mum
March 29, 2024

All about the infertility balance

We would like to have pregnancies "à la carte" but nature is not so made. The infertility assessment is a series of examinations that allow to conduct the investigation on the physiological cause of a possible blockage. Because steps are necessary before considering medically assisted procreation that is not necessarily always the appropriate answer.

The required time to get pregnant, if your couple lives a regular sex rhythm, is an average of 10 months. But one in six couples encounter difficulties in conceiving. Some women get pregnant quickly, others take a lot longer. That is why, before considering a report of infertility, you need a little patience

Some checks can be done by yourself: have you calculated the date of your ovulation through urine tests? Or a temperature curve? Ideally, you need intercourse the day before, the same day and the day after ovulation. Improve your lifestyle: pollution, stress, alcohol, tobacco, extreme diets are a nuisance to fertility. After 30 years, your fertility drops, even more between 35 and 42 years. The older you are, the more you have to accept the idea of ​​being patient. Your spouse may also have a small disorder himself. If he has a medical history, consult.

Make an appointment at your gynecologist. If you are prone to endometriosis, fibroids ... the gynecologist can refer you to the right course of action. Generally, after one year of unsuccessful unprotected sex, a search for the causes can begin.

The beginning of the balance sheet is done at a meeting with two. You and your spouse will answer questions about your medical history, your sex life, your desire for a child ...

The balance sheet regards the lady. It is a question of going back in his medical past, to investigate the regularity of the rules, to note the possible gynecological treatments even fertilizers. Palpate breasts, vaginal verification speculum, hairiness, weight in excess or in default ... the gynecologist takes each index into account. Your husband will also eventually be examined by palpating the testicles, to check for a possible varicocele.

The Huhner test or postcoital is cervical mucus in women after intercourse. The quality of the mucus and the mobility of the spermatozoa will be checked as well as the opening of the cervix.

Some exams at the woman may be prescribed. A pelvic ultrasound can be used to check the woman's ovaries and uterus. Hormonal assays will be done to control the endocrine system. A hysterosalpingography opacifies by injection of products the contours of the uterus and tubes. A hysteroscopy involves passing an optical system through the cervix to visualize the internal reproductive system in more detail. A celioscopy is an examination performed under general anesthesia to pass an optical system incising in the abdomen. It provides the best view of the reproductive system as a whole.

In humans, the examination main consists of a spermogram. The man will visit, after three days of abstinence, in a laboratory where his sperm will be collected by masturbation. If an abnormality is detected in the volume, the number of spermatozoa, their mobility or their shape, additional examinations will be possible: a karyotype, a hormonal assay, an immunological research and a testicular biopsy.
 

Our advice
One track that you should consider but that will not be prescribed by your gynecologist is the psychological support. Many blockages find no physiological explanation. And if it happened that your couple had one, you might need help to overcome it with the most peace of mind possible.



Infertility + Trying to Conceive... UPDATE | Anna Victoria (March 2024)