Evde Hizmet Hızlı Randevu
Sani Konukoğlu
INTERNATIONAL PATIENT

What are the Causes?

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Major Causes of Infertility

IN WOMAN

Disturbances in the hormones required to be produced in the hypothalamus, pituitary, thyroid gland, adrenal gland, or ovaries that prevent the egg cell from maturing.
Congenital defects in the ovaries, tubes, or uterus
Endometriosis: uterine mucosa that develops outside the lining of the uterus (endometrium), for example in the tubes, ovaries or bladder, lower abdomen
Immunological defense processes: formation of antibodies against egg or sperm cells
Causes unknown as of today

in men

For example, defective or incomplete testicular function as a result of mumps in adolescence.
Anomaly or obstruction in sperm ducts, congenital disorders
Testicular infection, testes (male ovaries) in the abdominal cavity (undescended testicle) or testicular varices (varicocele)
Congenital malformation in testis (absence of sperm-producing mother cells (genetics)
hormonal disorders

In order to understand the causes of infertility and plan its treatment, it is necessary to understand how the reproductive cycle works in men and women and the mechanism of pregnancy.

Man, as an organism, is not a living thing with a very high reproductive potential. There are many reasons for this. Some eggs are not fertilized, and some cannot develop during the embryonic period even if they are fertilized.

Pregnancy is a matter of luck in a sense. It is very difficult to know in advance which couple can conceive and which will not. In couples whose reproductive functions are considered normal, the chance of conceiving from 25 percent in a one-month cycle increases to 85 percent at the end of one year. In other words, at the end of one year, about 85 out of every 100 couples will get pregnant. The remaining 15 couples are facing infertility. According to some authors, if there is no pregnancy at the end of the first year, it is not correct to call the couple infertile. For this, it is necessary to wait 2 years. Indeed, the pregnancy rate, which is 85 percent at the end of the first year, is around 92 percent at the end of the second year.

The chances of getting pregnant in a single menstrual cycle are under the influence of many factors. If we examine these factors;

Woman's age: As the biological clock progresses, the woman's chance of conceiving gradually decreases. The most important reason for this is the decrease in the number and quality of eggs in the ovaries with age. While the difference between the odds of conceiving a 20-year-old woman and a 21-year-old is not huge, this difference becomes more significant in the 30s.

Frequency of sexual intercourse: It is not correct to classify the frequency of sexual intercourse as normal or abnormal. What matters is the adequacy of the number of relationships, not the number or number of them. The optimum number for this is 3 intercourse per week.

Timing: Besides the frequency of sexual intercourse, the timing of the intercourse is also important. The intercourse to be entered on the days of ovulation will increase the probability of pregnancy.

Duration: How long the couple has wanted a child is an important point. The longer the lapse of time for couples trying to conceive, the less likely they are to achieve a successful pregnancy without medical assistance.

Pathology: The presence of a pathology that may cause infertility also reduces the chance of pregnancy. The best examples of these are previous surgeries or endometriosis.

:2022-07-23 12:37:27