility despite many infertility cases being presented with endometriosis. Scarring of the uterine tissues can be observed in a severe case of endometriosis while in mild ones it can affect the ability of implantation or embryo development. Treatment options for endometriosis consist of both medicinal and surgical. Medicinal option is mainly based on hormones and may include combination birth control pills or progesterone hormone pills. The surgical correction can come in form of both, minimally invasive surgery like a gynae laparoscopy or an open surgery for endometriosis.

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    Anovulation and Fertility: what you need to know

    Anovulation is one of the most common reasons for infertility in women along with PCOS (polycystic ovary syndrome). Anovulation is a condition when a woman doesn't produce a follicle; she therefore cannot mature an egg and cannot release it. This is different from PCOS, as women with PCOS can produce follicles that do not mature and get accumulated in the ovaries. Anovulation can be there for women who menstruate regularly as well while women with PCOS who have irregular cycles have high possibilities that they do not ovulate. There are however, ways to check for anovulation through day 21 progesterone test, thyroid and prolactin hormone test and ovarian hormone (AMH) test to tell what can be the causing factor behind anovulation. It can be treated if properly taken care of with the prescribed treatment from a gynecologist.

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