We often consult for women after repeatedly failed IVFs, eventually landing into something called as poor ovarian reserve or poor ovarian response. The hormone AMH levels are drastically low and their IVF specialists has scared them to hell about the prognosis and pushing for another cycle of IVF or ICSI as early as possible. Is the scenario same with you???

How to Get Pregnant Naturally With Poor Ovarian Reserve?

The best way to get pregnant naturally with poor ovarian reserve is through Welling Homeopathy treatment.

• The custom-made natural remedies for poor ovarian reserve can help you improve ovarian response, and increase natural pregnancy chances by up to 65%,
• 81-Year-Old Legacy of Welling family in practising Homeopathy,
• Our homeopathy medicines for poor ovarian reserve has helped over 4710 women conceive naturally within 6 months skipping the need for donor egg for IVF,
• We have a 62% success rate in the first treatment cycle of 6 months,
• Homeopathy Assisted Reproduction Therapy ( HART ) is a research-based homeopathy treatment developed at Welling Research Labs and available exclusively through Welling Clinics,
• We are the first and the largest Homeopathic infertility Clinic in the world with satisfied patients from 108 countries.

Call +91 8080 850 950 to book an appointment or to consult and order online. Consult our specialists today for a detailed evaluation and to start your customized Homeopathy medicines for poor ovarian reserve to get pregnant naturally and fast.

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What exactly is Poor Ovarian Reserve ?

Poor Ovarian Reserve is also called has Diminished Ovarian Reserve.

It is usually accompanied by high FSH (Follicles Stimulating Hormone) levels.

It is a condition of low fertility characterized by:

Low numbers of remaining oocytes in the ovaries.

Possibly impaired preantral oocyte development.

• One of the most frustrating problem in IVF today is poor ovarian reserve.
• It is well known that the pregnancy rates in IVF are directly dependant upon quality and number of embryos transferred and the more number of eggs a woman grows then better embryos can be select from it.
• This is why woman with good ovarian response have much higher pregnancy rates than the woman with poor ovarian response.

Is poor ovarian reserve a common condition?

• No poor ovarian reserve is not common condition but can be observed after repeatedly failed IVF cycles.

What is the incidence or chances of poor ovarian reserve?

• This condition is mostly seen in only10-12% of woman who has menstrual abnormalities like amenorrhea (absence of menses).

Poor ovarian reserve affects age group of?

• Usually the ovarian function is varies with age, as age increases her ovarian response starts declining naturally. It mostly seen in age group of 30-40 yrs.

What are the causes of poor ovarian reserve?

• Mostly causes are idiopathic- no known causes.
• Poor ovarian reserve is premature decrease in number of eggs and can be caused by chromosomal anomalies s/a Turner Syndrome where there the woman does not have two X chromosome, or Gene anomalies s/a fragile x syndrome.

• About 20-28% woman experienced fragile x syndrome and 23 % experienced early menopause.
• Autoimmune disorder.
• Adrenal gland impairment.
• Iatrogenic- due to radiation, chemotherapy or surgery s/a laser surgery of the surface of ovary to treat endometriosis. Excessive laparoscopic ovarian drilling can cause premature ovarian failure

Which are the tests to be done to detect poor ovarian reserve?

• Various tests are there to measure ovarian response.

(1) The commonest test is to measure the FSH (Follicle Stimulating Hormone) levels in blood- the basal (day 3) FSH levels. A high level suggests the poor ovarian response/ reserve. And very high level (more than 20 mlU/ml- though it is varies from lab to lab) is diagnostic of ovarian follicle.

(2) CCCT (Clomiphene Citrate Challenge Test) – This test provides the earlier evidence of declining ovarian function. This is similar to the “stress test” of ovary and involves measuring the basal Day 3 FSH level and Day 10 FSH level after administering 100 mg of Clomiphene citrate from Day 5 to Day 9. If some of FSH level is more that 25, then this suggest poor ovarian function and predicts that the woman have poor ovarian response. The high FSH level in woman does not mean that she can not get pregnant it just mean that the chances of pregnancy are drooping because the egg quality is impaired.

(3) It is also useful to check your FSH: LH ratio. A normal FSH: LH ratio is 1. However, if the FSH level is much higher than the LH level, then this suggests poor ovarian reserve.

(4) Also test estradiol (E2) level on Day 3 at the time of checking FSH level. A high E2 level can artificially suppress the FSH back to normal, and giving you false results. However, a high E2 level suggests poor ovarian reserve.

(5) Another test which has been recently developed is measurement of blood level of Anti Mullerian Hormone, (AMH) which are produced by good follicles. Low levels of AMH suggest poor ovarian reserve. AMH levels do not change significantly throughout the menstrual cycle and can be measured independently on any day of menstrual cycle. AMH level may decrease with age. Healthy woman with age of 38 yrs old with normal follicular status on Day 3 of menstruation have AMH levels of 2.0- 6.8 ng/ml. High levels are found in patients with PCOD.

(6) Along with using biochemical test to assess ovarian function we can use biophysical markers too. This biophysical markers use ultrasound technology to image the ovaries and follicles. The most useful test is called as the Antral Follicle count (AFC) in which counts the number of antral follicles present in ovary on Day 3 using vaginal ultrasound scanning. Antral follicles are small follicles usually measures 2-8 mm in diameters. (The normal total antral count is between15 to 30). If count is less than 6 then prognosis is poor.

What should be the alternative treatment for a high FSH level?

• Basically there is no treatment for a high FSH level in conventional medicine. Once the ovarian reserve is depleted, the ovary cannot grow any new eggs. However, if you have a borderline high FSH levels, there are many alternative options you can explore to try to improve your ovarian reserve.
• Homeopathy basically stimulates your glands to regulate the hormone levels and strive to improve the ovarian reserve. We have seen in our patients,that AMH level improves with authentic Homeopathy treatment.

