Feel Frustrated to Get Pregnant?

Feel Tired to Try Again, But Still Hope to Have Your Own Child?

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What is Infertility?

Infertility is the couple is not able to get pregnancy after repeated intercourse without contraception for 1 year. Infertility is happening on one of five couples in United States. This problem becomes more common nowadays.

Normally doctor specializing in infertility will consider a couple to be infertility is according to 3 conditions:

1. The couple has not conceived after 1 year of intercourse without contraception if the female is less than 34 years old.
   
2. The couple has not conceived after 6 months of intercourses without contraception if the female is elder than 35 years old.
   
3. The female is incapable of carrying a pregnancy.

The problem of infertility might be caused by men or women or both. The main three possible reasons might cause infertility are the problem of sperm, ovulation or fallopian tubes. In some cases, the problem might be caused by mucus in cervix. Age also is one of the factors, especially for women. When the women get older, the more difficult to become pregnant, and more risk of complications during pregnancy. Therefore, women who elder than 35 years old have limit time to resolve infertility problems before menopause.

The doctor might suggest the couple who is infertility undergo some treatment. The treatment will help to reduce the time to conceive or to provide the opportunity to the couple. Before they undergo any treatment, the counselor will provide some information about the treatment and the chance of success is beneficial to the couple. By knowing the information about the treatment is very important, it can help to reduce the problem of emotional stress, feeling of inadequacy, feeling of frustration and so on.

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Problem of Sperm

Infertility is not totally problem of women; men’s sperm might one of the problem causes infertility. If the fertile is successful, the man must be able to deliver an adequate quantity of normal sperm into woman’s vagina, and the sperm can fertilize the egg successfully.

Temperature of the Sperm --- High temperature of testes can reduce the amount of sperm and the vigor of sperm movement. High temperature of testes can also increase the amount of abnormal sperm. Temperature might be increased by heat, disorder, fever and so on.

Hormonal / Genetic Disorder --- Hormonal disorder is caused by the body cannot produce sufficient sexual hormone to stimulate the production of sperm. Genetic disorder is caused by abnormality of the sex chromosoms, such as Klinefelter syndrome (XXY chromosome).

External Factors --- Injury of testes, explore to industrial, toxin or drugs also might affect the production of sperm. Excessive alcohol intake also may reduce production of sperm.

Disorder either part of the sexual organ --- Azoospermia is caused by the absence of sperm in semen. It might because of serious disorder of testes, blockage of vasa defenretia, missing of sminal vesical, or bloackage of ejaculatory duct.

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Problem of Ovulation

A common cause of infertility is the problem of ovulation. The ovaries do not release the ovum every month. The female might not produce enough of progesterone, therefore the female’s uterus is not able to prepare suitable environment for the fertilized egg implant on the uterus. It might also the female is not able to secrete gonadotropin releasing hormone; therefore, ovulation cannot be occurred. Ovulation problem might also caused by polycystic ovary syndrome, thyroid gland disorder, adrenal gland disorder, excessive exercise, diabetes, weight loss, obesity, or psychologic stress.

Ovulation problem always occur on those women who have irregular menstrual periods or no menstrual period. However, sometime ovulation problem also might occur on those women who have regular menstrual periods, but do not have premenstrual symptoms, such as: tenderness, lower abnorminal swelling, and mood changes.

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Problem of Fallopian Tubes

Abnormal function and structure of fallopian tubes might cause the egg cannot be travel from ovary to uterus, therefore, fertilization cannot be occurred. Structural disorders such as birth defects of uterus and fallopian tubes, fibroids in uterus and band of scar tissues between normally unconnected structures in the uterus or pelvis can block the fallopian tubes.

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How to Solve the Problem?

If you are infertility, you might need to find out the problem that causes infertility. Either is your problem or your husband problem. As the problem that listed at above, now you must solve the problem according the problem.

For sperm problem: Sperm will be collected by doctor. The volume of the semen is measured by checking the color and consistency of semen are normal or not. If the semen is abnormal, the analysis will be repeated. If the semen still is abnormal, doctor will try to identify the problem. Test of sperm function and quality can be performed.

Clomiphene, a drug used to increase sperm count in men, but it does not improve the sperm’s ability to move or reduce the number of abnormal sperm. It is only suitable for men who low sperm count with normal sperm.
For men who cannot produce sperm by themselves, inseminating the woman with sperm from another man will be considered, but it is a risk to the child, because you might not know what is the genetic disease of the donor man will inherit to your future children.

For Ovulation problem: The doctor might ask women to take her temperature at rest (basal body temperature) to determine when is ovulation is occurring. The best time to do this is immediately after wake up in the morning. If the basal body temperature increases 0.5˚C, it shows that ovulation occurs. But the result might not reliable. More accurate kits can be used, such as: ultrasonography and ovulation predictor kits by detecting the increase of luteinizing hormone in urine 24 to 36 hours before ovulation.

If ovulation does not occur in long time, clomiphene with medroxyprogesterone (drug) will be suggested to the women, to trigger a menstrual period. Clomiphene is not effective for aa couses of ovulation problem. It is most effective when the cause is polycystic ovary syndrome. Side effects of clomiphere include hot flashes, abnormal bloating, breast tenderness, nausea, vision problems, and headache.

If a woman does not become pregnant after treatment with clomiphene, she will be suggested to try hormonal therapy with human gonatropins, injected into a muscle or under skin. It will help to stimulate the follicles of the ovaries to mature. Blood test will be done to measure the estrogen levels, and ultrasonography will be used to detect when is the follicles are mature.
If the cause of infertility is early menopause, neither clomiphene and human gonadotropin can stimulate ovulation.

More Methods can be found at HERE

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