Showing posts with label sterility. Show all posts
Showing posts with label sterility. Show all posts

IUI and Beyond: Exploring Fertility Treatment Options

Intrauterine Insemination (IUI): A Fertility Treatment Option

Intrauterine insemination (IUI) is a fertility treatment that involves directly injecting sperm into the uterus, bypassing the cervix. It's often considered a less invasive alternative to in vitro fertilization (IVF) and is used in cases of infertility or when the male partner has a low sperm count.

How IUI Works:

The IUI process typically involves the following steps:
  • Ovulation Induction: The female partner may be given fertility medications to stimulate the production of multiple eggs. This is done to increase the chances of fertilization.
  • Sperm Collection: The male partner provides a semen sample.
  • Sperm Preparation: The semen sample is processed to concentrate the sperm and remove any impurities.
  • Insemination: During ovulation, the prepared sperm is injected into the uterus using a thin catheter.
  • Monitoring: After the procedure, the woman is monitored to see if fertilization has occurred.

When is IUI Used?

IUI is often considered for couples who have:
  • Unexplained infertility: When no specific cause of infertility can be identified.
  • Cervical factors: If there is a problem with the cervix that prevents sperm from reaching the uterus.
  • Male infertility: If the male partner has a low sperm count, poor sperm motility, or other sperm abnormalities.
  • Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus.

Success Rates:

The success rate of IUI varies depending on several factors, including the couple's age, the cause of infertility, and the number of IUI cycles. Generally, the success rates are higher for younger couples with unexplained infertility.

Risks and Side Effects:

IUI is generally a low-risk procedure with minimal discomfort. However, there are some potential risks, such as:
  • Multiple births: The use of fertility medications can increase the risk of multiple pregnancies.
  • Ovarian hyperstimulation syndrome (OHSS): This is a condition that can occur when the ovaries become overstimulated by fertility medications.
  • Emotional stress: The process of undergoing fertility treatments can be emotionally stressful for couples.
IUI is a viable option for many couples struggling with infertility. It's important to discuss the potential benefits and risks with a fertility specialist to determine if it's the right treatment for you.

The reasons for the failure of the IVF process .. Deformation of embryos due to deformation of chromosomes and in response to the inner lining of the uterus hormones body

Most couples resort to pipe children as a last hope as they have made a dream come true.
In the last three years, there were more than 35,000 IVF trials in the world.

The results showed that the results showed that the success rate was 60-65% after the third attempt.

The success rate decreases as the number of oocytes increases. If four embryos are transferred, the success rate reaches 40%.

If three are transferred, the rate reaches 35%. If two embryos reach 25%, the embryo is 17%. The problem here is that the more embryos are introduced into the uterus, the higher the success rate.

But the rate of pregnancy is also high and multiple fetuses may cause some complications in pregnancy for mothers and fetuses such as increasing the rate of pregnancy loss (abortion), or premature birth, so we do not recommend the return of more than three embryos or two in most centers, The patient is over 40 years old and suffers from Endometriosis, for example. She has had six previous attempts and has not succeeded.

Here, four embryos can be returned so that she has a greater chance of pregnancy.

1- The embryos are affected by the quality of the eggs and the quality of the sperm, and the husband may be asked for another sample of semen if fertilization is not done to try again.

2- The older the woman, the better the success rate of the piping process. This can be because older eggs are less susceptible to pollination.

3- deformity of the embryos when it is caused by chromosomal deformity here, the embryos do not adhere to the wall of the uterus and even if this ends pregnancy by abortion.

4- inner lining of the uterus: as it responds to the hormones of the body and prepare accordingly to receive the pregnancy, but sometimes are so weak that it is difficult to adhere to the fetus.

The effect of wearing tight clothes on fertility

Q: Does tight clothing affect fertility?

Answer: No, unless the clothes are so tight that the testicular temperature goes up and therefore prefer to wear as much loose clothing as possible.

