The problem of infertility. How to treat infertility in men and women? The causes of infertility

The problem of infertility. How to treat infertility in men and women? The causes of infertility

Successful treatment of infertility primarily depends on the correct diagnosis and identification of the causes. Only a small percentage of cases of infertility cannot be treated. I propose to consider in more detail the problem of male and female infertility.

The problem of infertility most often begins to be considered not in a single person, but in a couple in a complex. It can be both permanent sexual partners and a married couple. Doctors begin to raise the issue of infertility if the couple does not have pregnancy without means of protection throughout the year.

What is female and male infertility?

A couple who wants a child, pregnancy occurs for three months, less often six months later. The more time passes, the less chance of pregnancy. And, if for more than a year, attempts to conceive a child were unsuccessful - it is worth talking about a visit to the doctor.

A family-productologist who prescribes a couple of examinations, which can last 1-3 months, dealt with the issues of continuing the genus.

Important: some types of examinations to a woman are made only in certain phases of the menstrual cycle to obtain a more accurate result.

Based on the results of the examination, a diagnosis is made. We can talk about the infertility of the couple (when there is a violation in the interaction of the sex cells of partners), women or men.

Infertility can be primary and secondary:

  • If a woman has never had pregnancy or a man could not get pregnant from him - primary infertility
  • If a woman was pregnant (no matter what outcome) or a person’s pregnancy has come for a man-infertility is considered secondary

General causes of infertility

Remember that infertility is absolute (the possibility of conception is excluded) and relative (pregnancy is possible under certain conditions). There are 4 factors that are distinguished by absolute infertility - this is the absence:

  • sperm or their activity
  • uterus (or its underdevelopment)
  • appendages (or their anomalies)
  • fallopian pipes

There are a lot of reasons for relative infertility:

  • Age.
    Women after 35 years suffer from a decrease in the quantity or natural aging of eggs. The fertility of men can remain high even up to 60 years, since a decrease in testosterone levels and sperm activity occurs very slowly and almost imperceptibly
  • The use of narcotic substances, alcohol, addiction to tobacco products. These substances greatly affect the fertility - natural fertility - humans. Sperm is reduced, women are reduced in the chance of conception
  • Excess weight and diseases associated with its presence (diabetes, high pressure, etc.). Excessive thinness can also provoke a violation of reproductive function
  • Infectious diseases and their consequences
  • SPPP (gonorrhea, syphilis, etc.)
  • Medicines
    The use of some medications negatively affects the childbearing function

Important: do not self -medicate. Many drugs are selected individually after consulting a doctor.

Medications affecting the reproductive function and cause infertility

Most vaccination is aimed at protecting against diseases that can cause infertility: measles, rubella, pig. However, recently (namely from 2006) it has become known about the vaccine against HPV - the human papillomavirus, which leads to a number of complications, including cervical cancer.

The benefits of vaccination are quite doubtful, but the consequences are frightening. In many countries, including Russia, after vaccination there was a leap of the number of girls and women who were diagnosed with infertility after vaccination. The vaccine contains a human cholionic gonadotropin, which is a hormone necessary to maintain pregnancy.

Important: in combination with the components of the vaccine, the body produces antibodies against this hormone, which leads to the lack of the possibility of normal pregnancy.

Medicines that can negatively affect the reproductive function differ in nature.

  • For women, the greatest danger is hormonal medicines that cause a failure in the body. Frequent intake of emergency contraception or incorrectly selected oral contraceptives can significantly reduce fertility and lead to a number of serious complications
  • Men are threatened with infertility of anabolic steroids that affect spermatozoa, a prolonged intake of antibiotics. Tangible harm, sometimes irreversible, for male reproductive function carries chemotherapy

Depression and infertility. The impact of the emotional state on the function of childbirth

In addition to medical problems with health, an emotional state can lead to infertility. In this case, they speak of psychological (psychogenic) infertility.

In women, the body in a state of stress is weakened, therefore, bearing a child is complicated. For the normal operation of the reproductive function, it is necessary to remove the source of depression (or resort to the help of doctors for its treatment) and calm down. The main reasons for the development of depression:

  • An obsessive desire to become pregnant
  • Unwillingness or fear of becoming a mother
  • Constant stress due to large loads, psychological pressure from the outside, financial problems

The existence of psychogenic infertility in men has not been proven. However, the mechanism is similar to a female one: a disorder of the emotional state negatively affects the reproductive function and leads to a decrease in the number of active spermatozoa.

The main causes of female infertility

Absolute infertility may be due to a number of factors, it is not amenable to treatment, regardless of the time of its diagnosis. The reasons may be the problems with the uterus:

  • Infantilism
  • Hypoplasia (underdevelopment)
  • Bicarry (the presence of a partition in the uterus)
  • Injury or uterine removal

The absence of ovaries, uterine pipes or their obstruction may also lead to absolute infertility.

