Couples Infertility Problems

Having a baby is certainly one of the things that almost all married couples dream of. So it's not surprising that many married couples will try everything so that they can get offspring. Even so, it is undeniable that not a few couples who have been married for a long time and tried everything to get offspring, but their efforts have not yielded results. It is usually associated with fertility or fertility problems.

If in a year there has not been a pregnancy, even though the husband and wife have had regular sexual intercourse and do not use contraception, the couple can be said to be experiencing infertility or infertility. Infertility is divided into 2, namely primary infertility and secondary infertility. Primary infertility is the inability to get pregnant after 1 year of intercourse without contraception for women under 35 years of age or after 6 months in women over 35 years of age. Secondary infertility is the inability to get pregnant in a woman who has previously been pregnant.

There are several things that are also believed to be risk factors for infertility in both men and women. A healthy lifestyle is also an important thing that needs to be done to minimize the risk of infertility. Let's see a complete summary of information about the causes of infertility.

Female infertility can be caused by the following medical conditions or diseases:

1. Ovulation Disorders

A woman's fertile period is determined by her ovulation period. Therefore, when the ovulation process is interrupted, a woman will find it difficult to determine her fertile period or even be unable to release an egg that is ready to be fertilized to create a pregnancy. Ovulation disorders can occur for several reasons, including:

• Thyroid hormone disorders, including hyperthyroidism and hypothyroidism
• Polycystic ovary syndrome (PCOS)
• Premature ovarian failure, which is when the ovaries stop producing and releasing eggs before a woman turns 40

 

2. Blockage of the fallopian tube A blocked fallopian tube prevents sperm from meeting the egg in the uterus, so fertilization cannot occur. It is also a cause of female infertility. Damage or blockage in the fallopian tubes can be caused by several conditions, namely:

• Pelvic inflammatory disease
• Sexually transmitted disease
• History of surgery on organs in the abdominal or pelvic cavity, such as the fallopian tubes and uterus
• Etopic Pregnancy

3. Cervical mucus disorders

Female infertility can also be caused by disorders of cervical mucus. When you are entering your fertile period or ovulation, cervical mucus can make it easier for sperm to reach the egg in the uterus. However, if there is interference with cervical mucus, it can make it difficult for sperm to fertilize an egg, thereby preventing pregnancy.

4. Congenital disorders

Congenital diseases of the female reproductive organs are caused by genetic disorders. One example of congenital abnormalities that can make women infertile is uterine septate, which is a condition when a septum forms in the uterine cavity. Women who experience this condition will experience repeated miscarriages or find it difficult to get pregnant. However, this condition can be treated by a doctor through a surgical procedure.

5. Endometriosis

Endometriosis can be a cause of female infertility. Inflammation caused by endometriosis can damage eggs and sperm. This condition certainly interferes with fertility and can prevent fertilization from occurring.

Meanwhile, male infertility can be caused by several things as well. The most common cause of male infertility is azoospermia, or no sperm cells are produced. It could also be due to oligospermia, which is when only a few sperm cells are produced. Sometimes sperm cells are also deformed or die making it difficult to reach the egg. In rare cases, male infertility can be caused by genetic diseases such as cystic fibrosis or chromosomal abnormalities. To know for sure what causes infertility in married couples, a thorough examination by a doctor is needed.

When should you start getting checked out?
Fertility is strongly influenced by age, especially the age of women. At the age of 20-30 years, female fertility reaches its peak which is around 70%-80% and will decrease to only 30% at the age of 30-40 years. "Married women have an 80% chance of getting pregnant within a year, especially if they get married at a productive age under 30 years old. If they don't get pregnant within that time, they must see a gynecologist. For women over 30, the time span is 6 If she is not pregnant within 6 months after marriage, she must also consult a gynecologist.

Infertility checks should be carried out by husband and wife considering that infertility can occur due to male, female, or both factors. To diagnose infertility, initially the doctor will conduct an interview to obtain information about the general health condition of the husband and wife. After that, a physical examination is carried out to find out any physical abnormalities that may be contributing to infertility. If no cause can be determined at this point, more specific tests may be recommended. For women, these tests include hormone tests, analysis of body temperature and ovulation, X-rays of the fallopian tubes and uterus, or laparoscopy. For men, the initial test focuses on sperm analysis.

What is the solution if the couple is experiencing infertility?

After knowing what the factors that cause infertility in married couples are, the doctor will immediately provide recommendations for appropriate care and treatment. Some infertility treatments may include medication or hormone therapy (especially if the infertility is caused by irregular ovulation). Surgical procedures such as treatment for endometriosis, fallopian tube repair, or treatment in the womb may also be performed.

With advanced obstetrical technology, assisted reproductive technology in the form of insemination and IVF (in vitro fertilization or IVF) has been able to develop. For the insemination program, the processed sperm is inserted into the uterus so that the sperm and egg are closer to facilitate fertilization. So, fertilization in this insemination still occurs in the woman's body.
Basically, the action taken will be adjusted to what is causing the infertility. Immediately check with a doctor to make sure this is yes. Friends of Hermina do not need to hesitate anymore to conduct consultations and examinations at Hermina Pandanaran Hospital regarding infertility.