Idiopathic infertility is a situation in which a couple cannot conceive a child for a long time. The reasons for this are not clarified. According to statistics, the prevalence of such a disease is waning today. The thing is that the methods of treatment of idiopathic infertility are constantly being improved. New therapies are emerging. As a rule, men suffer from such an illness much more often than women.
Causes
Infertility is called idiopathic due to the fact that its causes are not clarified. However, it is known for certain about factors contributing to an increased risk of encountering it. So, being a male increases the risks. Idiopathic infertility in men develops in one out of three cases. Also affected by age. The larger it is, the greater the danger that a person will not be able to conceive a baby. Lifestyle directly affects human fertility. The patient’s lifestyle is negatively affected by the possibility of conception. Stress reduces the chance of conception.
Most often, doctors only guess about the true causes of idiopathic infertility. To prove their presence is very difficult. For example, it can occur due to the fact that the female ovum thickens the membrane.
Diagnosis of idiopathic infertility is carried out according to a number of procedures. For example, laparoscopy is usually required. As a rule, during such an surgical intervention, it turns out that the woman’s fertility was impaired due to progressive endometriosis or adhesions.
Diagnostics
Most often, faced with the difficulties of conceiving a child, a couple turns to a specialist. These people will be considered infertile if the result was not after six months of regular sexual relations without protection. What kind of research does the doctor recommend in this case?
Necessary research
The diagnosis is made after all other options have been thrown aside. For example, it is mandatory that men and women check the hormonal background and perform post-coital tests. Sometimes the reason for the impossibility of conception lies in genital infections. It is necessary to do an ultrasound, spermogram. Before you make the diagnosis of "idiopathic infertility", exclude immunological. To this end, check the composition of cervical mucus and ejaculate.
As a rule, a doctor who has been contacted by patients with a similar problem will be interested in whether there are malfunctions in the reproductive and endocrine systems of men and women. It will be necessary to find out what is the condition of the fallopian tubes, whether there are adhesive processes that could interfere with conception. It is known that some sexually transmitted diseases occur secretly, which means that the study of the couple on this issue should be the most thorough. It is also impossible to conceive in couples suffering from genetic diseases. The problem may be low-quality sperm.
And if after research in all these areas no deviations are detected, the diagnosis of idiopathic infertility is made.
Treatment
Given that there is no exact reason for this phenomenon, targeted therapy is hardly possible. Therefore, the overall treatment strategy is chosen. Taking into account the peculiarities of the causes and treatment of idiopathic infertility, doctors came to the conclusion that expectation or empirical methods can help patients. These are the recommendations that are given to young people who have enough time. The doctor prescribes a pair of medications that do not affect the conception process. As a rule, drugs have a positive effect on the nervous system. The fact of treatment plays a large role here - it is it that allows to achieve a psychological effect. Doctors often prescribe fortifying drugs. Regular exercise is important in order to maintain the body in good shape.
But it is believed that the treatment of idiopathic infertility will be possible not with the use of medicines, but with a change in the lifestyle itself. A couple will need a balanced diet, rejection of bad habits. It is necessary to exclude stress, overwork. Sometimes a change in working conditions is required if during work a person comes into contact with a negative impact - radiation, temperature changes. It is important to get rid of the effects of industrial poison.
In the treatment of idiopathic infertility in women and men, reproductive technologies are also involved. Such methods are resorted to by those who have no time to wait. Also, they are used by those who have been waiting for a long time - they did not wait for conception.
The main reason why they first resort to a wait-and-see strategy is the high cost of the second way. Significant financial investments will be required, but the likelihood of conception in this case will increase many times over. The main way to get pregnant is to perform in vitro fertilization. In this case, the embryo is simply grown for several days in the laboratory and only then transplanted into the uterus, as a result, the woman becomes pregnant.
