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Archive for July 2018

Infertility: A Stigma of Life


Infertility is a major life event that brings about social and psychological problems.

Main themes include:

  1. Cognitive reactions of infertility (mental engagement; psychological turmoil).
  2. Emotional-affective reactions of infertility (fear, anxiety and worry; loneliness and guilt).

In Pakistan parenthood is almost an obsession. According to a report of Express tribune in year 2017, about 21.7 per cent of all couples in Pakistan are unable to have children and most of these couples unfortunately are faced with an extreme social stigma. But every dark cloud has a silver lining and in this ray of despair ICSI is like a miracle. It is an appropriate treatment for couples suffering from infertility. This treatment involves injecting a single sperm directly into an egg. The fertilized egg (embryo) is then transferred in to womb (uterus).It gives a chance of conceiving genetic child when other fertility treatments options are unlikely to do so.


By -Dr. Ayesha Maqbool

ACIMC Lahore, Coordinator (MBBS)

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Ovarian Reserve Test AMH


AMH (Anti Mullerian Hormone) is being used as a ovarian reserve marker since 2002. When a female is born , her ovaries have lifetime reserve of eggs that decreases gradually in both quantity and quality.

AMH Hormone is secreted by granulose cells of growing follicles in ovaries. AMH does not change during Menstrual Cycle so the blood test can be done at any time of month.

AMH levels in women’s blood is an excellent indicator of her ovarian reserve, it can be used as PCO marker too.

AMH is very much related to fertility issues and is of great importance to those who are trying to conceive.

AMH test will give you answers to many questions if you’re getting Infertility treatment, e.g.:-

  1. What is your ovarian reserve?
  2. Do you have enough eggs for successful IVF / ICSI?
  3. How will ovaries respond to Stimulation?
  4. Do you have to consider egg freezing or planning pregnancy sooner?

Factors affecting AMH Levels:

  1. Age AMH naturally decreases as you get older
  2. Females with history of ovarian surgery
  • Endometriosis
  • Ovarian Cyst
  • Ovarian Torsion
  • Ectopic Pregnancy
  1. History of hormone disorder and medical conditions related to female reproductive system.

For Example:

Females with PCO have higher level of AMH.

  1. Stress it has negative Influence on AMH levels.
  2. Vitamin D Deficiency it’s known to have connection with fertility issues and levels of AMH.

Unfortunately, there are no ways to increase ovarian reserve and AMH levels.

What is AMH test?

It is a simple blood test which is performed in the laboratory to measure hormone levels and at least 3ml of blood is required.

Low AMH levels are a indicators of diminished ovarian reserve and low levels in younger females may be a sign of premature loss of fertility.

By -Dr. Sanniya Visam 

ART Coordinator (MBBS) and Online Counselor

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