How to start the pregnancy?
He graduated one egg each month from one of the ovaries and moving toward one of the fallopian tubes and into the uterus.
For that to happen pregnancy must sperm who settled in the vagina during intercourse to swim to an egg thrown in its way to the uterus and Aqahha.
The fertilized egg begins to divide and be a "fetus" that connects to the uterus after 5 days and almost starts in the lining of the uterus adhesion Thus begins the pregnancy.
What is infertility?
Infertility is defined by the inability to conceive despite regular unprotected sex and do not use contraceptives for a year or more.
Infertility is a common problem affecting 10-15% of couples.
What types of infertility?
- Initial infertility: Infertility is defined initial load will not occur for any of the husband or wife by
- Secondary infertility: Infertility is defined secondary inability to conceive again after a miscarriage or childbirth.
What are the causes of infertility?
Can be a cause of men (40%) or of women (40%) or both (10%). It also has about 10% of the cases where there is no apparent reason after the initial analysis.
* Women reasons:
- The weakness of ovulation and irregular menstrual cycle. Of the most important reasons for the weakness of ovulation is the presence of polycystic ovaries, causing disruption to the hormones of pregnancy and delayed
- Blockage of the fallopian tubes or adhesions. Among the factors leading to the clogging of the pipes or adhesion sexual infections such as chlamydia or appendicitis or pelvic surgery in
- Uterine congenital defects as the existence of a barrier or uterine defect in the formation of a wall or lining of the uterus.
- Alandhumicriuss disease which is the presence of uterine lining outside the uterus which leads to adhesion tubes or bags are in the ovaries
- Overweight than normal. It has been proven scientifically that the excessive increase in weight leads to an imbalance of hormones and ovulation delayed pregnancy, and that Ms. mast that carried it vulnerable to complications of pregnancy and abortion, gestational diabetes and high blood pressure
* Reasons related to the man:
- The causes of defects including undescended testes to the scrotum at birth, leading to the exposure of the testis to high temperature and thus the failure of testicular function in sperm production
- Of other birth defects have not configured the spermatic cord, which carries sperm
- Sexual infections such as gonorrhea and syphilis and chlamydia transmitted through sexual intercourse, and this consequently lead to clogged ducts sperm
- Defect in spermatogenesis due to abuse drugs for the treatment of some chronic diseases such as diabetes or high blood pressure, as well as chemotherapy for cancer and hormonal steroids
- Exposure of the testicles to high temperatures, as the temperature of the testicles normal 35 degrees lower than body temperature and that the presence of the testicles outside the abdominal cavity in the scrotum, and in turn works scrotum as a regulator of testicular temperature Veetmdd in the summer and shrinks in winter, this is advised not to wear tight clothes or shower with hot water and lack of presence in places where the temperature rises Kalavran and factories and a soldering iron. Other factors that lead to increased testicular temperature and the presence of varicose veins, which increases blood flow to the testicles and cause increased heat.
- Other causes of obesity that lead to increased testicular temperature as well as the transformation of testosterone to the female hormone in the fat cells.
- Other factors as smoking and alcohol abuse and mumps
- The weakness of sperm for unknown reasons and psychological reasons as stress and depression may lead to weakness and lack of sexual intercourse.
How to determine the cause of infertility?
On the medical examination of women to determine the following:
- Are you a regular menstrual cycle?
- Are there any difficulties in marital cohabitation?
- Is there any abnormal vaginal discharge or inflammation earlier in the tub?
- Have there been any previous operations in the abdomen or in the tub?
- What is the result of any previous pregnancy (a normal delivery, caesarean section, abortion)?
- Do you suffer from any organic disease as a chronic diabetes or high blood pressure?
Mu`aniyah the medical men have to determine the following:
- Are you wounded by inflammation of the salivary gland (mumps) at a young age?
- Do you have any operations conducted in the testis or tub?
- Are you injured in the genital tract infections (sexually transmitted diseases)?
- Do you smoke or dealing drugs?
- Do you suffer from any organic disease as diabetes or high blood pressure?
- What kind of profession practiced by Will exposed to high heat or radiation or chemicals?
What are the tests that must be performed in the case of infertility in women?
- Measure the height and weight and determine the ratio of weight BMI
- An analysis of pituitary hormones during the first three days of the menstrual cycle
- An analysis to determine the proportion of ovulation hormone (progesterone) in the second phase of the menstrual cycle (This analysis is usually conducted on the day 21 of the cycle)
- Sonar hold of the basin to ensure the safety of the uterus and ovaries
- Make a colorful ray of the uterus and fallopian tubes HSG to make sure of their safety
- A telescope and abdominal X-ray showed that the Rahmi colored any defect in the uterus or fallopian tubes
What are the tests to be carried out in the case of infertility in men?
- Measure the height and weight and determine the ratio of weight BMI
- Examination of the testes to make sure their nature
- An analysis of the sperm to determine the number, movement and shape. Being examined semen after two to five days of intercourse.
- An analysis of pituitary hormones that analysis was abnormal sperm
How can I treat infertility?
Before proceeding with any actual treatment, the couple should follow a healthy food system, and keep a weigh so be the best state of health at the start of treatment.
Different methods of treatment and methods for different reasons:
- In the event of disruption of hormones and the presence of disorder in the work of the ovaries, infertility is handled once giving pills or drugs to stimulate ovulation
- In the event of adhesions in the fallopian tubes, the process of treatment is to hold the telescope in order to remove adhesions
- Can be treated twice a man's sperm eating vitamins or tonics
- Sometimes require some of the factors causing infertility in men or women resorting to IVF treatment IVF
What is the treatment IVF IVF?
