Showing posts with label Infertility. Show all posts
Showing posts with label Infertility. Show all posts

Wednesday, 24 August 2011

Treatment of Primary infertility

There are many treatments for infertility. These include medical procedures, such as in vitro fertilization (IVF), intrauterine insemination (IUI), fertilized eggs transfer (FET), etc. There are also some natural precautions you need to do to increase your chances of getting pregnant. You should treat your body with care, which means you should eat a balanced diet and take vitamins. You must also be exercise and using stress reduction techniques like meditation, yoga and acupuncture. When you treat your body well, you have a better chance of defeating your primary infertility and get pregnant successfully.

Causes of Primary infertility

Infertility can be caused by many different factors. Women struggling with fertility, mainly have problems with ovulation. There are other reasons for female infertility, including: the inability of the eggs to attach to the lining of the uterus, the inability of the eggs travel to the uterus, the inability to produce eggs, clotting disorders, autoimmune disorders, the alcohol abuse, excessive exercise, cysts, hormone imbalances, etc.

Primary infertility in men is usually about problems with the sperm. Sometimes the sperm are malformed and can not fertilize the egg. Semen may also have mobility problems or simply not be big enough. Male infertility may also be due to smoking, age, testicular infections, excessive alcohol consumption, environmental pollutants and so on.

Primary infertility

Primary infertility is the term used to describe the joint fertility of a couple when they were able to conceive after 12 months at least sex.

Although it is possible for partners to be infertile, it is not necessarily true at all:

* A partner may be infertile and the other not;

* Either party may require treatment to increase fertility, either by nature or by medical intervention, both of which can lead to pregnancy.

Unless one partner - or both - have a known medical condition that causes infertility, there is no way of knowing whether someone is or is not sterile.

Unfortunately, the only physical symptom of infertility in many cases a pair is the inability to become pregnant.

When there are fertility problems, both sides need to see their doctor for fertility tests.

Prevention Of Infertility

Most types of male infertility are not preventable. However, avoid drugs and consumption of snuff and alcohol abuse, which may contribute to male infertility. In addition, high temperatures can affect sperm production and motility. Although this effect is temporary, avoid hot baths and steam baths.

For couples can have sex two to three times a week to improve fertility. For frequent ejaculation may reduce sperm quality. Sperm survive in the female reproductive tract for up to 72 hours and an egg can be fertilized for up to 24 hours after ovulation.

A woman can increase your chances of getting pregnant in a number of ways:

Exercise moderately. Regular exercise is important, but if you are exercising so intensely, that menstruation is irregular or absent, your fertility may be compromised.

Avoid extremes of weight. Being overweight or underweight can affect your hormone production and cause infertility.

Avoid alcohol, tobacco and street. These substances can impair your ability to conceive and have a healthy pregnancy. Do not drink alcohol or smoke tobacco. Avoid illegal drugs such as marijuana and cocaine.

Limit caffeine. Women trying to become pregnant may want to limit caffeine consumption. Ask your doctor for instructions on the safe use of caffeine.

Limit medications. The use of prescription and nonprescription medicines can decrease your chances of getting pregnant or maintain pregnancy. Talk to your doctor about medications you take regularly.

Coping And Support For Infertility

Treating infertility can be difficult. It is a known problem - can not predict how long it takes or what the outcome will be. Infertility is not necessarily solved with hard work. The emotional weight of the pair is significant.

Since these measures can help resolve:

Set limits. Decide in advance how many and what procedures are emotionally and financially acceptable for you and your partner and try to determine a final limit. Fertility treatment can be expensive and often not covered by insurance, and a successful pregnancy often depends on repeated attempts.

Consider other options. Determine alternatives - donor sperm for adoption, or eggs, surrogate motherhood, or even have children - as early as possible in the evaluation of infertility. This can reduce anxiety during treatments and feelings of hopelessness if conception does not occur.

Talk about your feelings. Locate support groups or counseling services for help before and after treatment to help support the process and facilitate the treatment of pain should fail.

Managing emotional stress during treatment

Acupuncture. This ancient therapy has been shown to reduce anxiety and increase optimism during IVF. Although it may have no effect on their chances of getting pregnant, you can make the process more tolerable.

