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What to do when pregnancy does not come

What to do when pregnancy does not come


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You have decided to have a baby, to give up contraception, and night after night, you are trying to get pregnant. Time goes by, and nothing at all.

At a certain point, you realize that you have been trying to have a child for more than a year. And you wonder: what happens? Why can't we get pregnant? Do we have a problem? Well I'd say probably yes. Almost a quarter of couples of reproductive age in Spain, usually have fertility or sterility problems.

When it comes to this situation, and I say it from my own experience, it is best to seek medical guidance. The sterility or infertility are difficult terms for a couple to assume, especially when they really want to have a baby. That makes some even turn a deaf ear to what the medicine says.

The probability that a woman with regular menstrual cycles will get pregnant in one cycle is 25 percent. The age of the woman also influences, and after 35 years, pregnancy is even more difficult to achieve. For this reason, it is best to seek a diagnosis as soon as possible, and follow the advice of a fertility doctor.

The hustle and bustle at work or an inadequate economic situation means that many couples are putting off the moment of being parents. Apart from that, other problems such as endometriosis, changes in the tubes or sperm, are just some of the causes that can prevent a woman from getting pregnant. It is not about looking for culprits. It is irrelevant because although you would like to discover where the responsibility lies, statistics say that 40 percent of couples are infertile due to female causes, another 40 percent due to male causes, and the remaining 20 percent due to mixed causes. What does exist is a problem that both must solve, together. Feeling ashamed or afraid to seek a fertility specialist does not make sense either. It is estimated that there are about a million couples who are in the same situation as you.

An infertility study begins after one year of unsuccessful attempts at pregnancy with regular sexual intercourse. First, a medical history of the couple is made, as well as their social habits. The tests begin with a gynecological examination, with a Pap smear (Pap test), and an ultrasound to rule out abnormalities in the uterus (such as endometriosis) or the ovaries.

At the same time, an analysis of the semen is carried out to observe the concentration of sperm, their mobility and their morphology. This is how the fertilizing capacity of semen is known. In the event of any abnormality, the study must be repeated before reaching the diagnosis of male infertility, and initiating an andrological study. It is also necessary to perform a hormonal analysis through a blood test of the partner and a hysterosalpingography. What a name! It is an injection of a radiopaque contrast in the cervix that fills the uterine cavity and the fallopian tubes, which allows to know if the tubes are normal (permeable) and if there are malformations such as septa, polyps or myomas, in the uterus, which make it difficult to implant the fertilized egg. This test is performed in the first phase of the menstrual cycle, after the end of the rule.

In addition, an endometrial biopsy is also usually performed, and the woman's basal temperature is measured for three months to see if she ovulates regularly. With the balance of the temperature, the couple will be able to know the most suitable moment to have sex. Some doctors often order a more in-depth examination, such as a laparoscopy.

With all these tests, doctors find out where the problem is and if it is not possible to conceive a child by natural methods, it is possible that science can turn the dream of many couples into reality. Many times you have to resort to in vitro fertilization.

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