Female Diagnosis

What is Female Diagnosis?

Diagnosis is the process of determining a disease, a certain condition, or injury from its causes and symptoms. Patient health history, physical exam, and tests like blood tests, ultrasound, and biopsy, may help in correct diagnosis.

Female diagnosis mainly comprises of diagnosis of sexual dysfunction and infertility. The symptoms, causes, diagnosis and treatment will be explained from these two points.

Symptoms of Female Diagnosis

Following are the symptoms for diagnosis in females – 

  • The inability of females to get pregnant
  • Female having low sex drive – low or no interest or willingness for sex
  • Female experiencing sexual arousal disorder – having difficulty in sexual arousal or stimulation.
  • Female experiencing organism disorder – having difficulty in achieving organism.
  • Females experiencing sexual pain disorder – it is the pain associated with stimulation and vaginal contact.

Causes of Female Diagnosis     

The following are the causes of female diagnosis – 

  • Physical cause for sexual dysfunction – Many chronic or lifelong diseases like diabetes, kidney failure, heart disease, and cancer will lead to low sex drive.
  • Hormonal cause for sexual dysfunction – Any decrease in estrogen hormone will lead to low blood flow in the pelvic region which will ultimately affect sexual desire.
  • Psychological and social cause for sexual dysfunction – Untreated anxiety, depression, stress, and conflict with spouse may lead to low sex drive. 
  • Problem in Ovulations

Any issue in their functioning can lead to ovulation disorder.

  • Polycystic ovary syndrome - It causes hormonal imbalance due to the production of androgen in large numbers. It affects the ovulation process. It is also related to fatness, insulin resistance, abnormal hair growth on the body and acne.
  • Hypothalamic dysfunction – Hypothalamus is a part of the brain which signals the pituitary gland to release hormones which influence ovaries to mature eggs. Disruption in the release of hormones from glands due to stress, weight loss or gain, and remarkable increase or decrease in body weight leads to ovulation problems.
  • Primary ovarian insufficiency – It is a premature loss of eggs from the ovary due to genetics or cancer therapy. It is also called premature ovarian failure.
  • Excess of prolactin – The excess formulation of prolactin will reduce estrogen formulation which will cause infertility.
  • Other Causes – There are many other factors which cause ovulation disorder like eating disorders, substance abuse, thyroid problem, stress and age. 
  •   Tube Infertility (Damage to fallopian tube)

Any damage or blockage in the fallopian tube prevents sperm from getting to the egg or blocks fertilized egg movement to the uterus. 

  • The problem in the uterus – The issue in the uterus is due to uterine polyps or fibroids. Uterine polyps are small non-cancerous growth in the endometrium and uterine fibroids are masses of tissue attached to the wall of the uterus. The other reason could be defection since birth like the unusual shape of the uterus.
  • The problem in the cervix – The issue in the cervix could be cervical stenosis which is the narrowing of the cervix and the inability of the cervix to produce quality mucus to allow sperm to travel to the uterus. 
  • The problem in egg quantity and quality – There are defined numbers of eggs in women since birth which cannot be added in future. They may run out before menopause. Chromosomal issues may lead to a compromise in the quality of eggs.

When to visit a doctor?

It is to one’s benefit to have a medical check at regular intervals but if a patient experiences any of the symptoms mentioned above she should immediately visit the doctor.

Female Diagnosis

The doctor starts the diagnosis by conducting a physical exam, asking the patient about her medical history and can ask for a test to determine the reason. Following are the tests which he may prescribe to conduct – 

  • Blood Test
  • Pelvic Exam
  • X-ray Hysterosalpingogram (HSG)
  • Laparoscopy
  • Ovarian Reserve Testing
  • Saline Sonohysterogram (SIS)
  • Hysteroscopy

Treatment

The treatment options for sexual dysfunction are as follows –

  • Open communication between partners
  • Change in lifestyle and limiting the use of alcohol.
  • Counselling
  • Use of external devices for sexual stimulation and arousal
  • Medical treatment to level hormonal imbalance through – 
    • Estrogen therapy
    • Androgen therapy

The treatment options for infertility are as follows –

  • Medication - Prescribing drugs for infertility due to ovulation problems like Clomiphene citrate, Gonadotropins, Letrozole etc.
  • Surgery – Laparoscopic surgery and Tubal surgeries.

Reproductive assistance like IVF and Intrauterine Insemination.

1. What is estrogen?

It is a hormone which develops and maintains the female body.

2. Why pelvic exam is conducted?

The pelvic exam is done to monitor the physical changes of the body that affect sexual desire.

3. What is X-ray Hysterosalpingogram?

A device is inserted into the cervix and takes an X-ray of the fallopian tube.

4. What are the Psychological and social cause for sexual dysfunction?

Untreated anxieties, depression, stress, and conflict with a spouse are a few causes.

5. What is hypothalamic dysfunction?

It is any disruption in the release of hormones from glands which influence ovaries to fertilize eggs i.e. to start ovulation.

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