Infertility Disease : Causes – Inventory And Possible Treatments
Saturday, September 10,2016
SINCE THE YEAR 2000, assisted reproduction treatment (ART) including in vitro fertilization (embryos created in lab), have become much more common in Canada. Public health experts have reacted: did this reflects a decline in fertility? Not necessarily. Maybe couples are more favorable to TPA, but it could also be they homosexual couples who opt in greater numbers this technique to become parents.
In 2012, researchers from four Canadian universities and an AHR clinic partnered with Statistics Canada to analyze a sample of heterosexual subjects who did not use birth control for 12 months; The women were aged between 18 and 44 years. After eliminating the couples who had successfully designed, they found an increase in infertility rate compared to a similar sample made in 1992: 8.5%, it had risen to 15.7%.
Fertility declines with age. However, Canadians are slow growing to children. In 1984, 3% of women had their first child after age 35 (at this age, the chances of conceiving are 77%). In 2008, the proportion had risen to 11%. Compared to other social changes such as the increase in the average age of marriage, this increase is part of an overall change in lifestyle.
Furthermore, obesity reduces the frequency of ovulation and may even stop completely disrupting hormonal secretions that trigger the process. The proportion of obese pre-menopausal women (including body mass index over 30) jumped 4% to 21% since the 1980s Yet there is a solution to this problem: in one experiment, 90% of obese Aussies no longer ovulating started to release oocytes after losing ten kilos.
CAUSES OF INFERTILITY
40%: female infertility
30%: male infertility
20%: causes attributable to both sexes
Certain factors may make sterile men and women: alcohol, tobacco(smoking), cancer treatments, not to mention diseases such as sexually transmitted diseases and diabetes, which are also increasing. Whatever the causes, infertility is a heavy burden.
A study published in 1993 in the Journal of Psychosomatic Obstetrics and Gynecology found that of a sample of 149 American women who were infertile in therapy, anxiety and depression in infertile women were as vivid as those patients who were receiving therapy after I learned they had cancer. Other results corroborated by the scientific community suggest that men are less disturbed than women, especially if they are infertile factor of the couple, even if they are less inclined to talk.
AGE OF THE FATHER
The effects of aging on female fertility are well established, but the age of the partner seems to have also important. A British survey in 2002 (one of the newest in this area) with over 1800 couples expecting a child has demonstrated the following:
MIDDLE PERIOD (AFTER RE-EVALUATION STATISTICS) BETWEEN THE FIRST TESTS AND DESIGN (MONTHS)
AGE OF MAN
less than 25 —- 7.0
25-30 ———— 6.9
30-35 —— ——9.3
It is recommended to wait two years before an infertility evaluation.
However, if you are anxious, consult a specialist in infertility and expose him the reason for your anxiety: he will judge whether to make examinations or wait a year for regular reporting. If there are obvious problems, such as irregular periods occur for example every 2 or 3 months, then you can see after a year.
But in some cases, it is unnecessary to wait to make an assessment. For example if your mother was very young menopausal, your spouse surgery for testicular not down, you had salpingitis. You should know that miscarriages occur frequently. A woman can even make two consecutive without this being any sign of trouble. However, beyond three miscarriages, it is appropriate to begin a series of tests to determine if there is a medical cause for these events.
Infertility: should consult couple?
Yes, that’s better. In 30% of cases, infertility is female and also in 30% of cases it is masculine. Finally, it is mixed for 40% of couples. Namely: sometimes infertility is unexplained, that is to say, without apparent cause, in over 10% of cases. To find the most effective treatment, it is essential to see both partners. Especially since the first question asked by the doctor directly concerns them, what is the frequency of sex? The regularity of the rhythm of about 2 to 3 weekly reports is required to enter the race to the baby.
infertility evaluation: what questions do you ask the couple?
All infertility evaluation begins with a somewhat probing examination. Before starting the analysis, it is essential for the doctor to know more about medical history: there he had infections or surgeries genital area? Are the rules fair? The doctor asks such a man if his testicles have dropped into the scrotum at birth, at what age the first sperm emissions occurred, if there were some infections (mumps, or infection of the genitals) if he takes regular medication, if they have already had radiation or chemotherapy.
Finally, the doctor looks at the lifestyle daily also important: if you smoke, fertility is reduced. Stress levels, weight, intensive practice of a sport can also influence.
Feel ready to have a baby
What psychological factors are powerful enough to induce a blockage of motherhood? Before the child was omnipresent threat, we were playing with fire, the child came from the unknown sexual desire of a man and a woman and the inevitable risk you took by love. Now women who want a child should stop taking the pill or have a coil removed. With contraception, responsibility shifted toward the woman. What seemed a liberation turned into anguish too heavy load to carry. Consciously and unconsciously, a lot of questions arise: is this the man I want? Is this the right time? Is what I’m ready? And if it goes wrong? Result, it blocks! This new freedom, impossible, causes movement of the time of the decision to the limits of the risk of failure. Women thus enter into a logic of the challenge.
PMA can not solve everything
Since the birth of Amandine, the first test tube baby, media extol the spectacular successes of reproductive medicine. Thanks to technological advances, everything becomes possible, then that is what we hear everywhere. Women rely on medicine to decipher their missing child, they want to find solutions outside of them, blindly calling into the doctor’s knowledge as a hypnotist. Convinced of medical omnipotence, they engage in very heavy treatment, stressful for the body and the psyche, with an obsession with success which hampers results. It’s a vicious circle.
The proposed treatments obviously depend on the causes of infertility found during medical investigations. They also fit the age of the couple, his medical history and to the number of years they have suffered from infertility. Despite the variety of existing treatments, some causes of infertility can not be corrected.
In humans, drugs or behavioral therapy can cure certain disorders of ejaculation and allow the couple to conceive a child. If there is an insufficient number of sperm in the semen, hormones can be prescribed to correct this problem or surgery can sometimes be proposed (to correct a varicocele, dilated veins of the spermatic cord, located in the testes, by example).
In women, hormonal treatments in case of menstrual disorders can be effective. Treatments such as clomiphene citrate (Clomid by mouth) are prescribed to stimulate ovulation. This drug is effective in case of hormonal imbalance as it acts on the pituitary, a gland that secretes hormones that trigger ovulation. Several other hormones may be prescribed by injection to stimulate ovulation . If hyperprolactinemia, bromocriptine may also be prescribed.
In some cases, surgery may be required. If the fallopian tubes are blocked, an operation can cure this disorder. In case of endometriosis, medication to stimulate ovulation or in vitro fertilization may be necessary to hope to conceive.
assisted reproduction techniques is therefore reveal sometimes necessary in cases of infertility. In vitro fertilization is the assisted reproduction technique most frequently used. Human sperm are brought into the female egg in the laboratory, then the embryo is reimplanted in the uterus of the future mother (IVF).
Saturday, September 10,2016-14:49:39[London]
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