PREVENTING INFERTILITY AND PRESERVING FERTILITY

                                                                  

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.