The risks of wearing tight clothes:
Although we may think that this problem concerns only women, men who are concerned about their appearance and who use tight clothing to emphasize their figure are more and more numerous.
These clothes endanger their posture, circulation and fertility.
Whatever your gender, here are the consequences you can face if you wear tight clothing.
While a recent study advocates the absence of underwear to promote fertility, Stéphane Droupy, professor of urology, explains the real impact of underpants and briefs on male fertility.
The wearing of the kilt would promote fertility, says a study published April 24, 2013 in a scientific journal ... Scottish. Here then. Behind the hint of humor, however, researchers argue that underwear and tight pants would hurt sperm production by keeping the testes too warm. "Temperature plays a key role in spermatogenesis," confirms Stéphane Droupy, professor of urology at the University Hospital of Nîmes.
To make small soldiers, the male genital glands must remain at an ideal temperature of 22 degrees, explains Pr Droupy-that's why they are outside the body, unlike the ovaries in women. "At 37 degrees, the spermatogenesis is blocked, says the specialist.Some researchers have therefore proposed as a method of contraception wearing a heated underpants or operations to return the testicles inside the body by getting them back in the channel inguinal."

Factors affecting fertility.. Age. Number of times intercourse. Environment and daily habits

Here are some reasons that can hinder the conception of a child, to watch closely upstream if you want to get pregnant!

The age of future parents:
Nature is sometimes terrible but the biological clock does exist. After a certain age, the conception of a child is clearly thwarted. The numbers speak for themselves, especially for women, unfortunately: the peak of fertility is around 25 years old. Then, her chances of getting pregnant decline gradually: a woman has a 75% chance of getting pregnant in 12 months to 30 years, 66% to 35 years and 44% to 40 years. After 40 years, the problem comes from the quantity of eggs produced by the body as well as their quality which decline, which decreases the chances of conception.

The weight:
If you want to get pregnant, your condition and therefore your weight can have an influence. Thus, in women, anorexia is a common cause of absence of ovulation (anovulation), and therefore makes impossible pregnancy. Conversely, obesity is responsible for the appearance of irregularities in the menstrual cycle, which can also hinder the design. But these gentlemen are also concerned: the overweight has indeed repercussions on spermatozoa.

The tobacco:
We know that tobacco is bad for your health. But it is also a factor that can thwart fertility! Several studies have shown that in women, tobacco prolongs the conception period and decreases the ovarian reserve. According to women and the number of cigarettes smoked, tobacco is responsible for a decrease in fertility of the order of 10 to 20%. Tobacco also has a significant impact on male fertility. Cigarettes would reduce the quantity and quality of sperm. They would also cause some erectile dysfunction and increase the number of white blood cells in the sperm, one of the factors of subfertility.

But when you stop smoking, everything can return to normal very quickly. This is why it is necessary to stop smoking as soon as the baby tests and not just during pregnancy.

The alcohol:
Not surprisingly, alcohol is also one of the factors that can affect fertility. In particular, a 2014 Danish study established a direct link between alcohol consumption and the drop in sperm quantity and quality, from as little as 5 glasses of alcohol per week (less than one per day). Alcohol is no better for female fertility: a decade-long study by researchers in Sweden found that women with the highest alcohol consumption more frequently consulted infertility specialists.

Cannabis:
According to several studies, THC, a molecule of marijuana, has a direct impact on the fertilization capacity of the egg by the spermatozoa, since the latter would have abnormal behaviors (too fast movements) during fertilization. In humans, the quantity and quality of sperm would also be altered.

The stress:
Despite the progress of research, it should be noted that 25% of cases of male infertility remain of unknown origin. The causes are obviously multiple and often related to one previously stated factors, but recent studies have also brought out the important role of stress on infertility. To increase your chances of getting pregnant, encourage a healthy lifestyle and zen attitude!

The use of the mobile phone:
Few people do not use a mobile phone. But those who opt for the phone in the pocket take a bad habit that can affect their ability to have a child. Even if researchers continue to find an explanation for this phenomenon, a Hungarian study conducted on more than 200 men for one year has clearly established a link between keeping his phone near his testicles and the decline in sperm production.

Medical treatment of infertility .. Hormonal treatment to stimulate the eggs to grow and mature to become fertile by giving pills or injections or both

Medical treatment for infertility depends on diagnosis. Some may require hormonal therapy. Others may need other treatments, such as endometriosis, and the majority require hormone therapy. This is done by giving different types of hormones to stimulate the eggs to grow and mature to become fertile by giving pills or injections or both depending on the situation such as FSH, Clomiphene CitrateGnRH Analogues / Antagonist, HMG and by this treatment is also controlled the time of ovulation to be able to fertilize Greatest time.
This method can be summarized by giving the medicine quantity and period determined by the treating physician, and then follow in different ways, including checking the size of the egg ultrasound or measuring hormones or both. As the number and size of eggs becomes appropriate, the doctor gives the hormone H (C G) by an injection that helps to drop the egg / ova to fertilize the sperm. Dates of sexual intercourse are determined.
 It must be emphasized here that treatment does not cause greater risk of congenital malformations or repeated miscarriages as some people perceive or conceive, but the likelihood of pregnancy with more than one fetus is normal.
Women who need the most to stimulate ovulation are:
- Women who have a hormonal disorder.
- Women with ovarian dysfunction called P.C.O.S in terms of how to diagnose and methods of treatment, which is considered hormone therapy one of them.

