This time we want to tell a little about the causes of difficulty getting pregnant
What are the most common causes of infertility?
Infertility can have both medical and non-medical causes. Medical causes, for example, in men there are problems with their sperm. The sperm is not good, we can call it the malefactor.
In women, it can be due to irregular menstrual cycles or a dead end of the birth canal. But what is unique, especially in big cities, is that infertility is not due to medical problems. But due to non-medical issues. For example, the infrequent or inappropriate time to have sex with husband and wife.
The theory is that a woman’s fertility lasts 1-2 days, the egg comes out 1-2 days and then dies. So when she is fertile or the term is ovulation there is no sperm coming in she will not get pregnant. He had to wait again in the next month.
How to calculate the fertile period?
Calculation of this fertile period is indeed very tricky. And very different from one person to another. The most important factor is that she has to have regular menstrual cycles.
For example, there are people whose cycle is 28 days. Every 28 days will menses. So we must first know when the time of menstruation is coming.
For example, the time of menstruation that will come on January 30. When will he be fertile? If the cycle is 28 days, fertility is approximately two weeks before the first day that will come. If the first day of menstruation on January 30. So the fertile period is more or less backward on January 16.
In addition to calculating the fertile period through the calendar, there is another way to use a fertility detector. Lhkit or ovulation kit. To find out, it is checked from the urine. It can be done periodically for moms who want to know when she is fertile.
When should a married couple have a fertility check?
If a husband and wife live together and have regular sex for one year and have not had children. That’s when we diagnose it as primary infertility. At that time the doctor advised the couple to do a basic infertility check.
What checks should be done?
Basic infertility examination includes sperm examination on the husband. Examination of the uterine organs on the wife in the form of ultrasound, HSG to see if there is a blocked fallopian tube. And also we see her menstrual cycle is regular or not. Because for women whose menstrual cycles are irregular, fertility is difficult to detect.
If it is known that there are fertility problems, how to overcome them?
After doing a series of basic infertility checks. The treatment will be according to the cause. We should not take the malefactor lightly. Maybe diet, poor rest, or smoking, will cause sperm quality is not good.
Treatment is recommended to an andrologist. If there are other problems, for example in the genital organs, there are varicoceles or problems in the male genital organs. You can be referred to a urologist. The obstetrician will focus on women’s problems.
We’ll see if the menstrual cycle feels good regularly what causes it. We will see if there is a PCO (polycystic ovarian syndrome) factor or the mother is overweight so that her periods are irregular. The trouble is if the left and right fallopian tubes or tubes are blocked. Maybe you can still get pregnant but not in a natural way. But through IVF or IVF.
Is there a natural way to deal with it?
If the cause of medical infertility is generally resolved by medical means. For example, if a man has varicocele problems in his genital organs. It must be operated on by a urologist so that sperm production and others are good.
Likewise, women, for example, have irregular menstruation due to hormonal problems. The doctor will suggest giving drugs to regulate hormones so that menstruation is regular. But there are conditions such as irregular menses due to excessive weight.
Non-medical methods such as diet and exercise are recommended. I want to tell about non-medical infertility cases that we often find in society. Usually, because it is not an intense husband-wife relationship.
We must not forget to advise the patient to have sexual intercourse every 2 to 3 days. For example, Monday is connected, Tuesday, Wednesday, off Thursday is in touch again. Friday-Saturday off Sunday in touch again and so on.
What if they should have a relationship on Sunday but they can’t have an event out of town. It doesn’t matter Mondays can be connected and Tuesdays are off. The point is there is always standby sperm in the wife’s womb. So that when the egg comes out, the standby sperm is ready to fertilize.
The recommended diet to increase fertility?
The diet pattern that we emphasize is a diet pattern to lose weight. For mothers who are overweight so that their menstruation is disturbed. Menstruation can be disrupted due to excessive weight gain.
A simple diet pattern limits sugar intake. Regulate diet, regulate exercise. Sometimes we can’t work alone. If you are serious, for example, if the patient has tried for a year, the loss is only 1 or 2 kilograms. While he is overweight or even obese, he must work with a clinical nutrition specialist.
Another dietary pattern we suggest is the consumption of foods that are high in antioxidants. Ordinary fruit. These antioxidants are also good for the development of egg cells and sperm cells.
When is an assisted pregnancy program recommended?
Assisted reproductive programs include insemination and IVF. Later the doctor will determine, it can be seen from what medical problems. It can be seen from the patient’s age, age of marriage, which the doctor will determine later.
Because not all patients can do insemination and IVF. Although now IVF is more promising. Although the process is more complicated than insemination.
The obstetrician should look at the patient’s age. Do not let us be too busy giving natural programs and even insemination. The age of the mother increases if pregnant later the risk is higher.
That’s why doctors who do IVF usually pay attention to the mother’s factor. So that time is not wasted. Because we expect patients to get pregnant not just once. If possible there is a second child with a distance that is not too tight or too far away.
What is secondary infertility?
Earlier we discussed primary infertility, namely people who have never been pregnant for a year. Have lived together and have had regular sexual relations for a year and have never been pregnant. After the primary, there is such thing as secondary infertility.
She was pregnant once but after that, she didn’t get pregnant again. That’s a lot of factors if the medical factor, she was pregnant and then miscarried. It may be too late to curettage, resulting in infection.
The infection makes the right and left fallopian tubes or tubes blocked. Then you can’t get pregnant again. It could also be due to illness because the mother is overweight, for example, PCO.
Finally not menstruating regularly. She couldn’t get pregnant again even though her first child was pregnant. So there is indeed some possibility of secondary infertility.
Tips for a successful pregnancy program?
Usually, couples carry out a pregnancy program with assisted reproductive techniques, for example, IVF. This is already included in the category of expensive pregnancy. Usually, the couple will be more careful in their activities.
The wife must be more patient if there is work she needs time off. When her pregnancy has passed the first trimester, it is safe for her to carry out activities as usual. Usually have to be careful when embryo transfer, inserting the embryo into the uterus. Until the embryo grows. Approximately in the first 1-2 months.