Practice relaxation. Cognitive-behavioral therapy, which uses methods that include relaxation techniques and stress management was associated with higher pregnancy rates.

Express yourself. Reach out to others rather than repressing guilt or anger.

Keep in touch with your loved ones. Talking with your partner, your family and friends can be very beneficial. The best support often comes from relatives and loved ones.

CEO of the emotional impact on profits

Regardless of the outcome of fertility treatment, you will be faced with the possibility of psychological problems. Seek professional help if the emotional impact of any of these results is too heavy for you or your partner:

Failure. Emotional stress of failure can be devastating even the most loving and affectionate relationships and for people who are well prepared for the possibility of failure. Common emotions are anger, guilt, shock, self-esteem problems, sexual problems and marital problems.

Success. Even if fertility treatment is successful, it is common to feel stress and fear of failure during pregnancy. If you have a history of depression or anxiety disorder, which have a higher risk of recurring problems in the months following the birth of their son.

Multiple births. A successful pregnancy that results in a multiple birth introduces new complexities of medicine and the likelihood of considerable emotional stress during pregnancy and after delivery.

Surgery Of Infertility

Surgery

Depending on the cause, surgery may be a treatment option for infertility. Blockages in the fallopian tubes, or other problems can often be repaired surgically. Laparoscopic techniques allow sensitive operations fallopian tubes.

If you have endometriosis, your doctor may treat you with ovulation therapy, in which a drug is used to stimulate or regulate ovulation, or in vitro fertilization, the egg and sperm are combined in laboratory and transferred to the uterus.

Assisted reproductive technologies (ART)

Every year thousands of children are born in the United States as a result of art. ART health team includes physicians, psychologists, embryologists, laboratory technicians, nurses and health professionals who work together to help infertile couples achieve pregnancy.

The most common forms of art are the following:

In vitro fertilization (IVF). In vitro fertilization with a woman in search of mature eggs, the fertilizing sperm in a laboratory dish and implanting the embryos in the uterus three to five days after fertilization.

Vibration or electrical stimulation to achieve ejaculation. Vibration or electrical stimulation leads to ejaculation to obtain semen. This procedure can be used in men with spinal cord injury who can not otherwise achieve ejaculation.

Surgical sperm aspiration. This technique involves removing sperm from part of the male reproductive tract, the epididymis, vas deferens or testicle. This allows retrieval of sperm if the ejaculatory duct is blocked.

Intracytoplasmic sperm injection (ICSI). This procedure consists of a microscopic technique (micromanipulation) in which a single sperm is injected directly into an egg to achieve fertilization in conjunction with the standard IVF procedure.

Assisted hatching. This technique is designed to help embryo implantation in the wall of the uterus, open the outer shell of the embryo (hatching).

ART works best when the woman has a healthy uterus, responds well to fertility drugs and natural ovulation or use donor eggs. The man should have healthy sperm or donor sperm should be available. The success rate of antiretroviral therapy is less than 35 years.

Complications of therapy

Some of the existing complications in the treatment of infertility. These include:

Multiple pregnancy. The most common complication of ART is a multiple birth pregnancy. Generally, the higher the number of fetuses, the greater the risk of premature birth. Premature babies are at increased risk of health problems and development.

The number of quality embryos kept and matured to fetuses and birth ultimately is a decision made by the couple. If many are designed, eliminating one or more fetuses (multifetal pregnancy reduction) can improve the survival chances of the other fetuses.

Ovarian hyperstimulation syndrome (OHSS). If overstimulated, a woman's ovaries may enlarge and cause pain and swelling. Mild or moderate symptoms often resolve without treatment, but in severe cases - entered the abdominal swelling and shortness of breath - require urgent treatment. Younger women and those who have polycystic ovary syndrome have an increased risk of developing OHSS than other women.

Bleeding or infection. As with any invasive procedure is a risk of bleeding or infection in assisted reproduction techniques.

Low birth weight. The greatest risk factor for low birth weight is a multiple birth pregnancy. Single live births, there may be more likely to be low birth weight is associated with ART.

Congenital malformations. There is some concern about a possible link between art and congenital malformations. Further research is needed to confirm this possible link. To evaluate this factor if you are considering the use of this therapy. ART is the most successful fertility treatment with the increase.