Guidelines for increasing sperm quality and quantity .. Keep away from high heat sources and non-wear tight underwear

Specific guidelines for increasing sperm quality and quantity.
Changing lifestyle habits:
- Stay away from smoking.
- Stay away from drinking alcohol in large quantities.
- Keep away from high heat sources.
- Do not wear tight underwear.
B. Changing the environment:
- Non-exposure to chemicals, for example workers in some factories.
- Stop drugs that affect sperm.

Medical treatment to stimulate the production of sperm and improve its work .. Hormone therapy to increase its movement. Antibiotics and vital treatments in cases of genital tract infections

* Hormonal therapy Different types are used to try to increase the amount of sperm, eg, Androgens, Clomiphene
Bromocriptine, GnRH, Gonadotrophins and the extent of success of these drugs are very limited except GnRH, Gonadotrophins in cases of Hypogonadotrophic Hypogonadism, they give good results.
Other treatments:
Zinc is used to try to increase sperm movement and respond to limited treatment and vary from man to man.
- Antibiotics in cases of chronic genital infections.
- Biomedical treatments in cases of chronic reproductive tract infections.
- Other treatments such as vitamins did not show any encouraging results.

Surgical treatment of infertility .. A scientific procedure to repair varicose veins to improve the number and quality of sperm

The presence of varicosele in itself is not a cause of surgical overlap because there are many men with high fertility with varicose veins and the extent of success of varicose veins in improving the number and quality of sperm is still under consideration and there are several studies And some did not draw any positive results from the procedure and others showed encouraging results.

IVF process.. Clogging of the fallopian tubes

IVF:
It was the first scientific victory recorded in history when the 1978 fertilization outside the body of a British woman resulted in the birth of the girl Louisabruan on July 28 by a caesarean section after studies and research that took a Gregorian century.
The method that was initially used only for women who complain of the obstruction of the fallopian tubes and then with the development of experiments and science has expanded the use of this method of problems non-blockage of the fallopian tubes. This method is almost one of the most prevalent methods in the world, expecting pregnancy at a rate of 25-35% per menstrual cycle.

Appropriate treatment for couples in a way IVF process .. A wife who is capable of producing eggs and sperm-producing husband

Who are the right couples for IVF treatment?
- The wife who is able to produce the eggs and sperm husband.
- Women whose fallopian tubes are closed or damaged so that they do not allow the sperm to reach the egg to fertilize them.
- This method benefits men who suffer from infertility due to lack or lack of movement of sperm where sperm are placed in the right place and in the shortest possible time and with the egg directly.
- Women between the ages of 35-40 to be able to get a child where the trial period in front of them short-term.
- Cases of infertility of unknown cause.
- Women with endometriosis.
- Men who are born with antibodies to the sperm.

Factors that help the success of the IVF process .. Urinary stimulation to increase the production of vesicles containing oocytes inside

When starting treatment, follow these steps:
1- The first day on which the wife notices the descent of blood whether it is day or night, a little or a lot, is considered to be the first day of the session and it must be attended to the center and subject to examination by ultrasound.
2 - Take the necessary injections to induce the ovary to increase the production of vesicles containing the eggs inside and must be observed the day and quantity determined by the doctor.
3 - to see the doctor by the time he determines because the time is important to be able to monitor ovulation to determine the day of collection of vesicles from both ovaries.
4 - follow the instructions on intercourse and usually advised the doctor to be normal and prefer abstinence from sexual intercourse before the withdrawal of eggs about three days.
5 - taking the sedative treatment prescribed by the doctor on the night of the operation and the morning of the operation.

