Primary infertility is affecting couples who have been unable to achieve a pregnancy after one year of unprotected sex and have not had any children before.
What is important to a couple with primary infertility is to determine the cause of infertility and whether it affects one or both partners. In this sense, there are many factors that may favor infertility:
Female Infertility
There are several situations that can cause infertility in women by causing ovulation problems, the fertilized egg does not attach to the endometrium or spontaneous abortion occurs:
- Antiphospholipid syndrome and other autoimmune diseases.
- Congenital malformations of the reproductive apparatus.
- Alterations in hormone balance.
- Fibroids or polyps in the uterus or cervix.
- Cancer of the uterus, ovary or cervix.
- Having undergone cancer treatment.
- Obesity.
- Diabetes.
- Bleeding disorders.
- Polycystic ovary.
- Endometriosis.
- Pelvic inflammatory disease.
- Elderly.
- STDs.
- Alcoholism and smoking.
- Thyroid disease.
Male Infertility
In the case of man infertility may be due to the absence of sperm or they occur in insufficient numbers, who have little mobility, presenting morphological defects or seminal channels are locked and can not be released. The reasons why this happens may be different:
- Congenital anomalies.
- Changes in hormone production.
- Erectile Dysfunction.
- Obesity.
- Alcoholism and smoking.
- Have undergone cancer treatment.
- Being exposed to certain environmental pollutants.
- Use of certain medications.
- STDs.
- Exposure to elevated temperatures for extended periods.
Diagnosis and treatment
The existence of primary infertility implies that must pass at least one continuous year of unprotected intercourse without pregnancy occurred there. This would be the time when the couple should consult a specialist and undergo a fertility study with which it can be determined if one or two members who have infertility and the causes of it.
Depending on the results, the treatment depends on what they are charged. Sometimes it is sufficient to treat the condition or disease that causes infertility situation, in others it is sufficient counseling and education about sexuality, and and will be necessary in other techniques of assisted reproduction.
Keep in mind that one in five couples diagnosed with primary infertility achieve pregnancy without any treatment and more than half without resorting to assisted reproduction.
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