Infertility in practice, and especially among the people despite wanting couples unable to conceive over a period of time used in the sense of. Not conceiving or infertility as a medical term within 1 year of unprotected and regular (at least 2 times per week without long breaks as a conjunction) is defined as obtaining a pregnancy despite sexual intercourse.
Infertility (inability to become pregnant) and infertility as the same thing?
No. Infertility is not our language can be translated as conceiving. A more serious condition where it is not possible to become pregnant with infertility natural ways defines. For example, in the absence of a woman’s uterus, the tubes to be clogged, the lack of eggs in the ovaries, in men, the sperm to conceive without help is not possible due to the lack of English like “sterility” is the equivalent of the word.
However, we see that the words of infertility and sterility are often used interchangeably in everyday life. Our website also should be easy to follow this distinction may not be made to the writings of our patients.
Not to reveal the reason for failing to conceive.
Approximately every 100 couples conceiving 15tanesi in society and not experiencing the problem. Approximately 40-50 percent of cases percent male about 30-35 per cent of the problems of women problems. In some patients, while it has problems on both sides, the fundamental reason at the end of the review there are cases that can not be understood. The cause is unclear or unexplained infertility in these patients is called.
In fact, this is a wrong definition. Failing to conceive of molecular, genetic, psychological, anatomical, or there must be a reason that may be related to the immune system, but the basic tests in most of the cases where it can be determined after the first evaluation, a cause is not found, if this is a double diagnosed and treatment is recommended.
The reasons for not conceiving WOMEN:
To understand the reason for failing to conceive, the first know how pregnancy occurs!
Suitable for pregnancy to occur, an egg, healthy sperm to inseminate her and meet them for an anatomically correct cervix, the uterus and the tubes, there is a need to. Meeting in the tubes happens. Combined egg and sperm form a zygote, and travel from the tubes into the uterus and the lining of the uterus (endometrium ) sits in the appropriate place and pregnancy is formed .Tubes so fertilization occur in the uterus, the occurrence of pregnancy. This may be a problem in the system at all stages.
If we look at important topics:
Age: the most important factor. The age of the woman increases, fertility is reduced. Low risk increases, as a result, reduce the possibility of bringing the baby home.
Menstrual cycle/ovulation problems.:
The most common problems. Generally young, regular periods in women who have ovulation problems are not expected, but there are exceptions. Spawning doesn’t necessarily mean you have to be to see the pieces. The truest indicator of ovulation is the formation of pregnancy.
A decrease in egg production:
The number of eggs with age, inevitably is reduced. Therefore, at an advanced age the possibility of pregnancy is reduced. However, if the woman is young, although the number of eggs decreases the chances of pregnancy is low for her age. To determine the best method to count the number of eggs on the ultrasound. There are also many blood tests that will give you the idea.
The problem is in the tubes :
If both tubes are blocked the sperm and egg meet in a woman pregnancy does not occur, because they cannot. Diagnosed with tubes displayed in a different way. There is another problem of pregnancy unless there is a possibility of unilateral occlusion. Sometimes an ectopic pregnancy can occur when there’s a problem in the tube. Couples who are not pregnant or who has a history of ectopic pregnancy of the tubes in the examination is important.
Problems in the cervix :
The vagina between the cervix and the uterus with the short section is very important as anatomical and functional. A structure which prevents the entry of harmful agents into the uterus and secretion of the external property. Sometimes changes in this region can disrupt the sperm of the forward pass.
Problems in the uterus:
Within a certain period of time after joining of sperm and egg in the uterus called the endometrium forming a layer of the shroud should fit into the space. This cover must be anatomically and functionally flawless.
Irregularities, space-occupying Mother parts, Polyps , infection, such as the factors which resulted in the destruction and break cover, this can make it harder for a pregnancy to occur.
Endometriosis ( chocolate cyst ):
On the number and quality of eggs that we don’t want endometriosis is a disease that effects. Egg reserve ( number ) is low, then of course the chances of pregnancy are decreasing. Disease-related adhesions can occur because the normal anatomical position of the uterus and tubes may have a shape out of, and this also can prevent you from the egg and sperm finding each other. Click here for more information about endometriosis
Thyroid hormone is an essential hormone which is effective in the operation of all systems in the body. Study of this hormone more or less in the continuation of the formation stages of pregnancy, ovulation and pregnancy is important. Can be easily diagnosed with a blood test.