Fortunately, relative infertility differs in that it is treated. In most cases, with proper diagnosis, a woman can conceive and take out the child on her own. The causes of relative infertility can be:

  • Endocrine disorders
    Due to hormonal problems in the body. These include anovulation (lack of ovulation), a lack of progesterone (sex hormone necessary for bearing the fetus), various lesions of the ovaries (cyst or polycystic, leading to the lack of egg production, tumor, inflammation), endometriosis (endometria tissue clogs uterum pipes), excess of excess of excess), excess Prolactin (hormone that does not allow to become pregnant)
  • Immune problems
    Immune diseases lead to the production of immunity to spermatozoa of the partner
  • Pipe form of infertility
    Due to obstruction of the fallopian tubes

 

Hormonal disorders in the body of a woman and infertility

Hormonal (endocrine) disorders include:

  • Anovulation (lack of ovulation)
  • Lack of progesterone (sex hormone necessary for bearing a fetus)
  • Various lesions of the ovaries (cyst or polycystic, leading to the lack of production of eggs, tumors, inflammation)
  • Endometriosis (endometrial tissue clogs fallopian pipes)
  • Hypotolamo-pituitary dysfunction leads to an excess of prolactin (hormone that does not allow to become pregnant)
  • Hyperandrogenia (excess of male sex hormones)

The main cause of hormonal infertility is endocrine disorders associated with pathologies of the thyroid gland, adrenal glands, which leads to a violation of the production of hormones.

Important: the main symptom of hormonal disorders is the lack of menstruation for more than six months.

Ovarian cyst and infertility

The ovaries are the most important organs in the female reproductive system in which eggs ripen. The most common disease of this organ is a cyst. This name is a hollow formation in the place of a ripening follicle filled with liquid. The reasons for the formation can be different:

  • Hormonal background violation
  • Menstrual cycle failure
  • Abortion
  • Heredity

The presence of cysts does not always lead to infertility. Often the cyst is absorbed independently, without requiring surgical intervention. Only with a threat of her gap, they resort to the removal of this education.

Important: a regular visit to the gynecologist will determine the possibility of resorption of the cyst during several menstrual cycles, as well as in time to solve the issue of the need to remove it.

Cyste-ovnik-scheme

Abortion as a cause of infertility. Infertility after surgical and drug abortion

Causes of secondary infertility:

  • Age-a decrease in fertility is observed after 30-35 years.
  • Changes in the hormonal background
  • Incompatibility with a partner
  • Gynecological diseases and STD
  • Life lifestyle - malnutrition, bad habits and other factors that have a detrimental effect on the reproductive function of the female body
  • Consequences of surgical intervention, ectopic pregnancy or complications after childbirth or abortion

Unfortunately, abortion is one of the most common causes of secondary infertility.

Important: both drug and surgical abortion carry the same danger in itself.

  • Medication abortion does not imply surgical intervention, it is carried out by taking medications that cause the death of the fetus and a miscarriage. The consequences can be quite deplorable: an allergic reaction of the female body, hormonal failure, bleeding after miscarriage and the occurrence of inflammatory processes that adversely affect the reproductive function
  • Surgical abortion is a traumatic procedure during which the fetus is wrapped from the uterus. Complications after this intervention can lead to infertility: adhesions and scars on the uterus, uterine bleeding, cervical injury, infection.
  • In addition to medical problems, abortion can lead to psychological infertility

Important: abortion is strictly not recommended during the first pregnancy, the presence of genera in the past through cesarean section, late for an abortion of the deadline.

Video: abortion all for and against

Diagnosis of infertility in women

For the treatment of infertility, timely identification of the causes and establishing the correct diagnosis is extremely important. A number of studies are used for this:

  1. Ultrasound of the pelvic organs helps to identify the pathologies of the genitals, determines the patency of the fallopian tubes, determines the fibroids and polycystic
  2. Measurement of basal temperature - for a long time a graph of temperature changes is drawn up in the morning and evening, which helps to determine the functionality of the ovaries
  3. Analyzes for infections
  4. Bacteriological crops
  5. Hormones tests
  6. Hysteroscopy - using an optical tool equipped with a minivideocamer, the uterine cavity is examined
  7. The postcoithic test aimed at identifying antibodies is made to establish compatibility of spouses

In cases of unidentified cause of infertility, additional examinations are prescribed. For example, laparoscopy, in which internal organs are examined by an optical instrument through a puncture in the abdominal cavity. The procedure is performed under anesthesia.

