RECOMMENDATION ON HOW TO PREVENT INFERTILITY AND PRESERVE FERTILITY
Today we
know that 80% of cases of infertility are predictable, therefore we thought
heading towards prevention, given that the infertility in the last decade has
increased from 20 to 24%.
It is the
duty of the physicians about preventing infertility and fertility
preservation and make this as routine as taking blood pressure, do a Pap smear
or teach the patient to examine your breasts. If all doctors opted for this
measure, preventing move to treatment as a strategy to solve the problem of
infertility .
Usually
there is nothing you can do to prevent female infertility caused by genetic
problems or diseases.
How to solve infertility
To solve
infertility must take into account three important points:
Infertility
is a couple problem and always, with very few exceptions, both men and women
for any damage that hinders achieving pregnancy
Infertility
is not a disease but a consequence of one or more diseases
If that
cause is not diagnosed infertility, this usually turn incurable, as they
usually fall into the vicious circle of hazardous and inefficient "Kits
infertility" using the classic sequence Colposcopy -> Laparoscopy ->
Ovarian Stimulation -> Insemination - > IVF -> ICSI -> embryo
transfer -> Adoption.
Normally a
couple who want to have children and do not plan, does pregnancy before six
months.
In healthy
women there are times when pregnancy is possible and times when it is not
possible. The most fertile time is during the day it is expected to happen
ovulation and 3 days before and 3 days after it, reducing the chances away as
ovulation. In general, healthy sperm can live up to 72 hours in the female
genital tract.
Recommendations to prevent
Infertility
1. Avoid
sexual promiscuity.
2. If you
suspect a sexually transmitted disease, go to your gynecologist as soon as
possible.
3. Avoid, if
possible, postpone maternity / paternity leave beyond 32 years old.
4. Consult a
specialist in infertility when:
It is less
than 30 years and has attempted pregnancy for one year without success.
It has
between 30 and 35 years and has attempted pregnancy for 6 months without
success.
It has
between 35 and 40 years of pregnancy and has been attempted pregnancy for 3
months without success.
It has more
than 40 years, regardless of how long you have been trying to get pregnant.
5. Do not
forget that the problem of infertility is a problem of DOS. They may be
involved one or both parts of the couple, so the initial study of the infertile
couple should include both male and women.
However,
there are several things that women can do to lessen the chance of infertility:
Take
measures to prevent sexually transmitted diseases
Avoid
illegal drugs
Avoid excess
use of alcohol or frequent
Adopt good
practice good personal hygiene and health
Have annual
exams with your gynecologist once they are sexually active
Finally, we
should mention the unprotected sex when you do not have a stable partner.
In some
cases, the causes of female infertility are in their lifestyles
It is also
important to detect and correct treatment of diseases that may affect
fertility, so they undergo (not only gynecologic).
It should,
finally, to emphasize the fact not delay the moment of motherhood if you want
to have children, because age is a determining factor in the degree of female
fertility.
The
infertility , is the inability to achieve pregnancy, has a high cost on a personal
level and even at the social level.
On a
personal level implies, a priori, the loss of the opportunity to live a life
experience for which we are biologically and culturally programmed in general
terms. Most people under that program, we build our life script in which we are
forming a family, developing our role as parents and we have assumed that our
self-concept as adults often revolves around this idea. When this pathway
breaks a vacuum occurs and confusion entering the grieving couple on many occasions.
Many outgrow naturally but others suffer in their self-esteem, reaching altered
their emotional balance, and their relationship with the environment.
As for the
social cost, plus fewer and fewer children are born, with the consequent
reversal of the social pyramid and aging of the population, if we consider that
20% of couples have problems with fertility and treatments and requiring
medication are very expensive, the cost is very high administration for not
preventing these cases.
Ovarian low reserve and pregnancy
Couples
should be informed, especially women. Your gynecologist should report on the
prevention of infertility. For this arrival certain age, I say that after 30
years, should be made a test of ovarian reserve . From 35 egg quality plummets
and there are many women who have an early menopause . In addition , many
confuse with menopause and infertility can menstruating until age 50 and not
being able to be a mother from much earlier.
There should
be frequent information campaigns run by health centers and family planning and
education programs as well as other issues should be studied biology and
prevent infertility are studied. It is important to be aware of the
consequences of diminished ovarian reserve.
Ovarian
reserve test
A test to
check ovarian reserve is very simple. It involves taking a blood sample to
detect the value of AMH and an ultrasound to count antral follicles. In
addition HAM hormone can be studied independently of the day of the cycle, so
it is a more comfortable test that the analysis of other, requiring multiple
takes and on certain days of the cycle.
If these
rates are good you can take a little more calm. If not have to think about
getting a search or preserve fertility
Preserve
fertility
Preserving Fertility
Preserving fertility
involves stimulating the woman for oocyte production in order to extract and
crioconservarlos. When it comes time to get pregnant these oocytes
desvitrifican, treatment be carried out in vitro fertilization or ICSI , ie
fertilized with the sperm of the partner or donor and transferred. Of course
you can do the same man. In fact it carries sperm vitrification becoming very
long time.
People who
show some room features should be especially careful and prevent, in order to
have more chances of having a child:
People who
are undergoing cancer treatment
Women whose
mothers have had early menopause
man whose
parents have had severe problems seminal quality
Women with
associated problems such as endometriosis
People who
have suffered sexually transmitted diseases
Women who do
not want to be mothers before 35
It is
important to improve our fertility regularly visit the gynecologist and made a
study of ovarian reserve.
It is also
important to follow all the rules of healthy living, avoid harmful habits such as
snuff, alcohol and too much coffee, exercise regularly, stay healthy and with a
good emotional adjustment, avoid stress and as far as possible an active and
positive sexual life.
All this
contributes to a high vitality and a proper emotional state that is useful for
achieving pregnancy.
How to achieve pregnancy
Usually
pregnancy is easily accomplished in the healthy partner before 6 months. The
chances of success increase having sexual intercourse in the days of ovulation
or close to it, as shown in the chart above.
Since not
all women have equal cycles, it is assumed that the ovulation day is the time
duration divided by 2. For example, for a 28 days cycle ovulation day is
assumed to 14. For a cycle 26 days, it is assumed for 13, and so on.
Additionally,
during the most fertile time of the woman produces more pheromones (hormones of
sexual attraction) so the man will feel more attracted. BBT also women
increases to ovulation and cervical mucus becomes stringy (mucosal) occur 3 or
4 days before ovulation.
If pregnancy is not achieved within a year
there will be changes safely preventing pregnancy.
Usually in the infertile couple both men and
women have problems that hinder fertility and to diagnose and treat these
causes the chances of success are greatly increased. But as time goes
undiagnosed such causes these become incurable or very difficult to treat and
this is where the problem begins to worsen in the absence of a proper diagnosis
.
The best test for diagnosing causes
infertility is the CMP-Infertility it
examines both members of the couple, as well as being 5 times more sensitive
than conventional procedures. Appear naturally , this test must be timely and
hopefully before any invasive procedure, as well treatments ends of dangerous
and expensive, often futile if there is no previous diagnosis
Summary:
To achieve
pregnancy is advisable to have intercourse near the ovulatory period
corresponds on average to half the cycle.
If in one
year is not achieved pregnancy, the couple should practice an examination CMP-Infertility.
All
treatments should be avoided to have as complete a diagnosis as possible (as
provided by the CMP-Infertility) for both men and women and avoid any treatment
that is not derived from an accurate diagnosis.
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