At present, the problem of infertility is quite common. Today, according to statistics, 25% of couples cannot get pregnant. Their main mistake is that they begin to panic after the first unsuccessful attempt.
Only a doctor can carefully determine what prevents pregnancy, after a thorough examination. It is necessary to consult a specialist after a year of unsuccessful attempts. If spouses start to worry and worry earlier, then this reduces the chances of success.
Constant emotional stress and stress negatively affect fertility in both women and men. It is very important to plan a pregnancy, that is, undergo all the recommended examinations, if necessary, undergo treatment, take vitamins even before you start trying to get pregnant.
If this is done, and the doctors are allowed to start active actions, then there is no reason to worry. We must enjoy the anticipation of the long-awaited event and the closeness of a loved one. It is advisable to have unprotected sex every other day, especially in the middle of the cycle, when ovulation occurs, since the probability of becoming pregnant is higher during this period.
Many people mistakenly think that if conception does not work, then this wife cannot become pregnant. According to statistics, in half the cases a man is infertile. His initial examination includes taking a spermogram, tests for urogenic infections and a consultation with a urologist. By the way, they usually start with a man, as it is easier to do.
A woman is examined by a gynecologist. He performs a two-handed study, colposcopy, takes smears for atypical cells, cytology and urogenital infections. The doctor will give a referral for hormonal examination and ultrasound with folliculogenesis. This is done in order to check whether ovulation occurs and whether there are any pathologies in the reproductive organs.
In addition, it will be useful for both spouses to be tested for hepatitis, HIV, syphilis, TORCH infections. It is also advisable to make clinical tests of urine, blood and its biochemistry.
The above studies are best performed before conception or during the year when active attempts are carried out. It is also necessary to treat teeth and chronic diseases, pay special attention to the nasopharynx.
If you can’t get pregnant for more than a year, then more serious tests are carried out. A woman undergoes hysterosalpingography to check the patency of the fallopian tubes.
If the pathology is confirmed, then laparoscopy is recommended. During this manipulation, adhesions can be dissected and the patency of the pipes restored. However, this gives good results with minor pathology. If the pipes are badly damaged, then only IVF will help.
Quite often it does not work to get pregnant due to a violation of the mechanism of implantation of the embryo. This occurs with endometrial pathologies, which are not always possible to see on ultrasound. They are diagnosed with hysteroscopy and diagnostic curettage. The resulting material is sent for histological examination.
Another cause of infertility is the cervical factor. In this case, the sperm can not overcome the cervical canal. This pathology is diagnosed with a post-coital test. It can be overcome with the help of artificial insemination. During the manipulation, the husband’s sperm is injected directly into the wife’s uterus, bypassing the cervical canal.
Thus, if you can not get pregnant, then do not despair. It is advisable to prepare for conception, that is, undergo recommended examinations and specialist consultations. Be sure to walk more in the air, relax, eat right, get enough sleep, do not be nervous. Serious examinations must begin after a year of trying.