You may also be offered to do hysteroscopy aimed at examining the uterus. During the procedure, the uterine cavity is filled with a solution and using a thin tube with a camera introduced through the vagina, the condition of the walls and mucosa is evaluated. If necessary, you can take a biopsy.

Is it possible to cure infertility: tips and reviews

  • Refuse smoking, drinking alcohol and narcotic substances
  • Follow your weight - overweight or excess thinness equally adversely affect the ability of childbirth
  • Avoid vitamin deficiency, follow the nutrition
  • Visit a gynecologist regularly
  • Do not self -medicate
  • Refrain from random sexual contacts

Video: Prevention of female infertility

The main causes of male infertility

Male infertility is found at least than female. In half the cases, problems with conception in the married couple turns out that the case lies precisely in the reproductive system of a man. The male reproductive system consists of two parts: external and internal genital organs.

The main causes of male infertility:

  • Cryptorchrism is the absence of one or two testicles in the scrotum. Pathology occurs even with intrauterine development and in most cases is not treated immediately, since the testicles can still go down in the first year of the baby's life
  • Hypospadias - displacement or shortening of the urethra
  • Varicocele - a decrease in the outflow of blood from the genitals due to elongated veins or their expansion
  • Hypogonadism is the weak development of genitals or the absence of secondary sexual characteristics
  • Infectious diseases (STD, pig)
  • Hormonal disorders - lack of testosterone production
  • Sexual disorders - premature ejaculation, violation of erection

Does prostatitis leads to infertility?

  • Prostatitis is inflammation of the prostate gland, which leads to a decrease in the number of sperm and reducing their mobility

Immunological infertility in men

  • Immunological infertility - a man’s body produces anti -permal bodies (asat), attacking spermatozoa. It occurs most often due to injury, when spermatozoa falls into the blood of men and cause an immune response. In addition to injury, this infertility can lead to varicocele, STD, inguinal hernia and inflammatory diseases in the genitals

Hereditary male infertility

  • Genetic infertility is a chromosomal anomaly that is inherited. It can be expressed in the presence of excess chromosome or their abnormal set. The underdevelopment of the vitro -transient channel is also attributed to hereditary infertility

Prevention of male infertility, video

  • The main prevention of infertility is a regular and timely visit to a doctor
  • Healthy lifestyle
  • Exclusion of chemical factors (for example, harmful effects at work)
  • Treatment of inflammatory diseases
  • Surgical treatment of genital diseases, hernias, tumors
  • Conducting regular sexual activity

Choosing a clinic for the treatment of infertility. What should you pay attention to?

The main role in the treatment of infertility is played by the choice of clinic and the attending physician, because the correctly diagnosed is the key to successful recovery. There are several ways to choose:

  • Search on the Internet is convenient for its availability and the availability of forums for patient reviews on which you can ask your questions. On the sites of many clinics, you can find statistics on successful treatment results. However, virtual information may be incorrect
  • Recommendations - you can talk live with a person, learn about the conditions of the clinic, personnel ratio, cost, etc. In this case, you will have to deal with a human factor. Diagnoses, the treatment, results - all this is individual for each pair, so is it worth listening? ...
  • Personal visit to the clinic - you can personally evaluate the conditions offered diagnostics, chat with personnel, evaluate the advantages and disadvantages of a number of institutions before making a decision. Pay attention to the interior, the presence of diplomas and certificates (do they meet your requirements)

Important: immediately pay attention to the presence of a license.

Folk remedies for infertility: uterine milk, peg, honey and others

Sometimes traditional medicine helps to cope with secondary infertility.

  • Honey-it is recommended to take every day 100-200 g of honey dissolved in water. Take an hour and a half before meals. A good effect has honey with uterine milk in a ratio of 1: 2
  • Rolling milk and parch - increases the likelihood of conception, in men leads to an improvement in potency. Pergenage goes well with honey water, the daily dose should not exceed 30 g of uterine milk with vodka about a day in a ratio of 1: 2. Take such an infusion of 15 drops an hour and a half before meals.
  • Ishmagen is a perennial growing in Siberia. Its action is aimed at normalizing the number of hormones and the treatment of inflammatory processes in the reproductive system. It is also used to eliminate the ovarian cysts and uterine fibroids. Take daily before meals in the form of a decoction (2 tablespoons each) or tinctures on vodka (half a teaspoon)
  • Sage - it is recommended to take women after 35 years to normalize the number of female sex hormones. Drink one glass of infusion daily in the morning. When accepted by the course of one month, acts as a rejuvenating agent

Important: with large dosages, it can cause allergies or poisoning

  • Geranium oil - has an anti -depressive and anti -inflammatory effect. Can be used as aromatic oil. To make orally, dilute 3-4 drops in warm water and mix with a teaspoon of honey. Take 3 times a day before meals

Infertility is not a sentence. In most cases, we are talking about relative infertility, which is treated with timely detection of the causes of its occurrence.