Treatment Of Infertility

Treatment of infertility depends on the cause, how long you have been infertile, your age and your partner, and many personal preferences. Some causes of infertility can not be corrected. However, a woman still get pregnant with assisted reproductive technologies or other procedures to restore fertility.

Treatment for men

Approaches that involve the male include the treatment of:

General sexual problems. Dealing with impotence or premature ejaculation can improve fertility. The treatment of these problems often with medication or behavioral approaches.

The lack of sperm. If the lack of sperm is the suspected cause of infertility in a man's hormones or surgery to correct the problem or the use of assisted reproductive technologies may be possible. In some cases, sperm can be taken directly from the testis or bladder recovered and injected into an egg in the laboratory.

Treatment of women

Fertility drugs are the main treatment for women who are infertile due to ovulation disorders. These medications regulate or induce ovulation. In general, they act like natural hormones - such as follicle stimulating hormone (FSH) and luteinizing hormone (LH) - ovulation. Fertility drugs commonly used are:

Clomiphene citrate (Clomid, Serophene). This drug is taken orally and stimulates ovulation in women with polycystic ovary syndrome (PCOS) or other disorders ovulatory. It causes the pituitary gland to release more FSH and LH, which stimulates the growth of an ovarian follicle containing an egg.

Human menopausal gonadotropin (Repronex, Menopur). This medication is injected for women who do not ovulate on their own due to a failure of the pituitary gland to stimulate ovulation. Unlike clomiphene, which stimulates the pituitary gland, human menopausal gonadotropin (hMG) and other gonadotropins directly stimulate the ovaries. This material contains both FSH and LH.

Follicle stimulating hormone (Brave it). FSH acts by stimulating the maturation of ovarian follicles in the ovaries.

Human chorionic gonadotropin (Ovidrel, Pregnyl). Used in combination with clomiphene, hMG and FSH, human chorionic gonadotropin (HCG) stimulates the follicle to release its egg (ovulation).

GnRH analogues of the hormone. This treatment is designed for women who have irregular or who ovulate prematurely ovulaatiokierron - before bringing the follicle is mature - during hMG treatment. Gonadotropin-releasing hormone (Gn-RH) analogues to suppress the activity of the pituitary, which alters the production of hormones so that your doctor can cause FSH, follicle growth.

Aromatase inhibitors. This class of drugs that includes letrozole (Femara) and anastrozole (Arimidex), was approved for advanced breast cancer. Sometimes doctors prescribe them women, who do not ovulate on their own and who have not responded to the treatment of clomiphene citrate. These drugs are not approved by the Food and Drug Administration to induce ovulation, and the effect of early pregnancy is not yet known.

Metformin (Glucophage). This medicine is taken orally to stimulate ovulation. Used when insulin resistance is a known cause or suspected infertility. Insulin resistance may play a role in the development of PCOS.

Bromocriptine (Parlodel). This drug is for women whose ovulation cycles are irregular due to elevated prolactin, a hormone that stimulates milk production in new mothers. Bromocriptine prevents the production of prolactin.

Tests and diagnosis Of Infertility

Before surgery, infertility testing, be aware that a certain amount of effort required. Doctor, is to clarify what sexual practices are, and make recommendations on how it might be necessary to change habits. The tests and periods of trial and error, it may take several months. Approximately one third of infertile couples, no specific cause can not be found (unexplained infertility).

The evaluation is expensive and in some cases associated with unpleasant procedures, and expenses can not replace many of the health plans. Finally, there is no guarantee - despite all the tests and advice - the design is done.

The tests for men

So that the man is fertile, the testicles must produce enough healthy sperm, and semen is ejaculated effectively into the woman's vagina. Tests of male infertility, trying to find out if these processes are altered.

General physical examination. This includes the examination of the genitals and questions about medical history of disease and disability, drugs and sexual habits.

Semen analysis. This is a very important test for her boyfriend. Your doctor may request one or more of the semen samples. Sperm is usually obtained by masturbation or interruption of sexual intercourse and ejaculation of semen into a clean container. Laboratory analysis of a sample of semen volume, color, and infections or bleeding.