Includes IVF treatment to stimulate the ovaries injected hormones to produce the largest possible number of eggs that grow inside the ovary.
Taken mature oocytes from the ovary to be placed with sperm, where it is the process of pollination.
The fertilized eggs begin to divide, creating what is called "embryos".
Usually retrace best 2 to 3 embryos to the uterus.
Take treatment for about six weeks.
Estimated success rate of about 30-40%
What is ICSI ICSI?
ICSI is a technique of egg informers new and sophisticated resort to it for the treatment of infertility cases in which the weakness of the sperm, since the sperm is unable to penetrate the egg for fertilization. In those cases, sperm is injected directly into the egg.
When we resort to IVF treatment?
Resort to IVF treatment, said: -
- Did not respond to ovarian hormones activation
- Did not happen pregnancy after six months of treatment in spite of ovarian response to treatment
- Did not happen to carry on despite an endoscope treatment of adhesions and fallopian tubes
- Was found after a laparoscope that the imbalance in the fallopian tubes and can not be treated seriously
- Sperm was very weak or do not improve after taking steroids
About IVF IVF
- Treatment consists of several stages designed to induce the ovaries to produce several eggs compared to what is happening in the natural cycle where it is producing only one egg
- On the first day of the menstrual cycle is taken needle Aldekapetal Decapeptyl either single needle into a muscle or under the skin daily needles to make the ovaries more receptions later to inject anabolic hormones.
- Two weeks after the situation is assessed vaginal sonar. The Vstbdin was normal within a few days of eating anabolic hormones for ovulation. This medication is injected at the same time taken daily for 10-12 days to induce the ovaries to produce several eggs.
- Gradually grow eggs in the ovaries to be the so-called vesicles. Is measured by the size of the vesicles vaginal sonar and then set a date to withdraw ova.
- If it is found that the size of the sonar and the number of vesicles are appropriate, are taking HCG injections that complement the maturation of oocytes and the injection is usually given 36 hours before the process of withdrawing from the eggs. May occur some side effects of the drugs, such as nausea, diarrhea, headache and mental fluctuations.
How is the process of withdrawal of the eggs?
- You have to come to the CARE unit in time for you. Please do not eat or drink anything for 8 hours before the operation. Once you arrive to the unit nurse will accompany you to your own room. Ova are withdrawn under general anesthesia through vaginal sonar. Take the process of withdrawing the eggs between 30-45 minutes. After the operation you can eat and drink and feel better.
- Sometimes causing the process to withdraw the descent of a few eggs from the blood from the vagina. This is often the little blood and tends to color to red or brown and stops after a day or two. Before discharge from the hospital the doctor informs you about the number of eggs that have been withdrawn and give you instructions on how to use medicines that improve the lining of the uterus and enhance the possibility of accepting the embryos.
Semen collection:
Is obtained semen through masturbation on the withdrawal of the eggs. Advised to abstain from sexual intercourse for a period of 2-4 days before that.
How are vaccinated eggs?
Placed with each egg 100000 animal sperm in a test tube to be pollinated.
It is expected that vaccinates about 70-90% of the eggs.
After two or three days divided fertilized egg to be a so-called "fetus."
Embryos are classified according to their quality 4 varieties.
Choose the best embryos are to be returned to the womb and the rest can be frozen embryos for use in other attempts
How relive the embryos into the uterus?
The process of the return of embryos to the womb of a simple process takes a few minutes and does not require anesthesia.
Ms. attend to CARE unit in time and must be filled bladder as it facilitates the process of returning the embryos.
Embryos are placed in the uterus by a thin plastic tube.
After the return of embryos preferably Comfortable briefly before leaving the unit.
What is the number of embryos that can be transferred?
This is a difficult decision and depends on several conditions. Usually we recommend the return of two fetuses if the wife is less than the age of 40 years and three embryos if more than forty years old, with the knowledge that the cultivation of three embryos may lead to pregnancy with twins or triplets.
When conducting an analysis of pregnancy?
Two weeks after the return of embryos are in the analysis of pregnancy and the waiting period is usually disturbing and full of hope and tension. In general we recommend the following:
- Do not use the shower or lye vaginal
- To refrain from sexual intercourse for two weeks from the date of return of embryos
- Not to do any strenuous sport Kalrkd and hiking
- Do not carry heavy things
- Do not eat medicines except those advised by the doctor
The analysis was positive pregnancy this confirmation of pregnancy. After the two weeks are sure of the nature of the load (the number of embryos) sonar.
The analysis was negative pregnancy should stop taking the treatment. PMS usually begins within a week. These differ from your course regular session, it could be lighter or stronger or shorter or longer. If you did not come a week after the session, please review the unit one more time to determine the next step.
Do you carry a child tube differs from natural conception?
Not unlike a pregnancy resulting from the treatment of a child for any tube another pregnancy. Like all cases of normal pregnancy, there is always the possibility of miscarriage or ectopic pregnancy or premature birth.
As the birth defects that occur and the percentage to 3% spontaneously in normal deliveries, may also occur in children who are born as a result of IVF.
D. Osama valid
Consultant Obstetrics and Gynecology and diseases, infertility and laparoscopic surgery (Britain)
Unit Manager IVF - Dar Al Shifa Hospital's new
Interview: The Journal of the homeland Clinic
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