Stop taking the pill and delayed pregnancy .. imbalance in the secretion of hormones

A woman may need a longer period of pregnancy when she stops taking the pill. Pregnancy may delay pregnancy for the same reason that caused the hormone imbalance in her body, not the pills itself. As for the claim that the menstrual cycle may be interrupted permanently after the use of the pill for a long time, and then stop using, the fact that there are other reasons to be diagnosed, and no contraceptive pills any relationship to the interruption of the session only chance. It should be noted here that taking contraceptive pills helps about 50% in improving chronic pelvic inflammatory conditions which are causes of delayed pregnancy. In this case, oral contraceptives indirectly help to improve the ability to conceive.

Definition of infertility and its causes.. The inability to reproduce with the continuation of marital life without the use of natural contraceptive for at least a year

Infertility is the inability to conceive with the continuation of marital life without the use of natural contraceptive for at least a year which is two types:
- Initial infertility, which affects the couple from the beginning of their marital life in the sense that the wife has never been pregnant
- Secondary infertility affects the wife after having one or more children or after abortion or ectopic pregnancy
Infertility is one of the most widespread problems in the world and is a fact for couples where the causes are either one or both
What are the most important causes of infertility?
- Reasons for the wife 35%.
- Reasons for the husband 35%.
- Reasons for the parties.
- Unknown causes 10% -15%.

Infertility for vaginal or cervical reasons.. congenital malformations or severe infections

- Vaginal reasons:
They are rare, such as congenital malformations in the vagina or severe infections.

- Causes of the cervix:
Conduct any surgery on the cervix or treat the cervix with excessive and excessive pain. The lack of mucus in the cervix impedes the passage of sperm, and may be mucus is sometimes so dense as to prevent the passage of sperm and the presence of antibodies that kill sperm.

Causes of infertility related to uterus.. Congenital malformations. Intrauterine adhesions. Uterine fibers and uterine muscle tumor

1- Congenital malformations:
Most of them cause miscarriage, some affect reproductive capacity, some can be surgically repaired, such as a barrier in the uterine cavity. In general, these congenital malformations are usually accompanied by deformity in one or both of the fallopian tubes.
2- intrauterine adhesions:
Intrauterine adhesions occur either after repeated cleaning, severe uterine inflammation, or a lesion caused by a previous fibrous tumor. Some women complain that the menstrual cycle is few and this is clearly shown when a uterine image is taken.
3- uterine fibers:
Which is a tumor in the muscle of the uterus may cause a gap in the uterus gap according to his location, which usually does not cause infertility only if it affects significantly on the uterine cavity, or if there are many fibroids, and if there is no other reason for infertility, To remove these tumors and try to repair the shape of the uterus.

Causes of infertility related to Fallopian tubes.. Chronic infections. Damage to the end of the two channels (cilia). Adhesions due to surgery or as a result of ectopic pregnancy

1- Chronic inflammation:
This causes the lack of access of the egg in time for the fertilization process. Glaucoma may affect the work of the ovaries, especially if the adhesions are severe.
2 - the end of the two channels (cilia):
This causes its failure to fetch the egg into the duct and can be caused by infections or by endometriosis.
3- Adhesions:
- The result of surgical operation of one of the channels.
- The result of ectopic pregnancy.

Symptoms and treatment of migraine endometrial disease.. The appearance of endometrial tissue in areas outside the abdominal cavity such as ovaries and pelvis

Migratory uterine lining disease is the appearance of endometrial tissue in areas outside the abdominal cavity such as ovaries, pelvis, etc.
Its causes are not entirely known, and its effect on pregnancy is often when the disease is synchronized with the ovarian sores that have old clotted blood, or when the disease causes adhesions.
The symptoms of the disease are summarized as follows:
- A coincidence is often discovered when performing an endoscopy for other reasons.
Frequent pain in the lower abdomen, especially during the menstrual cycle.
- Pain in the middle of the cycle may be caused by adhesions in the abdomen.
Pain during intercourse.
- The presence of my kidneys ovaries.
- Pain after defecation if the membrane is located on the back wall of the vagina.
- When the uterus is permanently turned upside down.
- Pain during urination if found membrane migrating in the wall of the vagina and the front wall of the inner bladder.
This condition is accompanied by some symptoms diagnosed by the doctor, such as:
- Weakness of the vesicles.
- High milk hormone.
Diagnosis is usually performed by endoscopy and if adhesions are found during laparoscopy, Laparoscopy can be removed
Treatment is also by laparoscopy or by opening the abdomen where the lining of the uterus is located in the abnormal areas and the expansion of the fallopian tube opening.
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