In men, the most frequent causes of infertility are alterations in the quality of the ejaculate and, consequently, are:
It is responsible for approximately 20% of infertility cases.
The problem reappears in 30 to 40% of cases and it may then be necessary to remove the uterus (through hysterectomy) and ovaries. Due to endometriosis I have had ovarian surgery, I only have a quarter of an ovary on one side.
Infertility can be due to male (40%), female (40%), mixed (10%) or unknown causes (10%). In the case of men, it may be due to a lack of sperm, their number is very low, they are immotile or abnormal. Impotence or premature or retrograde ejaculation are also causes of infertility. The woman may not ovulate or ovulate irregularly, or have blocked tubes, endometriosis or problems in the uterus such as fibroids (fibroids).
It will depend on the response of the remaining ovary, and how important the deleterious influence that the endometriotic condition has on the ovary (oocyte quality) and on implantation is. In these extreme cases, oocyte donation is used as the therapy of choice with the best results.
Yeah. Infertility is a couple problem. The problem can be in either one or even both, which is why the study must be carried out on both members. Fertilizing counts for the care of both the Gynecologist for women and the Andrologist for men.
It is an Assisted Reproduction procedure, the simplest, which consists of depositing the semen previously treated in the laboratory (where mobile sperm are isolated and incubated in a suitable culture medium) in the uterus, injecting it through a cannula.
Intracervical insemination (in the cervix) is rarely performed today and what is usually carried out is intrauterine insemination (IUI, the semen is deposited in the uterus).
Many women with fibroids conceive and give birth normally. If a fibroid/myoma is found that does not cause symptoms when examining a patient with infertility problems, it is important to look for other possible causes and eliminate them before any type of surgery.
It is a disease that occurs during a woman's reproductive age in which the endometrial tissue, which normally lines the internal cavity of the uterus, comes out of it. Typically the affected areas are the ovaries, fallopian tubes, the surface of the uterus and the walls of the pelvis. It is seen more in women between 30 and 40 years old and especially if they have not had children when they were young. It is associated with painful menstrual periods or sexual intercourse and infertility. Endometriosis is a chronic disease but it is not a tumor.
It is an assisted reproduction process that consists of obtaining oocytes by transvaginal ultrasound puncture, fertilizing them in the laboratory with sperm from your partner or a donor and transferring the embryos (Embryo Transfer or ET) formed to the uterus.
Yes, they are common feelings in these couples. Sometimes one of the members of the couple feels responsible and blames themselves for it. Anguish is often seen in women who, despite getting pregnant without difficulty, abort each time. The support of the other member of the couple, as we have said, is essential.