Call +91 8080 850 950 to book an appointment or to consult and order online. Consult our specialists today for a detailed evaluation and to start your customized Homeopathy treatment for poor ovarian reserve to get pregnant naturally and fast.

A Hydrosalpinx is a distally blocked fallopian tube filled with serous or filled with a watery, clear liquid. The blocked tube may become substantially distended giving the tube a characteristic sausage-like or retort-like shape.The condition usually affects both fallopian tubes.

In most cases of hydrosalpinx, only the fimbrial end (the end closest to the ovary) of the tube is sealed bilateral and the affected tubes may reach several centimeters in diameter. Off in rare cases, both ends may be sealed. The blocked tubes cause tubal-factor infertility.

The major cause behind Hydrosalpinx is Pelvic Inflammatory Disease (PID), it usually occurs due to an ascending infection caused by Chlamydia or gonorrhea. However, not all pelvic infections will cause distal tubal occlusion.These infections usually affect both fallopian tubes, and although a hydrosalpinx can be one-sided, the other tube on the opposite side is often abnormal.

How do you get Hydrosalpinx?

• Use of IUD (Intra Uterine Devices)
• Endometriosis
• Prior Pelvic surgeries
• Adhesions
• Tumors
• Tubal tuberculosis
• Sexually transmitted diseases

What symptoms do you get in Hydrosalpinx?

• Hydrosalpinx symptoms vary from patient to patient. In lots of cases, it just remains asymptomatic, but however, symptoms may show up on some as well
• Some patients have lower often recurring abdominal pain or pelvic pain, while others may be asymptomatic
• Some may experience abnormal vaginal discharge because of pelvic infection or inflammation.
• As hydrosalpinx causes infertility, it is sometimes discovered only when a woman seeks treatment for infertility issues
• Normally egg is released from ovaries & is picked up by finger like projections called fimbria, and then pushed into fallopian tubes where fertilization takes place prior to implantation in the uterus.
• IUDs, endometriosis, and abdominal surgery sometimes are associated with the problem. As a reaction to injury, the body rushes inflammatory cells into the area, and inflammation and later healing resulting into loss of the fimbria and closure of the tube.
• While the cilia of the inner lining (endosalpinx) of the fallopian tube beat towards the uterus, tubal fluid is normally discharged via the fimbriated end into the peritoneal cavity from where it is cleared
• If the fimbriated end of the tube becomes agglutinated, the resulting obstruction does not allow the tubal fluid to pass; it accumulates and reverts its flow downstream, into the uterus, or production is curtailed by damage to the endosalpinx.
• This tube then is unable to participate in the reproductive process: sperm cannot pass, the egg is not picked up, and fertilization does not take place and thus creates problems in conceiving.

How does Hydrosalpinx affect Fertility?

• Normally egg is released from ovaries & is picked up by finger like projections called fimbria, and then pushed into fallopian tubes where fertilization takes place prior to implantation in the uterus.
• IUDs, endometriosis, and abdominal surgery sometimes are associated with the problem. As a reaction to injury, the body rushes inflammatory cells into the area, and inflammation and later healing resulting into loss of the fimbria and closure of the tube.
• While the cilia of the inner lining (endosalpinx) of the fallopian tube beat towards the uterus, tubal fluid is normally discharged via the fimbriated end into the peritoneal cavity from where it is cleared
• If the fimbriated end of the tube becomes agglutinated, the resulting obstruction does not allow the tubal fluid to pass; it accumulates and reverts its flow downstream, into the uterus, or production is curtailed by damage to the endosalpinx.
• This tube then is unable to participate in the reproductive process: sperm cannot pass, the egg is not picked up, and fertilization does not take place and thus creates problems in conceiving.

Is hydrosalpinx fluid toxic in individual cases?

Even though there may not be a common toxic factor in all fluids, the presence of factors inhibitory to embryo development in fluids from certain individuals cannot be excluded. Most experiments are based on small numbers of hydrosalpinx fluids, and individual variations in content may reflect the differences in embryo development.

Why Remove Hydrosalpinx Before IVF?

As mentioned earlier, hydrosalpinx can reduce the success rate of fertility treatment, namely IVF in this context. There is research evidence to suggest that removal of hydrosalpinx before IVF, significantly improve the success rates of IVF and therefore this is recommended to optimize the chances of success after IVF. The rationale for treatments to improve the results of in-vitro fertilization is based on interruption of the leakage of hydrosalpinx fluid into the uterine cavity. This in turn, reduces significantly, the chances of an ectopic pregnancy.

What are the Complications of Hydrosalpinx?

• The very presence of the hydrosalpinx can negatively impact fertility.
• There can be chances of repeated infections, delayed menses, difficulty in conceiving even after IVF or other artificial reproductive techniques and later in pregnancy
• It can also lead to Tubal phimosis which refers to a situation where the tubal end is partially occluded, in this case fertility is impeded, and the risk of an ectopic pregnancy is increased.
• A hematosalpinx is most commonly associated with an ectopic pregnancy
• A pyosalpinx is typically seen in a more acute stage of PID and may be part of a tuboovarianabscess (TOA).

Why Homeopathy Treatment for Hydrosalphix?

HART treatment protocol not only helps in the permanent treatment of Hydrosalphix but also facilitate natural conceiving. We also get a lot of patients who have already planned an IVF cycle and would like higher chances of success in the IVF cycle.

The usual complications of a laparoscopic surgery for hydrosalphix are

• Anesthetic complications

• Injury to major blood vessels

• Injury to bowel/bladder

• Bleeding

• Post-operative infection.