Video: Female infertility is not a sentence

 



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Comments K. article

  1. Need advice. My husband and I said yesterday, the doctor said that for a number of reasons we will not be able to conceive a child on our own. And my husband is not very well and I also have health problems. They offer to go to IVF and preferably rather, since the age is quite solid with us. We are so confused, did not expect such a blow under the breath, do you think it is worth spending that money on IVF? They just write often.

  2. Why are you a doctor’s offer, how do you take a blow under a breath? On the contrary, it is great that medicine is at such a level that you can, with such health problems, be able to get pregnant and give birth to a child. I only treated this and nothing else. The clinic helped me choose girls from the forum, where we all talked on the topic of IVF. Yes, and my doctor - Ivanova Yuliana Yuryevna from the clinic K+31 I really like it as a person and a competent specialist. So far we are only preparing for the protocol, after the new year the protocol will begin. Therefore, my advice to you, change your attitude to the situation and battle !!!

  3. So much money and time took the treatment of infertility that it would be better if I spent them on raising a child. In the end, all the same, I had to resort to IVF, thank God, it turned out the first time - it would be hard to collect money for the second. I sincerely thank the clinic “Mom” for my daughter, first of all, Julia Alekseevna Kikina, who conducted my protocol from the very beginning. I did not receive careful and careful work in life from any doctor, she literally returned me faith to the future And gave me it.

  4. I agree with Daria, for me a doctor’s offer to contact an eco-clinic was like salvation from ovulation tests and various temperature measurements. We have a difficult male factor as it turned out, so only clinics with good reviews and strong embryology were immediately considered. We stopped on a new clinic. It turned out to become pregnant on the first attempt using IVF + Ixi. Doctors are very attentive, so we recommend from ourselves

  5. I want to say that conception depends not only on a woman, but also on a man. According to her husband’s analyzes, there was a problem he drank the effect of tribulus. But even if you do not despair any problems now, now medicine takes huge steps forward. Set yourself up to positively the child should be welcome, and time will pass as you yourself do not notice that you are pregnant.

  6. By the way, yes, the situation was absolutely the same. And the husband was also treated with the effect of the tribulus, to see the tool and really effective. True, I would like to note that at the same time he also began to play sports, and he praised to eat more or less correctly, he said that a healthy lifestyle plays an important role in this issue ... As a result, everything happened in the best way, we are waiting for the baby, we are waiting for the baby ))

  7. Actire Andro helped us get pregnant. Well, like us, my husband drank to improve the quality of the seed at the purpose of the urologist, and after I drank the course, I became pregnant)))

  8. Of course, there are many reasons, but I knew that I had a chronxing prostatitis. True, he hoped that inflammation could not affect the seed fluid, as it turned out to be in vain hoping. So not only the course took place in order to reduce inflammation with various means, but also accepted the Bestertil. It turned out that this tool was just aimed at improving seed fluid. After the course, I passed the spermogram, though it was already and did not need it, my wife became pregnant.

  9. The main thing is of course treated on time and not to delay.

  10. Oh, it's nice to see that I was not alone accepted the Bestferil. The cool composition of this product is vitamins, minerals, and other substances necessary to improve sperm quality. And then there were problems in this regard due to frequent inflammations in chronic prostatitis.

  11. Actire Andro for improving sperm indicators the most. My husband was written out by my husband - not in vain, after admission, already in the second month, it was possible to conceive. Now it’s already 20 weeks, gradually we are looking for a crib, stroller, preparing in general)))

  12. It seems to me sometimes this diagnosis is not quite justified. The husband simply had a bad quality and number of sperm, so it could not be pregnant. This diagnosis was immediately slapped ... And as a result, only a couple of spermaplat rates and excess weight rates were needed to normalize everything. Now pregnant. So this is the case ... Everything is solved, there would be a desire.

  13. Infections are more dangerous for both pregnancy and the fetus. I did not manage to get pregnant right away as I wanted. I had to prepare for pregnancy. We did a blunt training and we did it. And herpes is still dangerous with a miscarriage. They immediately explained to us that having done a blunt preparation, you can conceive, endure and give birth to a healthy and full -fledged child.

  14. Infertility, too, can also be for various reasons .... This also needs to be taken into account. For example, my husband had a poor sperm quality. When the spermactin began to take, gradually everything began to improve. The drug, by the way, is safe, based on useful amino acids and alpha-lipoic acid. After a couple of months, we learned that we were already waiting for the child. So infertility is quite cured))

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