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 us educated 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

Recommendations to preserve fertility and prevent infertility :

Do not delay seeking pregnancy.

Safe Sex.

Conservative gynecological surgery practice.

temporary contraception.

Using the services of human reproduction units when necessary emphasis on premarital assessment.

Factors affecting fertility:

     Sexually transmitted diseases and pelvic inflammatory disease.

Endometriosis caused by the postponement of pregnancy and that ultimately produces infertility .

Contraceptive means: oral contraceptives, because of some exaggerated irregular ovulation and intrauterine devices, which results in a greater likelihood of infection and therefore of infertility .

Voluntary termination of pregnancies.

Demographic studies indicate that both reproductive age population as infertility are increasing.

     The first task of prevention is information on these processes: cryptorchidism: It is the total or partial lack of descent of one or both testicles in the scrotal sac. When detected in childhood should be followed until the testes are in the scrotum. Otherwise they should be treated with medication (hormones) , or surgery to put the tests in the bag definitely before puberty. Despite these treatments, although only one testicle, fertility can be altered irreversibly was affected.

     Varicocele: Increased peritesticular venous plexus, most often on the left side. It can be seen in childhood and particularly during adolescence. Different factors that can impair fertility as increased scrotal temperature, filtration of pollutants from these vessels, endocrine factors being considered. As in cryptorchidism involvement of one testicle does not exempt an impairment of fertility on both tests.

     Urogenital infectious processes via: The most known infectious involvement affecting fertility is parotitis (mumps), but any infectious or inflammatory involvement, especially chronically, can cause infertility. The most common cases are orchitis, prostatitis and urethritis. It also processes near the genital area as hemorrhoids, perianal abscesses, boils perineal or thigh root can produce harmful effects on sperm production.

     Taking medication chronically: The effects of the use of chemotherapy or radiotherapy on fertility are known and fortunately increasingly preventive measures are carried out.

The fundamental problems are common medications whose effects on fertility are not described among its side effects, but nevertheless close roads for their

action or even fully involved in the process of spermatogenesis may impair fertility.

The second step of prevention for these cases would be the monitoring of semen quality as possible. In cases such as cryptorchidism have to wait to adolescence to start seminal controls. These controls can be every 4, 6 or 12 months depending on the seminal quality. If the quality is good you can be spaced progressively controls.

If the semen quality is impaired in subsequent analyzes pass the third level of prevention would be the sperm cryopreservation (frozen semen). Thus if the deterioration does cause azoospermia we can always recover the preserved material.