Smoking is a reason that reduces the chance of pregnancy in both men and women. The quality of the egg in women who smoke and women and the transition in the tubes affects the way ovulation.
Relationship problems, obesity, insulin resistance, causes a lot of problems with the immune system and can make it harder to become pregnant for more or less you may need to correct.
Sperm quality and mobility and should produce a certain number of men during intercourse.
Depending on the absence or low number of sperm or lack of production might be as age, smoking, environmental factors, medications, systemic diseases, also depending on motility may be adversely affected. In some cases, also due to the congestion of sperm at any stage of anatomically produced may not be thrown out.
Applying to the doctor and the patient an accurate diagnosis, which is planned to help you need for a successful outcome.
Auditing there is an option that will make a diagnosis a lot easier. At this point, important for every patient that it is unnecessary to ask for a full work-up.
The first interview is the most important stage of questioning and the couple conceiving of the story as necessary.
Evaluation with transvaginal ultrasound and a physical examination, which is then the sine qua non.
There are various blood tests that can help diagnosis and imaging methods.
FSH , LH , e2 , progesterone , AMH, Thyroid tests , prolactin tests are often referenced, but there is a rule that in these tests you will be asked to every patient necessarily. It is important to assist the physician by selecting the unwanted.
Ultrasound gives very useful information, but whether the tubes are open, and always clearly for the evaluation of the anatomy of the uterus and cervix may not be sufficient. There is a need for some additional tests.
SIS ( saline infusion sonography) – Aqueous ultrasound : normal saline under ultrasound guidance into the uterus cavity and uterine cavity can provide a more detailed examination of the tissue covering.
Does not give clear information about whether or not the tubes are open.
HSG (Hysterosalpingography) – film medicated uterine: uterine cavity is open and allows the evaluation of whether of the tubes. An article that appears in the film Serial into the uterus and X-ray examination is done.
HyCoSy – HyfoSy: can be thought of as the intersection of the above two tests. The transition from the aqueous saline liquid instead of tubes examined whether ultrasound-guided ultrasound more visible.
Outside of these tests, if necessary, the uterus and the outside of the uterus and Fallopian tubes to see the inside of the abdomen endoscopic surgery may be necessary. Never a routine application or an alternative to other methods should not be presented as an additional problem to fix if you have a case that should be consulted.
Hysteroscopy of the inside of the uterus with a camera display
The inside of the abdomen a laparoscopy camera with display
Men are much easier and quicker to investigate than women. Sperm has been granted appropriately and correctly evaluated with a test ( side) are evaluated.
Something you need to know at this point is always sperm in men in the same predicament, sometimes even quite low, sometimes even the same man’s sperm is completely normal azoospermia (absence of sperm) can be folded as.
Normal in a relationship and if a man’s sperm problems, male factor or roughly we can say that we don’t (except in some special cases).
If you have a problem with sperm made for the first time, as mentioned above, I wonder, a man without a problem is actually a bad example, or repeat a semen analysis to understand there really is a problem 4-6 weeks later is recommended. The determination in the case of azoospermia, hormone profile, chromosome analysis, microdeletion screening, differential diagnosis can be made.
The most important point in which the couple applied for the determination of the treatment method of the problem in the most appropriate way at the end of the examination and assessment; the shortest, cheapest and most of the time will be spent to achieve pregnancy to determine the method that makes sense.
Double-applies the method to which the female and male patients total female duration of infertility, age, and sperm status is determined according to the condition of the tubes.
Nowadays, rather than doing all the steps individually is the most important factor the patient’s age and pregnancy quickest and cheapest way to achieve it is intended. Try everything and then approach the east, the IVF is not. It should be noted that the most expensive treatment is unsuccessful treatment. However, the patient to unnecessary vaccination or to suggest that IVF is not true. All these methods, so to speak, at the right time in the right way is a weapon and should be used.
