Why you should not put off going to a reproductologist
The birth of a child is the most joyful event and great happiness for every family. For some couples, the desired pregnancy comes almost immediately, while others have certain difficulties and the long-awaited second line on the test and does not appear. And if after a certain period of time there is no pregnancy, the woman begins to worry whether everything is wrong with the reproductive health of her and her partner, and why she can not get pregnant? Or maybe it’s time to seek help from a specialist?
To begin with, the most important thing in any situation is not to despair, but also not to let the situation take its course. It is necessary to know that even if both partners are completely healthy, the probability of pregnancy in one menstrual cycle is approximately 25%. Also, conception is only possible during the fertile period (ovulation period), which lasts from 7 to 9 days. However, if a woman under 35 has had a regular sexual life without using contraception for 12 months, and six months after that, without having conceived, it is worth considering going to a fertility doctor who will help identify the factors that prevent pregnancy.
It is better for a couple to come together for their first consultation with a reproductologist, since the causes of infertility may be health problems of either a man or a woman or of both partners. Combined infertility has recently been diagnosed more and more frequently. Already at the first appointment the specialist will prescribe the necessary examinations that will help identify the reasons for not getting pregnant, which in the future will help determine an individual approach to the problem.
Factors of female infertility
Among the main causes of infertility in women are:
Hormonal disorders, which are detected in almost 30% of women. Malfunctions in the endocrine system lead to irregular ovulation, or its complete absence, as a result of which the egg does not mature and is not able to leave the follicle. Endocrine disorders may be caused by thyroid or adrenal gland disease. Treatment of infertility caused by hormonal imbalances is medicated and has a favorable prognosis.
Tubal obstruction is diagnosed by specialists in 30-35% of women. In tubal infertility, the egg cannot migrate from the ovary to the uterus due to a lack of lumen in the fallopian tubes. With this pathology, there is a very high risk of ectopic pregnancy. Possible causes include endometriosis, previous abortions, infectious and inflammatory diseases of the pelvis, etc.
To date, two methods of treating fallopian tube obstruction are most widely used:
– Surgical, which is performed using laparoscopy. During this minimally invasive intervention, it is possible to eliminate adhesions, localize the foci of inflammation, and conduct reconstructive plastic surgery. But it should be noted that this method is not suitable in all cases. It can be applied if the adhesions are isolated, the obstruction of the fallopian tubes is partial and a woman regularly ovulates.
– In-vitro fertilization (IVF), which is used for total obstruction. uterine infertility occurs in 5-10% of women. The following causes lead to its development: congenital abnormalities of the uterus (doubled or saddle-shaped uterus), its abnormal position, uterine myoma, adenomyosis, uterine mucosa disorders, and as a result of diagnostic scraping. Patients with uterine myoma most frequently come to see a reproductologist, and in most cases, pregnancy occurs after surgical treatment.
Unclear infertility – a diagnosis that may be made by a fertility doctor when the examination results testify that the woman is healthy but the pregnancy does not occur. In such cases, the doctor will recommend an examination by physicians of related specialties.
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Male infertility factors
The cause of not getting pregnant may also be a malefactor. Diagnosis of infertility in a man is somewhat easier. To do this, it is necessary to make a spermogram, according to the results of which the doctor will determine the fertility of the man. In addition, with the help of sperm analysis, it is possible to diagnose immune, infectious, genetic, endocrine diseases that prevent pregnancy. Depending on the result of the spermogram, the doctor may prescribe additional examinations.
Among the main causes of infertility in men are:
- inflammatory diseases of the urogenital system and sexually transmitted diseases;
- Dilation of the spermatic cord veins (varicocele);
- genetic diseases;
- harmful effects of chemicals (varnish and paint, arsenic, lead, zinc, carbon monoxide, ammonia, etc.) immune and hormonal diseases;
- Frequent exposure of the body to high and low temperatures;
- Lack of sufficient amino acids (proteins), micronutrients, and vitamins in the diet;
- Smoking and frequent use of alcohol;
- sedentary work and lack of physical activity.
Combined factor infertility
Combined infertility is diagnosed if reproductive health problems are found in both women and men during examinations. Today, this type of infertility is determined in one in five couples who have difficulty conceiving.
In this case, both partners must undergo treatment. Remember, thanks to the possibilities of modern medicine, infertility is treatable, and the chance to become parents is for everyone!