Infertility of the 1st degree - what is it? This is a common question. Let's figure it out. Inability to conceive a child today is often found in couples. It can be caused by both male and female infertility. In addition, it may be due to sexual incompatibility of the spouses. In those cases when it is not possible to have a child for one or two years, provided regular intimate communication without the use of contraceptives, it is possible to judge infertility of the 1st degree, that is, its primary form. It is characterized by the fact that to conceive a child does not work throughout life.
Diagnosis Description
What does this pathology mean?
Infertility is diagnosed with the assignment of a certain degree, if attempts at conception were unsuccessful for twelve months. In the past, this period was five years. However, judging by statistics, a greater number of couples “become pregnant” in six months, and ten percent in a year. The correctness of attempts at conception should also be considered. These include sexual intercourse during the period from 11 to 18 days of the woman's cycle, from the first day of menstruation. Their regularity should be no more than every other day, at least twice a week. The most appropriate pose is the “missionary” one. Lubrication is not necessary.
A woman is advised to lie down after intercourse on her back for half an hour, knees pressed to her stomach. You do not need to douche or wash yourself. If you do not comply with any requirement, you can not talk about infertility. Perhaps the couple did not do everything possible to “meet” the egg and sperm. However, it is better to undergo an examination to determine the presence or absence of a deviation. Approximately one in ten couples can not have children. The examination must be passed to both partners.
Who has problems more often?
In one third of situations, the reason lies in the woman, in a third or half - in the man. Finally, the rest is pairs in which both have problems. Infertility of the first degree in men and women is diagnosed in the case when pregnancy has never occurred. This means that the woman was not pregnant, or the man could not fertilize any partner.
If conception occurred earlier, then infertility of the second degree, that is, secondary, is diagnosed.
Types of Infertility
It does not depend on how the pregnancy ended - a miscarriage or childbirth. Infertility (infertility) is of several types:
- physiological - female postclimatic period, children's age;
- congenital - underdevelopment of intimate organs, defects;
- acquired - genital diseases and related consequences;
- temporary - the result of depression, stress, pathologies of the immune system, lactational;
- voluntary - the use of contraceptives for unwanted pregnancy;
- permanent - it occurs after complete or partial removal of the organs of the reproductive system.
Consider the main causes of infertility.
Causes of Female Primary Infertility
The reasons why women have first degree infertility are:
- acquired or congenital diseases of the genitals;
- various diseases of the internal genital organs: cysts, uterine fibroids, uterine neck erosion, etc .;
- injuries
- in a number of other cases, ovarian diseases occur; in this case, malfunctions in the functioning of the follicles are diagnosed, that is, the egg is not able to develop normally; such pathologies are accompanied by a prolonged absence of menstruation, and if they appear, then they are long;
- the first pregnancy was interrupted: during abortion, hormones produced during the appearance and development of the fetus became unnecessary for the body and caused hormonal failure;
- getting internal genital organs trauma during abortion; these may include adhesions that cause obstruction of the uterine tubes, and fertilization of the egg, therefore, cannot take place.
And what provokes infertility of 1 degree in men?
Causes of Male Primary Infertility
In men, infertility of the first degree occurs for the following reasons:
- due to insufficient production of ejaculate;
- injuries of the external genitalia;
- acquired or congenital diseases of the genital organs;
- malfunctions in the immune system;
- varicocele;
- genetic defects;
- hormonal disorders.
The causes of infertility may be other. If a small number of sperm and a low patency of the ejaculatory tract are detected, immunological infertility is also considered primary.
Infertility of an immunological nature arises due to the effect on sperm of antisperm antibodies that immobilize germ cells, and fertilization becomes impossible. If, according to the results of the analysis, both spouses have health problems and pathologies in the reproductive system, a MAR test is prescribed by a specialist, which determines the antisperm bodies in the ejaculate.
