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    How Do Birth Abnormalities of the Uterus Affect Pregnancy?

    Congenital abnormalities of the uterus also called as the birth abnormalities of the uterus have a great impact on the fertility of a woman. It doesn't stop a woman from conceiving but causes problems during pregnancy in form of premature births, preterm labor and miscarriages. A Bicornuate uterus or a heart shaped uterus is the one that has the upper part of the uterus infused making it take the shape of heart, hence the name heart shaped uterus. The shape in itself does not cause infertility but is responsible for causing miscarriages, preterm labor and delivery or breech. It may also be the case that the uterus is divided into two halves that are capable of performing their functions independently, making it look like two uteri. The other abnormality that’s found in patients experiencing recurrent miscarriages is a Septum meaning a partition inside the uterus which is made up of scar tissues. This abnormality increases the risk of a miscarriage by 44% and can be corrected through a minor hysteroscopic surgical procedure. An additional uterine horn in case of a unicorn uterus needs surgical removal to avoid an unviable pregnancy.

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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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    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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    Understanding Fibroids and Abnormal uterine bleeding

    Fibroids that are compact uterine tumors that grows in as many as 80% women during reproductive years. Seen in different sizes, these muscular tissue growth found inside and outside of the uterus can be both large and small. Women with fibroids may have fewer to severe symptoms like heavy menstrual bleeding, severe pelvic pain and frequent urination. At times, a woman with fibroids might not show any symptoms at all. These can come to light during a regular pelvic exam or procedures like biopsy, ultrasound or MRI. It can be monitored over a period of time by the physician to ensure that the fibroid/s doesn’t continue to grow. For the large fibroids, specific treatment methods are recommended for a patient. There are various treatment approaches for fibroids depending on their sizes and location. Laparoscopic myomectomy is a minimally invasive technique that is used to surgically remove a fibroid by making few incisions in the abdomen. Anti-hormonal medication is used to shrink fibroids or completely treating them. Uterine Fibroid Embolization (UFE) treats fibroids with a short recovery time.

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