Hormonal tests. A blood test to determine levels of testosterone and other male hormones is common.

Scrotal and transrectal ultrasonography. Ultrasound can help your doctor to explain the conditions, such as premature ejaculation and obstruction back.

Tests for women

For a woman is fertile, the ovaries must release healthy eggs regularly, and the reproductive system must allow the eggs and sperm to pass into the fallopian tubes to be fertilized by sperm. Her reproductive organs must be healthy and functional.

When a doctor asks questions about health history, menstrual cycle and sexual habits, you are a general physical examination. This includes a regular gynecological exam. Fertility tests may include:

Ovulation tests. A blood test is sometimes performed to measure hormone levels to determine if you are ovulating.

Hysterosalpingography. This test evaluates the condition in the uterus and fallopian tubes. Fluid is injected into the uterus, and the X-ray is taken, if the cavity is normal and will ensure that the fluid goes through the fallopian tubes. Jam or problems can often be localized and can be corrected surgically.

Laparoscopy. It is performed under general anesthesia, this procedure involves making a small incision (8 to 10 mm) below the navel and inserting a thin viewing device to examine the fallopian tubes, ovaries and uterus.

The most common problems faced by laparoscopy are endometriosis and scarring. Your doctor can also detect blockages or irregularities of the fallopian tubes and uterus. Laparoscopy is usually done in an outpatient basis.

Hormonal tests. Hormonal tests can be done to control the level of hormones of ovulation, thyroid and pituitary hormones.

Ovarian reserve tests. Testing can be done to determine the potential effectiveness of eggs after ovulation. This approach typically begins with hormone testing early in the menstrual cycle of women.

Genetic testing. Genetic testing can be done, if there is a genetic defect that causes infertility.

Pelvic ultrasound. Pelvic ultrasound can be done to find the tube of the disease tubes or pipes.

Not everyone needs to experience all or many of these tests before the cause of infertility is found. What tests are used and their sequence depend on discussion and agreement between you and your doctor.

Infertility Risk Fcators

Many risk factors for both male and female infertility are the same. They include:

Age. After 30 years as a woman reduces the fertility potential. Infertility in older women may be due to a higher rate of chromosomal abnormalities that occur in eggs as they age or health problems that can affect fertility. Men aged over 40 years may be less fertile than younger men.

Smoking. A couple of chances of achieving pregnancy is reduced if one smokes snuff. Smoking also reduces the potential benefit of fertility treatment. Miscarriages are more common in women who smoke.

Alcohol consumption. For women, there is no safe level of alcohol use during conception or pregnancy. Alcohol increases the risk of birth defects and can also - in moderate to severe levels - making it harder to get pregnant. Moderate alcohol consumption does not appear to decrease male fertility.

Excess weight. Among American women, infertility is often due to physical inactivity and overweight. Moreover, the number of sperm a man can suffer if you are overweight.

Underweight. Women at risk are those with eating disorders like anorexia or bulimia, and women, after a very low-calorie or restrictive diet.

Too much exercise. In some studies, more than seven hours of exercise per week were associated with ovulation problems. On the other hand, are not enough physical exercise contributes to obesity, which also increases infertility.

Causes oF Infertility

Pregnancy, the complex processes of ovulation and fertilization are done just right. For some couples who wish to become pregnant, something goes wrong along the way, that is infertility.

Cause or causes of infertility can involve one or both parties. In general:

In approximately one third of cases infertility is due to a case involving only the male partner.

In another third of infertility cases are due to reasons involving men and women.

In the remaining third of infertility cases are due to a case involving only women.

The causes of male infertility

Many things can affect sperm quality, the ability to move (motility) or the ability to fertilize the egg. The most common causes of male infertility are:

Abnormal sperm production or function due to various problems such as undescended testes, genetic defects or recurrent infections.

Problems with the delivery of sperm due to sexual problems like premature ejaculation or painful intercourse (dyspareunia), health issues, such as retrograde ejaculation, some genetic diseases like cystic fibrosis, or structural problems such as blocking part of the testicle that contains sperm (epididymis).

General health problems and lifestyle, such as poor diet, obesity, or use of alcohol, tobacco and drugs.

