Having the fertility implies to the spouse who has sexual intercourse in a year about 3-4 times a week but, there is no change for pregnancy. If you see several symptoms indicate to some disorders such as irregular menstruation or undergoing a surgery. As a result, receiving consultation from doctors without waiting to complete a year is recommended especially in women aged over 35.
Other Causes of Fertility
Reasons that man has this condition depends on various contributors such as genetic, sperm and medicine usage for remedy process (chemotherapy, injury,surgery, smoking, radiation,alcohol drinking or chronic disease treatment that require regular drug taking.
Similarly, woman can be contributed by common factors unfortunately they have higher risk for the condition due to age and abnormal congenital abnormal reproductive system (PCOS,Pelvic Inflammatory, ovary dysfunction, cyst )
If you consult your doctor, both will be asked for medical records consists of history of sterilization, genital infections and receive internal or external examination which is a primary process. The process requires sperm test, ultrasound and Hysterosalpingography. After that results will be sent to laboratory to detect for more causes. Moreover, if all solution is ineffective using technology for stimulating reproductive system will be selected.
Technology Makes Your Pregnancy
As mentioned, the technology comes when it needed. What are considered before processing include calculation of success rate, cost, complication possibility and pain reduction. There are several ways that the technology are able to help create a chance for the pregnancy:
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- Intrauterine Insemination, IUI is method that suits for man who has problem with sperm quality while his partner has no problems with her reproductive system. For that reason, ovary stimulation,optimal sperm selection for injecting it to the uterus.
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- Gamete Intrafallopian Transfer (GIFT) is a traditional method that unable to be used effectively. Stimulating the ovaries with hormones is one of solutions to collect eggs and sperm and fertilize them all together. After that,it will be injected through the ovary duct for fertilization.
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- Zygote Intrafallopian Transfer (ZIFT) or IVF is now popular in those facing Endometriosis or PCOS on account of abnormal hormone or sperm. Thus, making the fertilization will be made in laboratory. Next, the embryo will be transferred back to the uterus.
- Intracytoplasmic Sperm Injection ICSI is one of steps for IVF what makes it different is how the sperm is selected after that it will be injected directly to the egg cells then the embryo will be cultured about 3-5 days before the transferring.
Prepare for “New Technology of Your Pregnancy”
Female
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- Women should not wait until they aged over 35 as there is more risks for chromosomal abnormality and miscarriage.
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- Prepare the body and avoid smoking as well as alcohol drinking.
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- Exercise and have enough rest.
- Receive physical examination in order to screen for more diseases.
Male
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- No sperm secretion at least 3-7 days to accumulate the amount of sperm.
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- Avoid smoking and alcohol
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- Exercise and have enough rest
- Avoid stress
Signs of Fertility
Normally, cycle of menstruation should be around 21-35 days, but if it takes more time or shorter means there must be some disorders occurs to your ovulation which mostly found in those having obesity and high testosterone. Nevertheless, having the short time of menstruation might happen due to uterine synechiae, in contrast those having too much amount of blood indicates to symptom of tumor (frequent urination, constipation, lump) that may compress on the bladder or intestine.
Increase More Chances for Pregnancy
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- Start counting the ovulation day on day 14 to day 16 starting from the first day of the menstruation. This approach can only used in those having exact time of the menstruation.
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- In order to accumulate sperm man needs to abstain from sex at least 2-3 days before ovulation .
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- Carefully select lubricants as there are some types of them that contain spermicide.
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- More age, more difficult means age relates to chance of pregnancy.
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- Stress or lack of exercise can affect the hormones and sexual feelings.
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- Heat affects the quality of sperm, the testicles should not be exposed by heat, warm water or sauna.
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- Alcohol drinking or drug taking can weaken the semen results in less numbers of it. Smoking is also counted as it affects semen quality as well as sexual sensation.
- Obesity also affects menstruation and ovulation including sperm count and its concentration.
Dr. Theerayut Jongwutiews
Obstetrician
(Dept. of Reproductive Medicine)
Phyathai 2 Hospital
