It is not impossible, a pregnancy that did not happen during this one because of the positions of the opposite sex. berintim often intimate 3-4 times a week is not recommended and should be 2-3 times per week for sperm dijarangkan better (larger) and more volume.
In some cases, treatment should be performed by the administration of medication or even be corrected by surgery. Types simpler the problem, the less processing to do. Conversely, as the severity of the problem, other types of treatment offered. treatment of chronic problems depends largely on the response of each individual and his spouse. It is within 3-6 months of treatment have been pregnant. However, there is more than that or not. disiasati infertility is usually for insemination, test tube baby, the adopted child.
DOCTORS NOTE
One thing that should not be overlooked, is to choose your doctor and your partner properly. In addition, prepare for a faster, since the examination and treatment can be done not only once but several times and time-consuming. The solution to this problem is just a great determination.
Avoid the “shopping” also known as the doctor several times to change doctors. This will not solve the congestion that occurs. Any doctor, you’re still going through the steps necessary life. In fact, on several occasions to change doctors, you will lose much time because the test should be repeated.
Therefore, the opening between patients and doctors need desperately here. Since the early to ask your doctor what the examination will be conducted. Physicians also should explain the problems encountered by patients, and set goals to be achieved through an examination or treatment is administered.
Problem-based treatment
A. The problem HORMONES
* The reproductive hormones
Hormone therapy is to overcome infertility problems by adding hormones from outside, when the hormones that regulate reproductive function in the human body susceptible to interference. Made of hormone therapy when a male and female sperm abnormal when no ovulation.
Usually done when the addition of the hormone FSH (follicle stimulating hormone) and LH (luteinizing hormone) in the body is smaller. In women, FSH and LH stimulates the ovaries or ovarian growth and maturation of the follicle followed by ovulation or the release of an egg. In men, FSH stimulates the Sertoli cells in the testes. Sertoli cells that contribute to the food in the semen for sperm to develop normally. Although LH stimulates Leydig cells produce testosterone, which is useful for the development of secondary sexual mature sperm.
- Hormone therapy in women.
Beginning with the administration of drugs or estrogen begins to activate antihormonal spending fertility drug FSH. These drugs are consumed day three, four, five of the menstrual cycle, because the hormone increases again after three days. Where is the FSH hormone is triggered. This method has been tested for six cycles. If this is unsuccessful, the dose is increased. If six months have not formed ovulation, decided to take a hormone shot from outside the 6 and 10 days of the menstrual cycle, ie in the form of injections of the hormone FSH or a combination of FSH and LH.
- Hormone therapy in men.
The hormone is administered by injection, as needed. However, in general received a combination of FSH and LH. In the male hormone injections can be done at any time. In general, injections are administered to two days, depending on the concentration of hormones that are given the job. Next 1 to 1.5 months to assess whether there is progress or not. If after three months is still minimal, will also be sent to a longer cycle (a cycle of spermatogenesis is three months). Find out who is good or not, whether in the examination of semen and hormones and control. semen test two weeks ago two separate times to prepare the testes to produce again. The terms of the semen test, you should not have sex for at least three days and a maximum of seven days.
* Thyroid hormones
Hypothyroidism or thyroid hormone deficiency may inhibit the process of pregnancy. The deficiency of thyroid hormone in women can disrupt the body’s metabolism, causing the egg is not cooked. After fertilization no. To normalize the production of thyroid hormones, doctors often give a pill, tablet or injection of thyroid hormone. The goal is to help patients obtain the necessary amount of thyroid hormone. possible, patients are always dependent on thyroid pills to stabilize the production of thyroid hormones.
B. Physical Problems
Obstruction of the vagina *
There are two types of crashes that occur often say anatomic obstruction and vaginismus. Obstruction due to congenital anatomic while vaginismus vagina due to the contraction caused by psychological factors. Furthermore, blocking the vagina may also be caused by inflammation. This inflammation can occur because the bacteria that cause acidity in the vagina is too excessive, so that may stop sperm entering the uterus. Diseases that can cause vaginal bacterial disease gonorrhea, syphilis, trichomoniasis, candidiasis, or vaginal amubiasis cysts.
The obstruction of the vagina treated with medication. If treatment is not possible to perform surgery of the vagina can function normally. Finally, if one can not help how this can be done to achieve pregnancy during insemination or IVF.
* Disruptions in the neck, mouth and cervix forms
The causes of cervical disorders can BrUp. (1) obstruction of the neck, (2) lenders in the neck is not normal, so that lenders became too viscous or fluid that causes the uterus inhibited Sprem or (3) forming a collar if abnormal may interfere with the delivery of sperm into the uterus.
To overcome these problems in the cervix can be done about the state of treatment, if lenders charged for delivering sperm into the uterus. But if it refers to the shape of the cervix that has occurred is not perfect, it will be done surgically so that the cervix can function normally as a sperm in the uterus. If this method can not solve the problem, but to do the insemination or in vitro fertilization.
