Commentary - Gynecology and Reproductive Endocrinology (2023) Volume 7, Issue 1

Outlines on women′s Infertility: Causes and Treatment

Department of Obstetrics & Gynaecology, University College Cork, Cork, Ireland

*Corresponding Author:

Marina Hensy
Department of Obstetrics & Gynaecology
University College Cork, Cork, Ireland
E-mail: marina.hensy@ucc.ie

Received: 05-Jan-2023, Manuscript No. AAGGS-23-87363; Editor assigned: 07- Jan-2023, PreQC No. AAGGS-23-87363 (PQ); Reviewed: 20- Jan-2023, QC No. AAGGS-22-87363; Revised: 22- Jan-2023, Manuscript No. AAGGS-23-87363 (R); Published: 28-Jan-2023, DOI:10.35841/2591-7994-7.1.133

Citation: Hensy M. Outlines on women’s infertility: Causes and treatment. Gynecol Reprod Endocrinol. 2023;7(1):133

Introduction

Numerous factors that contribute to infertility, such as PCOS, ageing, insufficient egg reserves, and cancer, among others, may be familiar to you. Fibroids, which afflict almost two out of three women and are most common in people between the ages of 30 and 50, can also, make matters more challenging [1]. The term "uterine fibroids," sometimes known as "fibroids," refers to a benign tumour that occurs inside the uterus, where an unborn child grows and matures. The muscular wall or cavity of the uterus can produce these fibroids, which are filled with muscle and fibrous tissue. There are three main types of fibroids, each of which can impact fertility and make it more challenging for a woman to conceive and carry a child for the entire nine months. To minimise the possible harm fibroids could do to your pregnancy, early intervention is crucial.

How do fibroids form?

Despite the fact that the cause and process of their growth are still largely unknown, studies have found a link between oestrogen levels and fibroids. Additional factors that are connected to fibroids include the possibility that a woman will get them at some point in her lifetime if other family members have already been diagnosed with them [2]. If you belong to one of these categories and believe you may be more susceptible to developing fibroids or experience any symptoms, you should always consult a doctor or a specialist.

What can fibroids develop into?

There are three main varieties of fibroid, and each has a particular set of signs and symptoms. Symptoms vary from one to person, and some women may even show no symptoms at all. However, take aware that some common symptoms include the need to often urinate, dizziness, abdominal pain, heavy periods, and painful intercourse. Rarely, fibroids can make it challenging for a woman to conceive or carry a child to term. In the worst situations, they can lead to infertility and increase the difficulty of getting pregnant. If you're attempting to get pregnant and have been informed that you have fibroids, a doctor or fertility specialist can advise you on how to prepare for pregnancy safely [3]. It is essential to spread knowledge about the condition so that women who get fibroids can receive aid and treatment right away.

Fibroids fall into three main categories:

These develop inside the uterine muscle wall, or intramural.

They can stretch the lining and widen the area where blood can spill if you have a lot of them.

Submucosal: These are found close below the womb lining's surface and can result in excessive monthly flow and womb cavity deformation.

Subserosal: These can increase pressure on the uterus because they are situated on the exterior of the organ.

Fibroids are a cause of infertility

Because they grow inside the uterine lining, submucosal fibroids, one of the three types of fibroids, are most likely to have an impact on fertility. When a woman's fallopian tube is blocked by a submucosal fibroid, an egg cannot be released or fertilised by sperm [4]. Depending on its size and location, this type of fibroid may also prevent a fertilised egg from attaching to the uterine lining. It may be difficult for women to carry a child to term if they have huge fibroids or clusters of fibroids that take up a lot of uterine space.

Treatment

Fortunately, there are many alternatives available for treating fibroids. Injections or prescription medications are routinely administered to women to treat the growths [5]. If you have larger fibroids, keyhole surgery may be an option for you. In the most extreme cases, a myomectomy or hysterectomy may be performed; however, this is uncommon and typically the last option. The size and location of the fibroids are crucial factors in determining the optimal course of therapy, in addition to the patient's age, general health, and desire to have children. Women should always carefully consider their options and seek competent medical advice before starting any course of treatment.

References

1. Murray MJ, Meyer WR, Zaino RJ, et al. A critical analysis of the accuracy, reproducibility, and clinical utility of histologic endometrial dating in fertile women. Fertility and sterility. 2004;81(5):1333-43.

Indexed at, Google Scholar, Cross Ref

2. ACOG Practice Bulletin No. 194. Summary: Polycystic ovary syndrome. Obstet Gynecol. 2018;131(6):1174-6.

Indexed at, Google Scholar, Cross Ref

3. Broekmans FJ, Kwee J, Hendriks DJ, et al. A systematic review of tests predicting ovarian reserve and IVF outcome. Hum Reprod Update. 2006;12(6):685-718.

Indexed at, Google Scholar, Cross Ref

4. Jacobson TZ, Duffy JM, Barlow DH, et al. Laparoscopic surgery for subfertility associated with endometriosis. Cochrane Database Syst Rev. 2010(1):CD001398.

Indexed at, Google Scholar, Cross Ref

5. Luciano AA, Peluso JO, Koch EI, et al. Temporal relationship and reliability of the clinical, hormonal, and ultrasonographic indices of ovulation in infertile women. Obstet Gynecol. 1990;75(3 Pt 1):412-6.

Indexed at, Google Scholar