Before treatment, the couple’s lifestyle if necessary, arrangements must be made about diet and weight. If possible these should be reduced as much as possible or even if you are smoking should be stopped completely. Both women and men to be ready physically and mentally this process will increase the chances of success.
The methods used are as follows:
The objective of the request the couple to become pregnant treatment not just pregnancy, a healthy baby at the end of the process to help you get home.
Anatomically the uterus or in the cervix that may prevent the occurrence of pregnancy space-occupying lesion ( if you have fibroids, polyps or adhesions is suspected, first, it must be corrected surgically and the normal anatomy must be provided.
Ovulation induction : Egg development
If only spawning if there is a problem in a simple way this problem can be resolved. Firstly, cheap and easy-to-use pills are preferred. In front of these therapies is largely spawning, but there is a chance of pregnancy at the same rate. If this treatment is appropriate for the patient’s age 3-6 months should be tried.
If the result is not obtained, the needle treatment is recommended. At this stage, the cost of a drug that will increase the chances of success are higher that the alternatives can be presented to the patient .
Vaccination : intrauterine insemination (IUI)
To benefit from the vaccination, the patient needs to be confirmed that the tube will be open.
Most likely to be under the age of 32 successful pregnancy and very long prompt non – (<3 years), especially in patients with mild male factor couples are expected. The chances of success of grafting in these patients is about 15-20%. These rates are necessarily prior to treatment patients should be told.
IUI – intrauterine insemination
Not enough sperm for pregnancy more sperm into the uterus of prepared and actively with intercourse near the mouth of the tubes the process of leaving a place. In order to ensure fertilization, if possible, should be aimed at the development of 2 eggs. More than 3 fully developed eggs due to the risk of multiple pregnancy it is possible, the transaction must be cancelled.
After washing cannot be achieved if at least 5 million active sperm, pregnancy is achieved in spite of attempts to continue to instill 3 or if not it is not recommended.
In cases of unexplained infertility and in cases of stage 1-2 endometriosis, if appropriate, the patient’s age, the first vaccination may be recommended.
Fertilization (IVF) :
IVF, infertility cases in the top-level method. IVF, in vitro fertilization means fertilization in a laboratory with the software long. The goal of the egg from the woman, the sperm into the egg and the sperm taken from the male is placed . So, the body expected in the fertilization process is done in a laboratory environment . The embryo formed is suspended and can live inside the uterus until it reaches certain stages of artificial wombs, and when considering which one to hold onto, is transferred into the uterus and the pregnancy would be expected to occur.
In IVF method, first, the development of the egg is made with different drugs and treatment protocols. Your goal is to achieve quality without harm to the patient’s mature eggs as possible mature between 8-12. Follow-up with ultrasound is thought to be an egg sacs ( follicles) is monitored and reaches a certain number and size and gain the ability to a fertilization treatment is applied to ripening.
IVF egg collection process, which is then the only surgical procedure (OPU – pick up OVA) is performed . This operation under general anesthesia, a vaginal ultrasound is done with a needle and aspiration system on the end. All the follicles that are developed by entering into their eggs collected.
IVF only IVF center should be located in the male at this stage in the process. If the male sperm surgically by a urologist if it is not itself the sperm can be obtained. Click here for more information
Passed through certain stages of the collected eggs and the sperm together with the eggs then take appropriate action provided. This merger can be done in roughly 2 ways.
Per 1 egg called classical IVF first in the same tube for at least 100 healthy, motile sperm and the egg 1 the sperm can be prepared in a certain time, a mechanism expected to enter into.
Second, and much higher chance of Success, a method which is especially the male factor/ sperm in couples with problems is applied. A sperm into each egg. In other words, the egg and sperm together is guaranteed . This ICSI (intra cytoplasmic sperm injection), or microinjection with a known name is called.
After microinjection, fertilized eggs are no longer artificial wombs (incubators) followed. At a certain stage the embryos placed into the uterus (embryo transfer). Are very important to the success of IVF embryo transfer, surely the most appropriate and best possible way should be done.
Hope to get a positive result on your pregnancy test the day of expected by then.