How to determine infertility in women
From year to year in Russia all the more urgent becomes the problem of female infertility. Today, the percentage of infertility in Russia is not much different from the world: 15 percent of couples have trouble when trying to have a baby. However, the number of families that are faced with this problem, unfortunately, is growing steadily. It is therefore very important to know how to check for infertility and healing it on the condition that it is reversible.
Female infertility is defined as inability of a woman in reproductive age to conceive and have a baby. This diagnosis is made in the case if the woman is not protected and thus cannot conceive a child during the year. It should be remembered, however, that year is the approximate time, and the older the woman, the period of conception could be longer without having a relationship to the diagnosis of “infertility”. However, if the suspicion of infertility exists, must be checked by a doctor to recognize the problem as early as possible.
This article will tell you how to determine infertility in women, and will address the issues of its etiology. How to understand that this problem exists and what to do to fix it? The first step is to consider the causes and types of infertility.
The causes of infertility
The reasons why a woman cannot get pregnant may be very different. However, the main include the following:
- the obstruction of the fallopian tubes (tubal infertility);
- adhesions (due to inflammatory processes or transactions between the tube and ovary form the “spikes” which prevent ingress of the egg into the tube);
- causes endocrine (hormonal disorders);
- congenital (or acquired) pathology of the uterus;
- chromosomal abnormality;
- immunological infertility;
- violations in the hemostasis system;
- psychological infertility (unwillingness to have a child because of fear of pregnancy and childbirth).
The types of infertility
Usually diagnose absolute and relative infertility. Absolute sterility is the result of irreversible pathological conditions. It is justified by the pathologies that do not give the woman the possibility of becoming a mother. A woman can not get pregnant because she’s missing or faulty work necessary organs (ovaries, fallopian tubes, uterus). In all other cases, infertility is defined as the relative, and in passing the necessary tests, the following procedures and regulations a woman can bear and give birth to a child.
You can also select several degrees of infertility: infertility I (primary) and infertility II (secondary). On the ground it is in case of pregnancy in a woman was never. On the second say when the pregnancy happened, but at the moment with conception in women problems. It is worth noting that almost half of women suffering from the inability to conceive a child at the moment, belongs to the second group. This is for several reasons, among which are leading previous abortions and venereal disease.
The identification of infertility in the stage of puberty women
Already at young girls under puberty, it is possible to determine infertility. You should pay attention to possible symptoms of infertility.
- First, find out if there are congenital abnormalities of the genital organs.
- Second, pay attention to the beginning of menstruation and to sound the alarm if the adolescent period came late.
- Thirdly, the presence of menstruation, to follow the cycle, which should not be excessively long (and, conversely, short, with scanty discharge).
- You should also check whether you are not fond of a young girl diets: problems with subsequent pregnancies may occur because of the strict relationship to food and malnutrition.
During puberty it should be remembered that the main indicator of female infertility is the menstrual cycle. In case of doubt about the flow of menstruation, failure to cycle or painful feelings, you should immediately consult a doctor.
The menstrual cycle is the main signal of infertility. If menstruation is something wrong, you should immediately contact to a gynecologist: too frequent (rare) cycle, abundant (scarce) discharge, painful menstruation, can all be symptoms of infertility that can be diagnosed at an early stage.
Diagnosis of infertility in adult women
How to get checked for infertility? First and foremost, to make a diagnosis. Testing for infertility in women is needed to identify problems and effective treatment. Only a full examination provides an opportunity to identify reasons for difficulties with conception.
First take blood and urine, which gives the opportunity to see diseases of the genitourinary system and other organs. Also required hormone blood, sugar, biochemical, and test for hidden infection. After a woman passed the initial tests, she gives direction to the passage of instrumental studies: colposcopy, ultrasound and MRI.
The doctor will interview the patient and gather necessary for accurate diagnosis information, and also explores the character of menstrual function, drawing attention to the course of the menstrual cycle when menstruation what is the regularity of the cycle, whether there is pain associated with menstruation, is there any discharge from the mammary glands.
You should discuss with your gynecologist prior to pregnancy, if they were, as well as infectious and gynecological diseases. One should not lose sight of heredity: a woman can ask whether there are similar problems with her mother. Diagnosis of infertility involves tracking the state of the ovaries and oocyte maturation and is performed using ultrasound. Today women can go for laparoscopy a method to identify the exact cause of infertility.
Types of tests for infertility
Any analysis of infertility will include a study of hormone levels in blood and urine. If a woman of childbearing age is tested for infertility, it is the research of DHEA-S (dehydroepiandrosterone sulfate), and examined for the presence of genital infections.
- Analysis of basal temperature allows to draw conclusions on the ovaries and ovulation (occurs do women ovulate in principle). The basal temperature rises when the follicle ruptures, and persists for several days. If pregnancy does not occur, it decreases before menstruation.
- Definition cervical index shows the amount of estrogen in the body.
- Also there is a postcoital test, which is carried out to establish the internal content of the cervix and study the activity of antisperm bodies.
If you have found adhesive obstruction of the pipes is shown holding hysterosalpingoscopy. Also, the complex diagnostic procedures may include a colposcopy.
To clarify the status of the endometrium may designate a diagnostic curettage and hysteroscopy. Hysteroscopy is usually performed under General anesthesia. During the examination the doctor examines the uterus and makes the taking of tissues for histological analysis.
There is a form of infertility as tubal or peritoneal infertility. On this type of infertility say if there are barriers to advancement of the egg through the fallopian tubes. Tubal occlusion may be a consequence of inflammatory processes.
In addition to tubal infertility in women, secrete endocrine (hormonal) infertility. To this kind of infertility can result in metabolic disorders and stress.
We should not forget about the psychological infertility as a possible cause of problems with conception. A woman can be obsessed with the idea of conception, or, conversely, to fear of pregnancy. Her psychological state, in turn, influences the physical ability to conceive and bear children.
About the treatment of female infertility it is possible to speak only after careful analysis of the survey results, and after establishing the exact cause of infertility. If the causes of infertility are associated with the endocrine system, the treatment of hormone shifts. If infertility is caused by the condition of pipes, treatment is directed at restoring their patency. The man also must undergo a series of tests to rule out pathology on his part.
Whatever the causes of infertility, it is important to understand that in most cases it is curable. Therefore, you should pay attention to yourself and your health and come to a qualified doctor to identify problems as fast as you can to exclude them. In many cases, timely therapy and prevention of complications allows a woman to carry and give birth to a healthy baby. If therapy is not given effect, is IVF – in vitro (artificial) fertilization.