WHICH COUPLES ARE CALLED INFERTILE?
If a couple is over 35 years of age after 1 year, without using birth control method and despite regular sexual intercourse If the child cannot become pregnant after 6 months, there is infertility. A couple's chance of getting pregnant after one year of regular intercourse is 83%. If pregnancy cannot be achieved within this period, the reason must be investigated. Approximately 40% of these reasons are male and 40% are due to female pathologies, while in 20%, unexplained infertility, which we call the inability to become pregnant even though all tests are normal, is detected. While you can handle it with maturity when you encounter it, it can also cause a devastating and sad shock for you. First of all, this situation is very absurd, contrary to your logic, and you may have difficulty accepting it.
What should you know about infertility?
• Men and women may have different thoughts before starting the infertility problem and its treatment. Whether the underlying problem originates from the man or the woman, the majority of treatments and tests will be on the woman, that is, on the expectant mother. In addition, the expectant mother and father will do their best to be informed about the infertility problem, to know what to do, and to reach their baby by solving this problem. In some cases, the man, that is, the father-to-be, may think that discussing the infertility problem and getting treatment is pointless and a waste of time. As a result of these misunderstandings or incomplete understandings, irreparable problems may arise between spouses. For this reason, it would be the most logical option for you to learn the most accurate and up-to-date information and the most appropriate treatment from your doctor, to accept this problem maturely and get the appropriate treatment without entering into such wrong thoughts and beliefs.
•Family and friends;
Due to Turkish customs and traditions and the general social structure, your infertility problem is associated with your sexual life, and you may feel or witness that your private and sexual life is being followed by your family and friends because you cannot have children. Both your family and friends are worried about your inability to have children. You may feel that it causes pain and sadness to both you and them. This may affect you. Our couples should get support from their doctors on this issue.
The other issue that needs to be explained is; It is quite normal for a couple with a normal sexual life to experience infertility problems, and it is not right to reconcile this with your sexual or psychological life. Therefore, if necessary, you can easily explain this problem to your family and friends and correct this misconception.
• In addition, as husband and wife, you may find problems in your sexual life and be angry with your body or genitals. According to you, your sexual life may be turned upside down and nothing may be right and proper. You may feel sick or blame yourself or your partner for this. Although it is wrong to have such thoughts, it is extremely normal.
Infertility and Age
Female age; Unfortunately, it is a factor that all in vitro fertilization centers and infertility research clinics cannot combat or correct and that significantly reduces pregnancy success.
We know this clearly; IT TAKES AWAY MORE THINGS FROM WOMEN”
WHY IS AGE SO IMPORTANT?
In cases where the expectant mother is over 40, it is not possible to have a live baby. There are many reasons to explain why it has dropped so much.
• The incidence of diseases that are likely to cause infertility, such as myoma and endometriosis, increases with age.
• It is now clear that fetuses with anomalies are more common in pregnancies at older ages. It is known as. The most common of these anomalies is Down syndrome.
• When the egg is fertilized with sperm, an embryo is formed. The mitochondria of the embryo, that is, your future baby, come from the mother's egg, and these mitochondria are at the same age as the mother, that is, at an advanced age. If the mother is older and the emergence of new cells is delayed, maternal mitochondria will be insufficient to provide energy and pregnancy will not occur or will end with early miscarriage.
• &nbs p;If the woman's menstrual cycle is irregular or does not occur at all, then ovulation (egg release from the ovaries or ovulation) is often absent or irregular. Lack of ovulation will lead to infertility. In some patients, ovulation can be achieved with hormones or medications. If ovulation cannot be achieved as a result of drug treatment or if there are no egg cells, the only treatment option for pregnancy will be egg donation (egg transplant).
• If there is a block between the vagina and the ovaries (which is the most common cause of this condition The problem is that the tubes are blocked.) There will be no chance of fertilization and infertility will occur. In this case, infertility is the inevitable result despite normal sperm and normal fertilization.
• Endometriosis is the detection of the epithelium lining the uterus outside the uterus, in the abdominal cavity, tubes and ovaries. This situation will cause problems with the fertilization and implantation of the embryo into the uterus and will lead to suspected infertility called subfertility. Appropriate treatment option; medication, surgery or in vitro fertilization treatment.
WHAT SHOULD YOU DO BEFORE INFERTILITY TREATMENTS?
