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Unexplained infertility refers to those cases of infertility in which the causes remain unknown. Infertility is a condition marked by the inability to conceive a child even after a year of trying. This can be due to a variety of reasons, depending upon which the treatment plan is tailored, points out Dr. Shweta Goswami, Associate Director- Fertility, Cloudnine Group of Hospitals.
However, in some cases, it is not possible to determine the exact cause, she tells IANSlife. “This means that the basic tests of infertility do not show any specific tests that can be held accountable for your inability to start your journey towards parenthood. You will be surprised to know that 1 in 10 cases of infertility is that of unexplained infertility.
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Though the reason is not known, it does not mean that the problem has to be neglected or has no solution. In fact, in around 50 percent of the cases, the problem resolves on its own within a year of the diagnosis and the couple is able to conceive naturally. However, in some cases, the problem might even aggravate. This makes it important to seek immediate medical intervention and go for proper screening.
Usually, women are recommended to go for fertility tests like ultrasound to check whether the ovaries and uterus are fine, and tubal potency tests like sonosalpingography (SSG) and hysterosalpingography (HSG) to detect any abnormalities or blockage in the fallopian tubes. Males, on the other hand, are recommended to go for procedures like semen analysis to evaluate the quality of their sperm.
Various factors like the age of both the partners and how long they have been trying to have a baby also contribute to this. However, in the case of unexplained infertility, all the test reports are normal. Though the abnormalities are present, they remain undetected,” she says.
Women above 30 years of age, who haven’t been pregnant before and are trying to conceive for more than three years unsuccessfully are more likely to be detected with unexplained infertility.
Dr. Goswami says unexplained infertility is majorly a result of any of the following:
Poor egg quality or lower ovarian reserve – This can be determined by performing AMH or anti-mullerian hormone test. AMH hormone is a hormone produced by the ovarian follicles and acts as a marker of the egg quantity. It is possible for a woman to be completely healthy, yet have a weaker result in the AMH test. Even if the result is normal, the women may have alleviated egg quality. It is quite difficult to determine the same as there are only limited basic tests available.
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Dysfunctional fallopian tubes – Although tests like sonosalpingography (SSG) and hysterosalpingography (HSG) help to detect any sort of blockage in the fallopian tubes, there is, by far, no such test that can help to determine whether the fallopian tubes are carrying their function normally. It is possible to have functional abnormalities despite having normal HSG and SSG reports. In this case, we do not know if the egg is able to enter the tube or not. This is something that an ultrasound or any other imaging modality might not be able to access.
Sperm defects – Though other sperm parameters like sperm quality, quantity, and motility may be normal, the sperm may not be able to fertilize the egg well or there may be sperm DNA damage that is preventing normal fertilization. Here, we are not looking at poor sperm quality but rather poor fertilization.
How can you overcome the problem?
She suggests: “Since the exact cause is unknown, it can be a little difficult to deal with unexplained infertility. A series of tests and screenings may be recommended to evaluate and assess all the known factors and rule out the possibility of the same. Medications and therapies will be started to see if there are any improvements.
Adding: “However, if these fail to give any significant results, ART or assisted reproductive techniques like in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI) and intrauterine insemination (IUI) are always there to help you initiate your journey towards parenthood.” (IANS)
Israeli Ambassador Naor Gilon on Thursday said that the Pegasus snooping issue is India's internal matter.
The NSO is a private company and it has a license to sell its software to the government entities only, he added.
Gilon said: "This is an internal issue of India and I can't speak beyond this point. This is the only main requirement that... under the requirements, they cannot sell it to non-governmental actors".
Responding to a query if the Indian government will contact them, he said that he has no idea whether the Indian government has contacted them or not.
Referring to the explosion that took place last year near the Israeli embassy in Delhi, he said that the perpetrators are yet to be nabbed; however, the investigating agencies of both countries are cooperating with each other.
"We are thankful to the government of India for providing security to all embassy personnel," Gilon said.