Excessive exposure to certain environmental factors, such as pesticides and other chemicals. In addition, repeated exposure to excessive heat such as saunas and hot tubs can elevate body temperature. This can impair sperm production and lower sperm counts.

Damage related to cancer and its treatment. Both radiation and chemotherapy for cancer can impair sperm production, sometimes severely. Closer to radiotherapy in the testes, the greater the risk of infertility. Removing one or both testicles due to cancer can also affect male fertility.

Age. Men aged over 40 years may be less fertile than younger men.

The causes of female infertility

The most common causes of female infertility are:

Fallopian tube damage or blockage, which is often caused by inflammation of the fallopian tubes (salpingitis). Chlamydia, sexually transmitted infections, is the most common cause.

Endometriosis, which occurs when endometrial tissue grows outside the uterus and implants - often affect the activity of sperm, eggs and ovaries, uterus and fallopian tubes.

Disorders of ovulation, which can prevent the ovaries to release eggs (anovulation). Possible causes include injury, tumors, excessive exercise and starvation. In addition, some drugs may be related to ovulation disorders.

Elevated prolactin (hyperprolactinemia), a hormone that stimulates milk production. High levels in women who are pregnant or nursing may affect ovulation.

Polycystic ovary syndrome (PCOS), a condition in which the body produces too much androgen hormones that cause ovulation problems. PCOS is also associated with insulin resistance and obesity.

Early menopause, which is the absence of menstruation and the rapid depletion of ovarian follicles before the age of 40 Although the cause is often unknown, certain conditions associated with early menopause, including immune system diseases, radiotherapy or chemotherapy, and smoking.

Uterine fibroids are benign tumors of the lining of the uterus and are common among women in their 30s and 40s. In rare cases they can cause infertility by blocking the fallopian tubes. Most often, fibroids interfere with proper implantation of the fertilized egg.

Pelvic adhesions, bands of scar tissue that bind organs after pelvic infection, appendicitis, or abdominal or pelvic surgery. This scarring can impair fertility.

Other reasons for women

Drugs. Temporary infertility may occur with the use of certain drugs. In most cases, fertility returns after stopping the drug.

Thyroid problems. Thyroid disorders, thyroid hormone is too high (hyperthyroidism) or too little (hypothyroidism) can interrupt the menstrual cycle and cause infertility.

Cancer and its treatment. Certain cancers - particularly women's reproductive cancers - often severely impair female fertility. Radiotherapy and chemotherapy can affect the ability of a woman to reproduce. Chemotherapy may impair reproductive function and fertility in men and women.

Other diseases. Diseases associated with delayed puberty or amenorrhea, such as Cushing's disease, sickle cell anemia, kidney disease and diabetes, can affect female fertility.

Symptoms Of Infertility

Symptoms Of Infertility
Most couples get pregnant in the first six months of the trial. In general, after 12 months of unprotected intercourse, approximately 90 percent of couples become pregnant. Most of the remaining couples will eventually conceive, with or without treatment.

The main sign of infertility is the inability of a couple to get pregnant. There can be no obvious symptoms.

In some cases, the barren woman may have abnormal menstrual periods. Infertile men may have some signs of hormonal problems, such as changes in hair growth or sexual function.

When to seek medical advice

In general, do not be too concerned about infertility unless you and your partner have been trying to think about on a regular basis for at least a year. Talk to your doctor first, but if you're a woman:

You are 34 years or older and have tried to conceive for six months or more

You irregular periods or not at all

Your periods are very painful

Who have been diagnosed with endometriosis or pelvic inflammatory disease (PID)

He has had more than one miscarriage

If you are a man, talk to your doctor if you have:

Low sperm count

A history of testicular, prostate or sexual problems

Infertility Overview

Infertility
If you become pregnant has been a challenge for you and your partner are not alone. Ten to 15 percent of U.S. couples are infertile. Infertility is defined as not being able to get pregnant despite frequent unprotected sex for at least a year.

Infertility can be caused by a single cause you or your partner, or a combination of factors that can prevent pregnancy from occurring or continuing. Fortunately, there are many safe and effective treatments to overcome infertility. These treatments significantly improve your chances of getting pregnant.