* Changes in the uterus
Another problem that can interfere with sperm transport to the uterus is a disease caused sinekia fibroid or polyps, endometrial inflammation, and abnormal uterine contractions. The sperm can not migrate because the movement itself. sperm movement with the assistance of the contraction that occurs between the vagina and uterus. This contraction has an important role in the transport of sperm into the uterus to the fallopian tubes. Prostaglandins (fatty compounds) in the semen can make a rhythmic contractions of the uterus. The lack of prostaglandins in the semen affects sperm transport.
These disorders can interfere with implantation, fetal growth and nutrition and the fetus oksigenisasi. To address this need in various ways, to surgical treatment.
Other problems that may arise within born with congenital malformations of the uterus. These congenital abnormalities such as not having a womb, a small uterus, two uterus, heart-shaped uterus, uterus and the uterine horns cut. Except abnormalities not have a uterus, all disorders that can grow with children. Obviously, with a difference of treatment on the basis of the anomalies that you own. For a small uterine hormonal treatment can be done to the uterus may be enlarged to normal size. Meanwhile, for which there are two uterus, uterine cross-section, the uterine horns and heart-shaped uterus, surgery should be done to correct the shape of the uterus.
* Egg questions Channels
Abnormalities of the egg in question is hydrosalpinx, namely, the fallopian tubes are enlarged or thickened completely. The causes of damage to the wall of the tubes is an infection or endometriosis. Hydrosalpinx addition, there are also short tubes, which he did turn in some places and tubal adhesions. Adhesions can interfere with the movement of the fimbriae and hold the ovary.
Abnormalities in the oviduct can be resolved with surgery to repair and restore the anatomy of the fallopian tubes and ovaries as before. Although endometriosis can be grown in the oviduct of recovery with hormone therapy drugs. When it was not possible with drugs, surgery is necessary. Then, using microsurgery, conventional or laparoscopic surgery.
The problem is not the occurrence of a pregnancy can also be caused by ovarian disorders, such as tumors or cysts, the most common form of endometrial cysts. To overcome the interference with the treatment of endometrial cysts may or surgery to remove the tumor.
C. ALLERGY sperm
allergy occurs when the body form antibodies against the sperm to the wife of her husband’s sperm. All of these women form antibodies, but not all women are the immune system so that sperm can not reach the egg. To overcome what can be done by reducing the amount of the relationship or condom use tools. Thus, the sperm exposed to the vagina every time they have sex, while encouraging the formation of andibodi can be avoided. This treatment is carried out at least six months. With this therapeutic antibodies should have fallen, so there is the possibility of sperm escaped and allow the appearance of pregnancy.
If that fails can be treated with steroids, which uses antibodies to eliminate certain medications or injections. Finally, through insemination or in vitro fertilization.
D. blood clotting
Under normal circumstances, is actually a collection of antibodies against proteins made by the immune system to fight foreign substances that are considered by the body (such as bacteria, virus). In patients with blood clotting or ACA (anticardiolipin), the body instead of making the antibodies to attack the enemies anticardiolipin known, but is actually part of the membrane. The presence of anticardiolipin antibodies makes people more viscous blood. ACA antibodies also promote thrombosis or blood clots in blood vessels.
Blood clots in the placenta could disrupt the supply of nutrients and oxygen to the fetus. The fetus can not develop or died in the womb to the age of 3-4 months pregnant.
When aCL antibodies were still within the bounds of safety, proper treatment with a type of aspirin (the ability to keep the baby is only 40%). The new examination, laboratory examination is necessary. When interest rates fixed or anticardiolipin antibodies increased the supply of drugs is accompanied by an injection of heparin or similar fraksiparin and injections should be done every day. The drugs are injected instead of reducing anticardiolipin antibodies, but keep the antibodies do not cause blood clotting and thrombosis alias, so the fetus can obtain sufficient food for growth.
Artificial insemination
A. Insemination
intrauterine insemination for sperm is inserted into the uterine wall using a special catheter. The implementation of insemination is when the drug or treatment without success. The application of AI is usually once or twice, because the time increases the likelihood of successful implementation of the new third to seventh in 6-7 months.
The implementation of insemination carried out before the auction to enter an IVF program. If poorly executed, a new doctor offers an IVF program.
The early stages of preparation of semen by masturbation free. The number of sperm was developed to choose the best quality. Before the sperm is inserted, the woman gave a drug that produces a good egg. In addition, experts have sperm that had been brought to the wall of the uterus with a particular device. The success rate of artificial insemination depends on the fertility of wives or husbands.
B. TUBE BABY
IVF programs offered to couples who have lived the scoring in the second channel of eggs, sperm is very low, with endometriosis, the follicle ruptures, and the various treatments or therapies that do not visit vain. the in vitro fertilization programs by entering the egg has been fertilized by a sperm in the uterus.
There are several steps that must be done. First, give the drug triggers ovulation in a woman. The process of egg maturation is monitored daily by blood tests and ultrasound women. In addition, published eggs and the eggs are fertilized by sperm from her husband who were treated before and select the best. The eggs and sperm are collected in the tube in a dish and then cultured in the business incubator. Monitoring carried out 18-20 hours later and should be in the days after fertilization of the cell.
In addition, embryos that are in cell division rate is inserted into the uterus. During this period, the expected results up to 14 days. If does not occur with menstruation, urine test is done to ensure the existence of pregnancy. A week later, the pregnancy is confirmed by ultrasound.
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