Unexplained Fertility

Unexplained Fertility

It is startling that globally about 10% of infertile couples have unexplained fertility. Approximately one in four fertility challenged couples are usually told that there is no explanation as to why they haven’t been able to conceive. This is an alarming proportion and the unexplained or idiopathic infertility, as it is usually called, can be a reason of frustration to the childless couples.

Good news is that Dr. Shivani Bhutani, Eva Hospital has made an indelible mark in treating patients with unexplained infertility. She often says to her patients that this is not the end of the world and shows them the magic doors to treating unexplained infertility.

What is Unexplained Infertility (UI)?

Unexplained fertility or UI is an oft-repeated term where the doctors are unable to diagnose the type or reason for infertility. The couple has got all possible tests and even after negating the prominent causes of infertility, the reason or the cause for infertility in their case is yet unknown.

The couple has consistently been failing to get pregnant despite unprotected sexual intercourse or any visible symptoms of anomalies. Even the experts in the field are also clueless about idiopathic infertility.

What are the Possible Causes of Unexplained Infertility?

Unexplained infertility is justified if it is proven that:

  • The female is ovulating regularly
  • The female ovarian reserves are good
  • The female fallopian tubes are open and healthy 
  • The sperm count, sperm shape and sperm movement is normal
  • Hysteroscopy reveals there are no uterine fertility issues.

When the normal infertility causes are ruled out, the following symptoms may be checked to detect the possible causes of unexplained infertility:

Unexplained Medical Illness

Some unrelated health ailments have come to light in cases of infertility. It could be celiac disease, diabetes, undiagnosed thyroid disorder or autoimmune illness that could affect fertility.

Tubal Defects

There may be improper functioning of cilia or the way in which fimbria picks up the egg during ovulation.

Luteinized Unruptured Follicle (LUF) syndrome

While the eggs may be mature, follicle inside which the eggs mature doesn’t burst to release the eggs. As a result the egg remains trapped inside the unopened corpus luteum. This anomaly is called Luteinized Unruptured follicle (LUF).

Psychological Aspects

Too much stress, incompatibility, relationship issues are inexplicable reasons which may affect fertility in couples. Dr. Bhutani recommends some fertility yoga exercises and a diet to alleviate stress and help patients get pregnant.

Sperm’s Inability to penetrate eggs

The doctor may take time in guessing that with normal sperm count, the male sperm is unable to fertilize the eggs. During the transition period, the semen may reach cervix from the cervical mucus. The condition is called hostile cervical mucus and technically difficult to comprehend.

Uterine Factors

Endometrium lining or uterine lining can be a major barrier for implanting the embryo. Endometrial cysts may cause fallopian tube blockage or disrupt ovulation. A series of ultrasound scans have to be carried out to detect this cause of infertility.

What is the Treatment and Diagnosis of Unexplained Infertility?

A series of tests may be conducted if you are under 35 years and have been trying for one year or if you are over 35 and have been trying for more than 6 months. Various tests like laparoscopy (to detect endometriosis), semen analysis, blood tests (to check hormone levels), ovulation tests, Hysterosalpingogram (HSG) for detailed fallopian tube analysis, FSH/AMH tests (to check for egg quality) and analysis of basic medical history may be conducted to detect any unexplained cause of infertility.

Dr. Shivani is very optimistic for her patients and thoroughly conducts all the tests to determine the root cause of the problem. The treatment for unexplained fertility is empiric as the cause is not restricted to a particular impairment.

Following are the possible treatments that can help in unexplained infertility:

Injectable Gonadotropins

Gonadotropins are the hormones which help in stimulating the reproductive organs of the body. Treatments such as IVF and IUI use gonadotropins as a part of treatment to stimulate the ovaries.

Intra-Uterine Insemination

In this process sperms are placed directly inside the uterus and moved to the fallopian tubes so that fertilization takes place.

Ovarian Stimulation

FSG and LH are the natural hormones which are used to make medicine. These help to stimulate the ovaries and produce more eggs. This increases the chances of getting pregnant.

Last Words

Eva Hospital offers the best diagnosis of infertility and Dr. Shivani insists that unexplained infertility is the result of incessant stress or ‘trying too hard’. She counsels her patients in the best way and offers logical and result derived conclusions. For any difficulty in getting pregnant get in touch with Dr. Shivani for best results.