The presence of ovulation and the absence of pregnancy
The question of why there is ovulation, but no pregnancy, often worries those who have more than 6 years of idiopathic infertility. And in some cases, it can last even longer. Approximately 20% of couples encounter a similar phenomenon. According to statistics, more often infertility affects men. In second place are women over 40 years old. The thing is that by this age the ovarian reserve is lowered. And although ovulation occurs, the tests can be beautiful, pregnancy does not occur.
The characteristic features of idiopathic infertility in women are the regularity of ovulation, the absence of jumps in the hormonal background, and pathologies. At the same time, there is positive compatibility in the pair, there are no antisperm antibodies.
In men, with idiopathic infertility, there is a lack of abnormalities in the composition of sperm, as well as STDs. It is important that attempts to conceive in a pair are made during ovulation.
IVF and other methods
At the moment, medicine offers many ways to solve the problem. IVF is recognized as an extreme method. As close to natural conditions as possible, consisting in intrauterine insemination. In this case, sperm is inserted into the uterus using a catheter. Thanks to this, the chances of conception increase significantly.
Ovulation is also stimulated with the help of other medications. If you combine them, the likelihood of conception will only increase.
In order to carry out conception, both female and male organisms must have a certain supply of substances. For this, vitamin complexes are often prescribed to the couple. For example, vitamin A provides protection against infections, vitamin E contributes to the normal production of sperm. In women, it ensures the regularity of the menstrual cycle. Vitamin C stimulates the immune system, and vitamin D normalizes the thyroid gland.
Along with vitamins, it is often required to provide the body with a supply of useful trace elements. So, complexes with zinc, manganese, iodine are often prescribed. These elements are recommended for both women and men. They have a positive effect on sperm quality.
When recommend IVF
If all of the above methods did not help, doctors are advised to conduct IVF. In this case, the probability of conception is increased by implantation of not one, but two embryos at once. In addition to significant financial investments, it is worth preparing for the fact that IVF will become a serious burden on the female body. For the most part, it will be in drugs. Also, during IVF, the risk of miscarriage and premature birth is never ruled out. Sometimes pregnancy is difficult enough, the risk of complications increases. But at the same time, for many couples, it was IVF that became the only opportunity to conceive a child.
In men
As a rule, male idiopathic infertility is due to the fact that sperm quality is reduced. According to statistics, in every fourth case there are no reasons for a decrease in sperm quality.
It is believed that in reality similar processes occur due to the impact of both external and internal factors. So, it affects what lifestyle a man leads, how he eats. The environment is also affected.
During the diagnosis, it is revealed that there are sperm in the semen, but they are much less than the permissible norms. The way in which sperm are formed is also affected by human labor. Unfavorable working conditions sometimes activate the initially established pathological processes in the male body, hormonal disorders may be present. If at work there is a toxic effect, it will also negatively affect men's health.
Food effect
The nutritional factor also negatively affects the state of sperm. Less likely to conceive a child in obese men. According to statistical studies, men with infertility eat less food full of omega-3 fatty acids. Fasting is also a factor provoking male infertility. Congenital and genetic pathologies are sometimes present.
Sperm characteristics are constantly changing under the influence of both external and internal environment. And even the elevated body temperature, which was present for only a couple of days, for several months can affect the spermogram.
The same applies to stress factors. If abnormalities are found during sperm tests, a second test should be performed at least two weeks later. If the study showed that the sperm is in order, do not re-conduct. If a man has experienced prolonged exposure to stress factors, this will affect many of the body's functions. As a rule, men suffering from idiopathic infertility are much more likely to experience severe stress at work.
The effect of smoking
The presence of nicotine in the body leads to the fact that the vessels are actively narrowing. And the effect affects the arteries in the testes. Blood supply here is difficult, and then the quality of sperm is significantly reduced.
Treatment for men
Treatment of patients with idiopathic male infertility will consist in getting rid of excess weight, dieting. You will need to abandon alcohol and tobacco products. It is important to include vitamins, amino acids, minerals and other medicinal extracts in therapy. According to official figures, such supplements quickly lead to an increased chance of fertilization. Therapy becomes effective when a man fundamentally revises his lifestyle.