Infertility in women – treatment and diagnosis. Causes of female infertility


The main purpose of a woman is the birth of children. If pregnancy does not occur for a long time, although there are all the prerequisites for this, the girl begins to “hang up” labels of infertility on herself. It is necessary to eliminate panic and calmly understand this situation, since such a condition does not always indicate infertility. Use our guide to find out the signs of infertility in women and the causes of its occurrence..

Infertility clinic

Infertility is diagnosed if conception does not occur within a year, provided there is no contraception. But still, you need to consider that one year is indicated as an approximate period. In older women, the likelihood of conception is reduced, which means that the time for determining the diagnosis increases. In some cases, a woman manages to conceive and give birth to a child by changing her partner or place of residence. But do not wait for a long time, but as soon as possible seem to the gynecologist.

To begin with, infertility takes several forms:

  • Primary infertility, if pregnancy has never yet occurred;
  • Secondary is set if there is already a history of pregnancy;
  • Relative infertility is a condition when there are temporary pathologies, after the elimination of which conception occurs;
  • Infertility is called absolute if the disease that caused it cannot be cured..

Depending on the identification of the affected organ, uterine, tubal, immune and psychological infertility is exposed. The latter is of great importance. Sometimes women are obsessed with the idea of ​​having a baby or, on the contrary, they are afraid of becoming pregnant, which leads to disturbances in the body that do not allow the egg to gain a foothold.

Sometimes changing the stalls leads to a successful conception. There is a possibility of incompatibility when the cervical mucus does not pass the seed, and conception does not occur. In this case, no medicine will help solve the problem..

Signs of infertility may appear in adolescence. First of all, it is the late onset of menstruation, an elongated menstrual cycle, amenorrhea, cyclical disturbance, scarcity of secretions and pain. Infertility is likely in women with congenital malformations of the uterus and fallopian tubes, as well as weight loss due to diets and so on..

Provoking factors include chronic inflammation of the reproductive organs, genital tract infections, the absence of one of the ovaries, hormone production problems, poor tube patency and chromosomal abnormalities.

Ovulation problems

An important component of women’s health is regular ovulation. Almost u? women violation of this process leads to infertility. The first sign of normal ovulation is regular menstruation. But in this case, egg production may be impaired.

It is not difficult to determine the presence of ovulation. One way is to measure basal temperature. During rupture of the follicle, it rises and persists for several days. Before menstruation, in a couple of days it decreases, but only if pregnancy has not occurred.

An increase in hormone levels is also considered a sign of ovulation, which indicates the correctness of the chosen time for the ovulation test. With the help of ultrasound, doctors monitor the condition of the ovaries and the maturation of the egg.

Hormonal changes in the body, ovarian pathology, anatomical features, for example, the absence of one of the ovaries, and so on, can be the cause of a violation in the production and maturation of the egg. In this case, at least one characteristic sign of infertility in women will necessarily appear: violation of the menstrual cycle in the form of a lengthening of the cycle or amenorrhea.

Birth control can lead to a change in ovulation, especially their long-term use, operations, injuries, infections, and even chronic thrush.

In some cases, ovulation occurs, but due to circumstances the egg does not have time to get into the uterine cavity for a certain period. Hormonal disorders are also considered the cause of this condition..

Tubo-ovarian pathologies

A frequent cause of infertility is considered anatomical disorders. Almost one third of couples cannot have children as a result of pathologies of the reproductive organs. Often these problems are caused by damage to the fallopian tubes and / or adhesions. Ultrasound and comparison with photos taken during previous examinations help to identify the disease in this case.

The formation of adhesions is often associated with inflammatory processes and infections of the genital organs. In such situations, patients complain of pain in the lower abdomen, menstruation, weakness and fatigue.

Another problem that has been recently encountered more and more often is endometriosis. The cause of the pathology is hormonal imbalance, as a result of which the endometrial cells appear outside the uterus, that is, in the abdominal cavity, on the cervix and in other organs. The clinic sometimes does not manifest itself, but there may be severe symptoms. With damage to the uterus, gestation is accompanied by constant miscarriages or a complete absence of pregnancy.

Pathologies of neighboring organs, such as cancer, obesity or excessive thinness, omission of organs, and so on, can disrupt the patency of the fallopian tubes. In the latter case, not only the egg can not pass through the pipes, but even the seed does not penetrate for fertilization.

How is infertility detected??

In order for the treatment of infertility to be as effective as possible and the woman able to give birth to a child, a thorough examination should be carried out and the causes of the pathology should be identified. First of all, blood and urine tests are taken. As a result of this, diseases of the endocrine system, urinary organs and so on are detected. Also required are tests for hormones, sugar, a biochemical test and tests for hidden infections: for prolonged chlamydia, herpes and others.

Based on the data obtained, recommendations are made on instrumental research. Ultrasound, colposcopy, MRI and others will be required. As a result of them, anatomical features of scars after operations can be assessed, as well as congenital malformations, obstruction and other diseases.

Do not neglect the history taking. During the conversation, doctors often find out that a woman had a large number of abortions, miscarriages, pelvic surgery or trauma. Do not forget about the spouse, as the quality of sperm directly affects the likelihood of conception.

The choice of treatment is selected based on the data. There are a large number of methods to eliminate the problems associated with conception. You will learn about them by watching the video. But still, the best solution would be a full-time consultation with a gynecologist.

If you are familiar with the problem of infertility, or you yourself have overcome this disease, write about it in the comments. Leave your feedback what symptoms of infertility you had and how you managed to overcome them.

About the author