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Wednesday, May 1, 2024

Infertility

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Infertility is a condition where either member of the couple may have a problem achieving pregnancy during the first year of trying to conceive. It is common to wait 12 months if any member of the couple is under 35 years old; however, if you are over 35 years old, we recommend seeking help after 6 months.

There are multiple conditions that cause infertility. These can include hormonal disorders, obstruction of the ducts (uterine tubes or cervix), genetic alterations, anatomical alterations of the uterus such as fibroids or polyps, the presence of endometriosis, decrease in the number or mobility of sperm and male genital tract infections.

IT IS ESTIMATED THAT 25% OF COUPLES HAVE MORE THAN ONE FACTOR INVOLVED AND HAVE MULTIPLE CAUSES THAT ARE CONTRIBUTING TO INFERTILITY. THAT IS WHY THE ASSESSMENT OF BOTH MEMBERS OF THE COUPLE IS IMPORTANT.

A thorough evaluation by the attending physician will help identify the cause. It is important to recognize that 15% of couples, even if all the studies are carried out, will remain undiagnosed.

Once the cause is identified,  assisted reproduction techniques will be recommended, including in vitro fertilization, intrauterine insemination, egg or sperm donation, and ovarian or endometrial rejuvenation amongst others.

The idea of this whole process is to be able to accurately predict ovulation, perform the technique and later support the luteal phase with progesterone to help with implantation. In many cases, couples become pregnant during the first three months of treatment. If pregnancy is not achieved,  the case is re-evaluated in order to recommend a different strategy to achieve pregnancy. It is important to have good communication with your doctor and to follow the indications and recommendations provided.

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