All For One: What Prevents Couples From Getting Pregnant, And How To Deal With It

All For One: What Prevents Couples From Getting Pregnant, And How To Deal With It
All For One: What Prevents Couples From Getting Pregnant, And How To Deal With It

Video: All For One: What Prevents Couples From Getting Pregnant, And How To Deal With It

Video: Infertility when everyone else is pregnant | Kati Morton 2022, December

- What are the chances of conceiving a child for an absolutely healthy couple and how can they be increased?

- The probability of conception in one menstrual cycle is 18-20%. To increase their chances of pregnancy, both partners need to follow the elementary rules of a healthy lifestyle: get enough sleep, minimize stress, exclude exposure to harmful environmental factors, and give up bad habits. Three to six months before the expected pregnancy, you need to start taking vitamins, and pay special attention to folic acid - in a prophylactic dosage of 400-800 mcg per day. In addition, before planning pregnancy, a woman is advised to visit an obstetrician-gynecologist. It is also advisable for the partner to visit the urologist annually. After talking and examining each of the partners, the doctor will draw up an individual plan for their preparation for pregnancy. This will avoid not only problems with conception, but also complications when carrying a child.

- On the one hand, there is nothing complicated in all these recommendations, on the other hand, the probability of conception, based on your words, is not so great. So what most often prevents pregnancy?

- In fact, many factors can interfere with the onset of pregnancy. Most often these are changes in hormonal levels, not only sex hormones, but also thyroid hormones, pituitary gland. Of course, infections of the reproductive system are a separate item: they can not only interfere with the onset of pregnancy, but also cause its termination - both at short periods and at a later date. Such infections can cause obstruction of the fallopian tubes and inflammation in the uterine cavity, leading to infertility. Moreover, chronic inflammatory diseases of the reproductive system in men reduce the concentration and motility of sperm, and this, in turn, leads to male infertility.

- What about the age of the partners? What role does this indicator play? It seems that women are already scared by the fact that pregnancy after thirty is a rarity.

- Indeed, it is believed that the optimal age for conception is the age of 23-35 years, since after that the ovarian supply of eggs in a woman begins to decrease, their quality deteriorates, respectively, and the frequency of pregnancy decreases two to three times. The storage of eggs and their condition are also significantly influenced by smoking. Nicotine affects the endometrium, impairs blood circulation in small vessels, which in turn prevents the embryo from attaching or disrupts the process of attachment of the ovum in the uterine cavity. All this can lead to infertility, a frozen pregnancy in the early stages or a decrease in the supply of oxygen to the fetus in later stages - which means a delay in its growth and development. In men, sperm quality and motility also decrease with age. Plus, if a person is under constant stress, the body includes an element of self-defense: the maturation processes are disrupted, both eggs and sperm.

- When can you understand that no vitamins and healthy sleep help and it's time to sound the alarm?

- Usually we start talking about the problem with conception, when pregnancy does not occur within twelve months of regular sex life without any contraception. For a couple in which a woman is 35 years old or more, this period is shorter and is only six months. If time has passed, and pregnancy has not come, you need to go to a fertility specialist.

- Are potential parents really inclined to blame each other, and not solve the problem together?

- Rather, we are used to the fact that infertility is a woman's problem. But I repeat once again - this is the problem of the couple. Take statistics, for example. The ratio of male and female factors in the absence of pregnancy is 46% and 54%, respectively, and there is also a combined factor of infertility. That is why the examination must be carried out by both partners, and only then the chances of conception will be high. The problem does not arise for one of the partners, it is in this pair, which means that it must be solved together.

- Then what kind of diagnostics should everyone undergo?

- Of course, the examination is individual and depends on the age of the partners, but the first thing to start the examination with is the control of ovulation and the spermogram with the MAP test, which detects the presence of antisperm antibodies, which, in turn, provoke the development of immunological infertility in men. Further, if in the course of this any problems are found, it is necessary to restore the ovulatory cycle, to correct the hormonal background. Also, great attention should be paid to the man and the quality of his sperm, and also be sure to be examined for infections and patency of the fallopian tubes.

- What measures does the doctor take to help the couple get pregnant? In what percentage of cases is natural pregnancy still real?

- In fact, the percentage of infertility of unknown origin is extremely small: almost always there is a cause of infertility, and it is found out! Usually the doctor finds her, carries out the necessary treatment, and in most cases the pregnancy occurs on its own. IVF is an extreme measure that is used only when an independent pregnancy is definitely impossible.

- What "artificial" measures, besides IVF, exist today?

- There are a lot of programs of assisted reproductive technologies today. This is also intrauterine insemination, which is used in couples suffering from infertility due to the male factor. This is the induction of ovulation, which involves the artificial stimulation of the maturation of the egg with the help of drugs. Finally, there are surrogacy, oocyte and sperm donation programs. The choice depends on the indications of each particular couple, but the main thing, and I want to emphasize this, is that you can get pregnant with any factor of infertility.

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