• Strive for the most beautiful gift that life has to offer you, your "baby"...
You will go through many stages and struggle with many challenges. This process may seem cold and boring to you, you may get tired, but when the time comes and you receive the good news, you will enjoy these moments with your baby.
• Plan your life…
Your treatments and in vitro fertilization or other infertility After your treatments are planned, you should plan your life with your partner. You should gradually plan the next steps after having your baby, your pregnancy and the things you need to ensure that the expectant mother has a comfortable pregnancy. After all, pregnancy is a happy but careful process and is the best moment of your life!
• Remember, you are not alone…
In 10-15% of our couples, it takes some time to reach pregnancy. They may get negative results on the first try and get tired in the process. Because none of the infertility treatments, including in vitro fertilization and microinjection, will result in a 100% pregnancy. It doesn't hurt. For this reason, the appropriate approach would be not to be devastated, and when you encounter a negative result, face it with maturity and continue your treatments.
For infertility treatment, the treatment stages must be directed to the underlying cause.
If we take a brief look at these options;
• Ovulation induction
Your menstruation It is provided with ovulation enhancing drugs that you will use on certain days.
• Intrauterine insemination (Insemination)
This procedure can be performed with the natural cycle, without medication or with egg enhancing drugs.
• Surgical treatments;
Laparoscopic and hysteroscopic operations are used to normalize the anatomy of the reproductive system. It is used to correct a problem detected for the planned pregnancy.
• In vitro fertilization application:
According to the treatment protocol to be chosen, the in vitro fertilization program generally uses medication for the production of eggs from the ovaries for an average of 9-12 days. and then, when these eggs are at the desired development and size, human chorionic gonadotropin (hCG), also known as an egg cracking needle, is given and 35-36 hours later, the egg collection process is performed.
The embryos to be selected within 2-5 days after the egg collection are specially selected under ultrasonography. It is transferred to the expectant mother's uterus with the help of catheters and is based on the principle that the embryo clings to the mother's uterus and pregnancy occurs.
WHAT SHOULD I CONSIDER?
A balanced and healthy lifestyle will be beneficial for both the woman and the husband.
• Eat a balanced diet…
Some Not taking essential nutrients and vitamins will cause the body and immune system to weaken. Have a balanced food habit and avoid drastic weight-loss or weight-gaining diets during your treatments. Also, stay away from foods rich in vitamin A and vitamins containing high doses of vitamin A. Because excessive intake of vitamin A can be harmful to the fetus and baby.
Increase your daily vitamin D intake. Thus, it will increase the absorption of calcium needed for both you and your baby. ir.
• Do light to moderate exercises…
You can strengthen your back, chest and pelvic floor muscles by taking regular brisk walks. Stay away from intense exercises and dangerous sports.
• Drink plenty of water…
You should drink at least 10-12 glasses of water daily. We recommend that you always carry bottled water in your hand, sip it constantly and drink more water.
• Avoid taking high amounts of caffeine…
The maximum amount you will consume daily is 2 or 3 cups of coffee or tea. Also remember that caffeine is found in chocolate, cola, energy drinks, and painkillers like vermidone. Adjust the amount you take.
• Be sure to quit smoking…
Do not forget that smoking not only affects your health, but also reduces your reproductive ability, egg and sperm quality and your chance of pregnancy. Please quit this bad habit before your treatments.
• Reduce alcohol intake…
Alcoholism is a habit that can have bad and harmful effects on both you and your baby. Additionally, there is no dose or amount that makes alcohol less effective on pregnancy and the fetus. Most people avoid alcohol completely throughout their treatment. Do the same. The highest dose you can take per day - which is valid for very difficult and addictive situations - is 2 glasses of wine or beer.
• Discuss the necessity of taking medication or food with your doctor, learn the truth...
The medications you will use. or ask your doctor questions about foods. Use necessary vitamins.
• Protect yourself from infections…
Make sure that all the meat, fish, chicken and egg products you eat are prepared under hygienic conditions and fully cooked. Make sure that any reheated food is thoroughly heated. Avoid unpasteurized milk, cheese and raw egg products (such as mayonnaise). Consume vegetables and fruits after washing them thoroughly. Wear gloves when gardening or farming, and stay away from animal droppings, especially cat and dog feces. Because these can cause some parasitic infections called toxoplasmosis. Animal
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