Successful treatment is possible only if the cause is correctly identified and the most appropriate treatment for a particular couple is selected. In medicine, it is customary to distinguish between two concepts of infertility. Primary - a woman has not been pregnant throughout her life, secondary - in which a woman was previously pregnant, but at the moment is not able to conceive a child. In addition to this classification, there is also a gender division: male and female.
There are often cases when both of these types are combined - this is called combined form of infertility. There is also the concept relative sterility. If both partners have absolutely healthy reproductive indicators, then infertility is due to immunological incompatibility. The most unexplored species is - idiopathic. In this case, experts cannot explain the reason why the couple cannot conceive a child, although both partners are absolutely healthy and compatible.
The most common causes of female infertility:
- ovarian dysfunction early menopause
- hormonal problems cervical erosion
- damage to the fallopian tubes
- non-ruptured follicle syndrome
- violations in the cervical canal.
The most common causes of male infertility:
- Descent of the testicles
- congenital, absolute absence of sperm or insufficient amount of it
- the movement of sperm along the wrong path.
Infertility tests include:
- spermogram
- Ultrasound of the pelvic organs
- laparoscopy
- determination of hormonal status.
The first stage in detecting the disease in a woman is a gynecological examination, then an ultrasound scan. Women are also examined for hormonal levels, patency of the fallopian tubes. Examination for the disease may also include a study of blood coagulation. Diagnosis of male infertility consists in a blood test, bacteriological analysis, and analysis of the prostate gland. Also, a MAR test is carried out - a test that determines the presence of antisperm bodies. All examinations should be carried out by professional specialists only.