Infertility of the 1st degree is diagnosed with:
- chronic pathologies of the genitourinary tract;
- sexually transmitted diseases and infections;
- the use of certain medications;
- alcohol abuse;
- poor blood flow in the scrotum;
- smoking.
Diagnosis
To exclude or confirm the diagnosis of grade 1 infertility, a specialist should monitor their patients throughout the year. He also prescribes urine and blood tests, uses hardware diagnostic methods:
- Ultrasound
- vaginal mucus intake;
- laparoscopy;
- a spermogram is required from a man.
Diseases of the genitourinary system cannot be independently treated, since they are able to go into the chronic phase. This is what predisposes to the appearance of infertility.
What is the treatment of infertility in women?
Female Infertility Therapy
Treatment should be carried out depending on those factors that cause infertility:
- Lack of ovulation in women. This phenomenon is caused by hormonal disorders that prevent the egg from leaving the follicle. This process is manifested by the absence of menstruation, a different volume of bleeding during menstruation. Therapy with the manifestation of infertility of the 1st degree is carried out through medications, it stimulates ovulation.
- Endometriosis: endometrial tissue grows beyond the uterine limits. This pathology is characterized by quite severe pain during menstruation. There may be miscarriages. Therapy clearly involves only surgery. The overgrown tissue is surgically removed, the patency of the uterine tubes is restored.
- Infertility of 1 degree in women is caused by poor quality egg cells. In women, egg quality decreases significantly with age. They may have abnormalities that make them unsuitable for pregnancy. If a woman is going to become a mother after forty, doctors advise using an egg from a donor or resorting to surrogacy services.
- Polycystic ovary: hormones can be disturbed due to cysts, menstruation is absent, which means there is no ovulation. Signs of polycystic are fast weight gain, acne, strong growth of facial hair. Medical therapy, with the help of drugs that stimulate ovulation.
Below we consider the treatment of infertility in men.
Therapy for the stronger sex
The method of treatment of primary infertility in men is determined by the factors that provoked the disease. When the correct diagnosis is carried out, the specialist will prescribe one of a number of methods.
- Changing the patient’s lifestyle: abandoning bad habits, playing sports, proper diet and diet, walking, avoiding emotional stress and overwork, exposure to low and high temperatures.
- Treatment of diseases of an infectious nature through antibiotics.
- A small operation that eliminates some diseases of the genital organs.
- Hormonal correction.
- Therapy, which is aimed at producing a normal volume of sperm in the male body and improving their quality.
What to do in case of infertility?
With a diagnosis of severe primary infertility, it’s not worth panic and give up. Modern medical developments make it possible to solve such problems in almost a hundred percent of cases.
Many doctors and scientists are convinced that today almost any type of infertility of 1 degree in men can be cured. The most important thing is to diagnose the disease on time and start treatment.
Tips for Patients
To increase the chances of pregnancy and increase reproductive function, as well as bearing a healthy baby, you need to adhere to a number of recommendations:
- sex should be at least once in three days;
- no need to dramatically gain weight or lose weight too quickly;
- follow a food culture;
- consume vitamins;
- reduce or eliminate the use of alcohol, quit smoking;
- eliminate stress;
- physical activity should not be debilitating;
- provide rest and normal sleep;
- drink clean water in an amount of not less than one and a half to two liters;
- do not drink painkillers during ovulation.
Spouses need to understand that it is very important to see a doctor on time and start treatment, because in this case the chances of getting pregnant and having a healthy baby increase significantly.
Can such infertility be cured? It is recommended that the couple relax, relax on the sea coast. Indeed, with constant emotional and physical stress, stress and anxiety, the body is in tension. And he has no time to engage in reproduction.
Therefore, along with a change in the familiar environment, a long-awaited pregnancy often occurs. In addition, hormonal, antibacterial therapy, laparoscopy, homeopathic medicines and traditional medicine are used. Physiotherapeutic procedures are also effective, such as acupuncture, hirudotherapy, apitherapy.
We examined infertility of 1 degree. What it is is now clear.