Causes, signs and treatment of infertility in women
Infertility in women is the main reason for the lack of children in the family, where replenishment is planned. Of course, not always in the absence of children the woman is guilty, the male factor of infertility is also very common. But in this article we will consider the causes of infertility in women, its signs and methods of treatment.
To begin examination at the gynecologist, if there are no complaints in addition to a long non-occurrence of pregnancy, it should be 1-2 years after the beginning of a regular sexual life without the use of contraceptives. At the first admission the doctor will find out your anamnesis, complaints, hold a gynecological examination and take swabs. In addition to smears on the flora and atypical cells from the cervix, a smear should be given for urogenital infections, which can also interfere with the onset of pregnancy. The most common include chlamydia, mycoplasma, ureaplasma - that is, hidden infections. Often they cause secondary infertility in women who consider themselves completely healthy.
The next stage is ultrasound of the uterus and ovaries. Be sure to check the patency of the fallopian tubes. Hysterosalpingography, hysteroscopy or therapeutic-diagnostic surgery - laparoscopic - are performed. During these, you can remove the adhesions in the fallopian tubes, which are most often the cause of the absence of children. But even if after the procedure the doctors said that the patency of the fallopian tubes is restored, this does not necessarily mean that the tubal factor of infertility is now excluded. Doctors state that "the fallopian tubes are passable" by the sign that during medical intervention, a contrast agent passes through them under pressure. But the fact that the solution passed under pressure through the fallopian tubes does not yet mean that this way too freely the egg passes, which moves only at the expense of the inner layer of the tube, the cilia, if their function is broken, can not only appear infertility in women, but also ectopic pregnancies come ... Many foreign doctors are inclined to the opinion that the fallopian tubes with a heavy adhesive process are best removed, especially if an IVF procedure is to be performed, in order to avoid an ectopic pregnancy. This is when conservative infertility treatment in women is not only useless, but it can lead to new problems. To avoid all these problems, from a young age you need to monitor your health and take care of it. To pathologies of fallopian tubes lead salpingitis, salpingoophoritis, adnexitis.
It is very important to know the hormonal background of the patient. She is recommended to take tests for AMG, FSH, LH, E2, progesterone, prolactin, T3, T4, TTG. And the main ones are AMG, FSH, TTG, and the rest are indications. If increased prolactin, then there is reason to suspect hyperprolactinemia - a common cause of female infertility. With a decrease in the level of this hormone, and this is done with the systematic intake of certain medicines, pregnancy occurs. According to the level of FSH and AMG, one can judge whether the woman has problems with ovulatory reserve of ovaries. These tests must be taken on certain days of the cycle and outside the intake of hormonal contraceptives, otherwise the results will be uninformative. By the level of TTG, a number of endocrine diseases can be identified - the causes of infertility.
If you can not conceive a child until only a few months and your age is less than 35 years, you can try to find yourself independently on possible problems with ovulation, check whether it occurs at all, whether there are any hormonal disturbances. This can be done by measuring the basal temperature and then plotting the graph based on the results. Normally, with the ovulatory cycle, in the first phase, the temperature is kept at a level no higher than 37 degrees, just before ovulation slightly drops, and then rises not less than 0.4 degrees and this high holds almost until the next menses ( if a woman does not become pregnant), slightly decreases before menstruation. If the basal temperature chart is flat, there are no temperature drops-this means anovulatory cycle (there was no ovulation). If the temperature rises below 0.4 degrees, you can suspect estrogen-progesterone insufficiency. If the second phase of the menstrual cycle is less than 10 days, the temperature rises near the end of the cycle and does not decrease before menstruation - this means a lack of progesterone. All this can be infertility symptoms in women, but the doctor must confirm the diagnosis and he will prescribe the treatment if necessary.
If you can not conceive a child for a long time, do not panic. Most forms of infertility are curable. And timely access to a doctor, qualified examination and treatment will help you become a mother.