Talking about the newly-formed quad with Israel, India, the US, and UAE, the Ambassador said it is totally an economic forum based on mutual cooperation among the participant countries.
"It has nothing to do with the military component as of now," he added.
Talking about Afghanistan, Gilon said that the country should not be used for extremism.
"There should not be any human rights violation and women and children should not suffer there", he commented.
Saying that Israel is a technologically sound country but it cannot go for industrial manufacturing, the partnership between India and Israel can work better for industrial productions.
Sharing the details of the recently-concluded visit of External Affairs Minister S Jaishankar, he said that the visit was most successful in terms of bilateral relations.
Jaishankar met all important Ministers of the Israeli government and also met the Indian Diaspora, the Indian Jews who have recently settled there.
"It was a very warm visit, very friendly which I think emphasized the strategic partnership declared during the visit of Prime Minister Narendra Modi in Israel. I think that the visit was in the spotlight of 30 years of diplomatic relations which we are going to celebrate on January 29 next year," Gilon added. (IANS/JB)
Keywords: Israel Politics, Indian Diaspora, Pegasus issues, Pegasus snooping issue, a partnership between India and Israel.
The Sher Bahadur Deuba government on Thursday recommended veteran diplomat Shanker Sharma as the next ambassador to India.
Sharma earlier served as Vice Chairman of the National Planning Commission and Nepal's Ambassador to the United States of America from 2009 to 2013.
The post in the New Delhi embassy of Nepal fell vacant recently after Deuba recalled the ambassadors from 12 countries including India. The outgoing ambassador, Nilamber Acharya has already returned to Kathmandu.
Sharma has extensive experience in government, international institutions, and economic research. Before joining the National Planning Commission as a member in 1997, he worked as a Senior Economic Advisor, Ministry of Finance, Nepal; a Senior Economist in the Institute of Southeast Asian Studies, Singapore; and a Fellow in the East-West Center, Hawaii. He also served as a Professor of Economics in the Centre for Economic Development and Administration, Tribhuvan University.
He worked regionally and globally for many organizations, such as the UNESCAP, World Bank, and ASEAN. Sharma is close confident of Prime Minister Deuba. (IANS/JB)
Keywords: India-Nepal relations, Nepal Ambassador, economic research.
Prime Minister Narendra Modi on Thursday announced that 2022 will be celebrated as the friendship year for India and ASEAN countries as both have completed 30 years of partnership.
The event will coincide with India's celebrations of the 75th year of Independence from the colonial regime, he added.
While participating in the 18th edition of the India-ASEAN Summit, Modi said, "India is committed to deepening its relations with the next presidency, Cambodia and country-coordinator Singapore."
"History is witness to the fact that India and ASEAN have had relations for thousands of years. India-ASEAN relations are reflected in everything, including in our shared values, traditions, languages, scriptures, architecture, culture, food," the Prime Minister noted.
Speaking about the Covid pandemic which engulfed the whole world, he further said that the Covid period was also a test of India-ASEAN friendship. "Our mutual ties in the Covid time will keep strengthening our corporations in future and form a base for goodwill between our people," Modi added.
He further said that the unity and centrality of ASEAN have always been a priority for India and history has witnessed the fact that "we have had ties since thousands of years," he said.
The Prime Minister also said that India's Indo-Pacific Oceans Initiative (IPOI) and ASEAN's Outlook for the Indo-Pacific are the framework for their shared vision and mutual cooperation in the Indo-Pacific region.
During the Summit, the head of the member states will review the progress of India and ASEAN Strategic Partnerships which was signed in 2012. They will also review the progress achieved in the sectors like Covid-19, health, trade and investment, connectivity, education among others, the officials of India's Ministry of External Affairs said. (IANS/JB)
Keywords: India, and ASEAN partnership, COVID-19, India, and ASEAN, India, and history, Indo-Pacific Oceans Initiative.