Female infertility cases are vastly outnumbering male infertility cases. Analysis of female infertility cases by sexologist doctor in Kolkata has revealed that, in the year 2010, we have received 60 percent female infertility while cases, the percentage of male infertility cases was only 40. Therefore, we could clearly see a vast disparity in-between the two genders.
Causes of Anovulatory Cycle
Out of the total number of female infertility cases that we received, we had to give ovulation induction treatment to over 70 percent of them. Most cases showed infertility due to anovulation. There are many reasons for having an anovulatory cycle. We have mentioned some of them below:
Some had a history of endometriosis which causes the tissue that lines the uterus to grow outside the uterus.
Some had a history of tubal or ectopic pregnancy where we implanted the fertilized egg outside the uterus.
Few patients were suffering from diabetes which is again another cause of anovulation.
In almost all the cases, ovulation induction is a requirement.
Female Infertility: Classification of Disorders of Ovulation
The problems that we faced with the cases was deciding which treatment protocol to start with and in which case. We followed the guidelines suggested by WHO. The organisation also provided us with a simplified classification of disorders of ovulation.
Group 1 patients have low FSH, LH levels as well as low Estradiol levels. These patients have hypothalamus which is basically a pituitary hypofunction.
Group 2 patients have normal FSH, LH levels as well as low Estradiol levels. The best sex doctor will inform you that most anovulatory cases fall under this category. Point to be noted, many patients who fall under this category also suffers from the polycystic ovary syndrome.
Group 3 patients have high FSH and LH levels. Gonadotropin in such cases is also high. The main reason for anovulation in these cases is the depletion of the ovarian follicle. Theoretically, they are premenopausal cases. Oocyte donation is the treatment of choice in such cases.
Group 4 patients have hyperprolactinemia; a condition where the level of prolactin in your blood is higher than normal. We sometime associated them with pituitary adenoma. Most of the cases showed hyperprolactinemia due to stress.
Female Infertility: Risks Associated With Ovulation Induction
According to the top sexologist in Kolkata, the aim of the treatment is to get matured follicles and ovum without causing any harm to the patients in the form of ovarian hyperstimulation syndrome. Ovarian hyperventilation is a serious problem and the patient might have to be admitted in hospital due to pneumonia and cardiac complications.
These are the best guidelines of countering ambulatory episodes.