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Obstacles Can Be Overcome!Only those who go through the difficulty of getting pregnant really know the feeling of trying to conceive without success. The problems that occur during this process can make a woman feel discouraged along the way. Fortunately, most of these problems are manageable and there are a wide variety of treatments to make pregnancy possible.
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Couples who have been trying for more than a year are considered candidates for problems, whether they are easily solved or more complex ones that may involve more radical medical treatments such as in vitro fertilization. But which difficulties in getting pregnant should the doctor investigate first?
First of all, you should do a blood test and an ultrasound to check for the existence of one of the following very common problems getting pregnant:
Myomas: These are small muscle tumors that develop inside or outside the uterus. They can interfere with pregnancy because, if inside the uterus, they form a barrier to implantation.
Polycystic Ovaries: These are eggs that did not grow properly and become permanent in the ovaries. They appear due to increased estrogen and androgens, which are hormones common to both men and women.
Endometriosis: Women with this disease tend to have a unique difficulty getting pregnant. Pain is a characteristic symptom since endometriosis aggressively affects fertility. Some women even need surgery to reduce the problem and overcome the difficulty of getting pregnant.
Uterine Anomalies: Problems such as bicornuate, didelphys, unicornuate, and septate uterus can make pregnancy more difficult due to their anatomy. Women with a deformed uterus can indeed have a healthy pregnancy, but the process leading to pregnancy can sometimes be exhausting.
Hormonal problems: These problems are, for the most part, what prevent women from getting pregnant. The difficulty to conceive caused by this hormonal imbalance is often easily resolved. All it takes is adequate medication. Problems with estrogen, for example, can prevent a woman from stimulating the egg to the correct size. High prolactin is also a hormone that can prevent ovulation from occurring or cause it to regress.
Regarding male fertility problems, some tests will certainly provide a diagnosis of the couple's difficulties in getting pregnant. Problems like oligospermia, azoospermia, and necrospermia. These are less common issues among men who discover they have fertility problems.
Varicocele is the most common problem in couples who have trouble getting pregnant. Varicocele is the dilation of the veins in the testicles, which reduces and impairs semen and sperm production.
For the doctor to check these problems and provide an accurate diagnosis, they will certainly order a semen analysis and also perform clinical exams to diagnose dilated veins and possible problems such as hydrocele (fluid in the testicles), which also contributes to poor sperm formation.
Normally, the treatment for this type of male problem is to adopt healthy eating habits and new ways of dressing. Wearing looser underwear helps a lot to reduce mild problems with sperm. Medication is also effective and common, but should be guided by a urologist or fertility specialist. In more severe cases, surgery or corrective procedures may be required. For men and women, the tests are practically the same:
Ultrasound: This aims to determine if any anatomical anomaly or problems with the uterus and ovaries are present.
Hormonal (blood) tests: These check if hormone levels such as progesterone, estrogen, LH, FSH, prolactin, testosterone, and other hormones are well balanced to guarantee fertility.
Eventually, the doctor may consider it necessary to supplement these traditional exams. Women with a history of an infection, with polycystic ovaries, or only with suspected tube problems may have a hysterosalpingography. This is done with contrast directly in the uterus and a simple X-ray to check the permeability of the tubes and the anatomy of the ovaries and uterus.
Photos: John's Photography,Andreas Nilsson
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