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    Infertility affects millions of people around the world. So if it’s been a challenge to have a baby, know that you’re not alone.

    Infertility is a medical condition for the inability to conceive, or carry a pregnancy to term, despite trying to get pregnant for a year or more. A common assumption is that infertility is primarily related to women. However, only 30-40% of infertility cases are related to women alone, and 40-50% are attributed to male factors. While 20-30% of infertility cases are caused by both female and male factors.

    Symptoms

    The symptoms of GERD are different for every patient. However, the most common symptom is frequently-recurring acid reflux (AKA “heartburn”), which is a painful, burning sensation in the center of your chest, usually after eating. This sensation, which is caused by stomach acid and partially-digested stomach contents being regurgitated into the esophagus, may become worse after you lie down.

    Though rare, GERD has been linked to a slightly-increased risk of esophageal cancer. If left untreated long-term, GERD can sometimes also lead to the development of a condition called Barrett’s Esophagus, in which the lining of the esophagus becomes thickened and red due to repeated exposure to stomach acid. Having Barrett’s esophagus boosts the risk of developing esophageal cancer even more.

    Other common symptoms of GERD may include:

    • Chest pain

    • Recurring nausea

    • Trouble swallowing, or pain when swallowing

    • Chronic or recurring cough

    • Having a hoarse speaking voice

    • Feeling like there’s a “lump in your throat”

    • New or more frequent asthma attacks

    Overview

    Achalasia is a rare disease of the muscle of the esophagus. The term achalasia means "failure to relax" and refers to the inability of the lower esophageal sphincter to open and let food/liquids pass into the stomach. As a result, patients with achalasia experience progressive dysphagia (difficulty swallowing).

    Symptoms of Achalasia

    Experts do not know what causes achalasia. At first, an individual may experience only minor dysphagia (difficulty swallowing). However, over time, swallowing of foods and liquids becomes increasingly more difficult, as the disorder progresses.

    In fact, dysphagia is commonly the main symptom of achalasia, with as many as 90% of patients experiencing difficulty swallowing both solids and liquids. Other symptoms of achalasia may include:

    • Regurgitation of undigested food (as condition worsen, liquids as well)

    • Discomfort or pain in the chest, especially after meals

    • Coughing, especially when lying down

    • Heartburn/

      GERD

    • Weight loss (as the disorder progresses)

    • Aspiration of food, liquid and/or saliva, which can lead to pneumonia and other respiratory infections

    Because the symptoms of achalasia are similar to many others types of dysphagia, accurate evaluation is critical to ensure proper treatment. That’s why it’s important to seek care from a healthcare expert experienced in the complex diagnosis and treatment of swallowing disorders and other gastroesophageal conditions.

    Related conditions

    Treatment Options treatment

    Because fertility issues can affect both men and women, it’s important for both partners to seek the care of a physician.

    For both men and woman, your physician will perform a thorough physical/pelvic examination, discuss your medical history, and order blood work. For men, your physician may also order a semen analysis and ultrasound study to determine if there are any structural abnormalities.

    When it comes to treatment, the majority of infertility cases are treated with conventional therapies such as medication treatment or surgical repair of the reproductive organs. In more complex cases, reproductive endocrinologists (physicians who specialize in the diagnosis and treatment of infertility) often utilize assisted reproductive technologies, such as intrauterine insemination and in vitro fertilization to assist couples in becoming pregnant.

    Infertility generally occurs as a result of a disease or disorder of the reproductive system. It can affect both men and women. There are many different causes for infertility, which is why it’s important to see your physician if you are experiencing difficulty in becoming pregnant. Your OB/GYN can help you to identify potential causes of infertility and refer you to a fertility specialist if needed. You can also search our ‘Find A Doctor’ resource for our staff OB/GYN physicians and fertility specialists.

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