menopause in women

  • as women ages the quantity and quality of the ova produced declines
  • as a woman ages there are changes to the endometrium that make successful implantation more difficult
  • eventually the woman will stop producing ova
  • hyperthyroidism/hypothyroidism   * under a overactive thyroid glands can cause fertility problems in both sexes   * in women hypothyroidism can cause increase in the levels of prolactin which inhibits the FSH production   * hypothyroidism in women causes irregular menstrual cycles and thinner endometrium   * harder to conceive and less likely to implant and remain   * in males both conditions can lead to erectile dysfunction   * reduced testosterone production that lowers the sex drive
  • ovulation disorders   * leading cause of infertility   * anovulation (no ovulation) ova does not develop normally   * menstruation may or may not take place   * causes - hormonal imbalance and eating disorders   * women elite athletes who exercise a lot may stop ovulating   * oligo ovulation where ovulation is irregular and may have a menustrual cycle that is longer than normal   * there may be abnormalities in oocyte formation leading to increased chances of a mischarge
  • physical barriers to contraception   * in females there may be blockages in the fallopian tube that prevent an ova reaching the uterus,the blockage will also prevent sperm from reaching the egg   * occurs as a result of an infection (mainly STI’s)   * fibroids in the uterus   * non cancerous growths in the uterus will that prevent implantation
  • assisted contraception for debility problems   * intrauterine insemination   * sperm are introduced into uterus at the time of ovulation   * in vitro fertilisation   * ova are collected from the mother’s ovary and are fertilised with sperm outside the body and reintroduced into the uterus   * donated gametes are used in the above methods
  • contraception   * contraception   * vitro fertilization   * female contraception   * the pill   * patches
  • contraceptive pill   * combined - contain oestrogen and progesterone   * usually synthetic versions of the human hormones   * work by preventing follicle formation,prevent ovulation and thicken cervical mucus   * progesterone only pill   * work by inhibiting ovulation,then the endometrium and thicken the cervical mucus   * there is no contraceptive pill for men on the market though there have been several types that have undergone medical trails   * pills would only work if they reduced testosterone levels sufficiently to prevent sperm production   * this is fairly easy to achieve by using injections of slow release progesterone but there are side effects   * depression,mood disorders,acne and muscle pain

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