Every couple wants to hold their child in their arms when they feel the time has come. For various reasons, sometimes this wish does not come true. Negative emotional states such as fear, anxiety, hopelessness, sadness, guilt, feeling of inadequacy, tantrums, crying spells occur...
A couple can experience it frequently enough (twice a week) without using any birth control method. If you have sexual intercourse 4 times and there is no pregnancy within 1 year, this situation is called infertility. Approximately 15 percent of all couples are in this group. Reasons related to women, men, or both may lead to infertility.
There are many reasons for infertility, inability to have children;
Ovulation disorders and irregularities; polycystic ovary syndrome, lack of ovulation, anovulation,
closed tubes,
intrauterine adhesions,
endometriosis,
hyperprolactinemia (milk production). hormone elevation),
thyroid hormone disorders (goiter, hypothyroidism, hyperthyroidism),
antisperm antibodies,
previous reproductive organ infections,
Infertility may develop for many reasons such as low sperm quality,
decrease in ovarian reserves.
Addressing the infertility problem should first include a detailed interview and examination. What is the menstrual cycle,
frequency of sexual intercourse,
whether there is painful sexual intercourse,
how long it has been possible to not get pregnant despite not being protected,
whether there has been any recent weight gain,
whether there have been previous infections or surgeries,
previous contraceptive method,
whether there is any discharge from the breast. ,
Issues such as smoking and alcohol use should be discussed in detail with the infertile couple for a long time.
After a detailed conversation, a detailed examination and ultrasonography are required. During the gynecological examination, the vulva, vagina and cervix are examined and it is investigated whether there is any pathology or disease. Then, the size and shape of the uterus, its relationship with the surrounding tissues, and whether there is any palpable pathology (disease) and sensitivity in the tubes and ovaries are examined.
Next� The condition of the gynecological organs (reproductive organs) is evaluated with an ultrasound examination. Conditions such as the size of the uterus, whether there is a structural abnormality in the uterus, whether there is a myoma, the thickness of the uterine wall, the condition of the ovaries, their size, structure, the size and structure of the follicles (the sacs containing the eggs), and whether they are polycystic or not are evaluated.
In the evaluation of the infertile couple. The tests and imaging techniques to be performed are indispensable for strengthening the diagnosis and creating a treatment plan.
Blood tests to be performed on the 2nd, 3rd or fourth day of menstruation to evaluate the hormone profile, spermiogram (sperm count) to evaluate sperm quality in men, fertility in women. In order to evaluate the condition of the organs and to understand whether there is any obstruction, adhesion or space-occupying structure in the genital tract, the first evaluation of the infertile couple should be done with a medicated uterine film, that is, HSG. is available. People around him, who have previously had the same experience without anesthesia, scare the patient that the procedure is very difficult and painful. However, with the application of anesthesia, the patient does not feel pain because she sleeps during the procedure.
Regular monitoring of ovulation makes it easier to get pregnant. Ovulation day may vary from person to person. Therefore, it is very important to determine this day correctly with the help of USG. Because the egg cell maintains its viability and fertilization ability for a very short time, remaining alive for an average of 24 hours. It is very important to be able to capture those 24 hours, a single day in a long month. Egg monitoring is the monitoring of follicles, that is, small sacs containing egg cells, with USG every other day, if possible. There are many follicles in women's ovaries, and in each menstrual cycle, one of them grows and the egg cell is released through the cracks. Egg measurement is the step-by-step measurement of the size of the follicle growing in the ovary. The reason for these measurements is to determine the cracking time when the follicle diameter reaches a certain size and to program the timing relationship. Follicle size is measured via vaginal ultrasound. Measurement can also be made via ultrasound from the abdomen. m can be done; However, it cannot provide as clear an image as vaginal ultrasound. There is no pain during the ultrasound procedure, it is a simple and comfortable procedure.
With regular ovulation follow-ups, monitoring whether the egg has formed, matured, cracked or not with the help of USG, and determining whether there is a problem in the ovulation process and treating it, is the first step in the treatment of infertility. steps are taken.
Sometimes everything goes well with medication. Eggs are formed. It cracks in time. However, if it is not possible to get pregnant with scheduled intercourse even though it has been tried several times, or if there is a problem with the man, then the preferred treatment method is insemination.
Infertility treatment requires patience because it must be progressed step by step, step by step. Sometimes pregnancy is achieved at the first follow-up. Sometimes it takes months to deliver the good news. I find it natural that couples rush because of the pressure from their environment. However, the time it takes to have a child is completely individual. There is a saying we use frequently in medical science and which I like very much. "There is no disease, there is a patient." One of the most important notions we gained during our medical education is to try to "treat the patient, not the disease." Accurate detection and treatment of the cause of inability to have children is a time-consuming situation. After all, it takes days for the egg or eggs to develop. After drug support or spontaneous cracking, the egg's lifespan is only 24 hours. Pregnancy happened or did not happen, the next month the follow-up starts from scratch with new precautions. Believe me, giving the news of pregnancy is an incredible happiness for the doctor every time. Especially, following that pregnancy step by step with ultrasound and giving birth after a healthy pregnancy is an indescribable source of pride and joy. Think about it, you see that baby while it is a tiny egg in its mother's ovary, you watch it grow and develop step by step in its mother's womb, and then you are the first to see it and hold it in your arms. Is there any description of the happiness this brings?
Read: 0
