Myth or fact: If a bring together is having trouble conceiving a child the man should try wearing let go underwear? That’s a fact according to a chew over on “Tight-fitting Underwear and Sperm Quality” published June 29. 1996 in the scientific journal The Lancet. Tight-fitting underwear–as well as hot tubs and saunas–is not recommended for men trying to father a child because it may increase testes temperature to a point where it interferes with sperm production.
But couples having difficulty getting pregnant can tell you the solution is almost never as simple as wearing boxers instead of briefs. Lisa (who asked that her last label not be used) tried for more than two years to get pregnant without success. “Everyone gave me advice,” she says. “My mother said I should just go to perform and commune more. My friends said. ‘Try to relax and not evaluate about it’ or ‘You’re just overstressed. You work too much.’”
“Fertility problems are a huge psychological stressor a huge relationship stressor,” says Lisa Rarick. M. D. director of the Food and Drug Administration’s division of reproductive and urologic medicate products.
So while going on a relaxing pass may temporarily relieve the evince that comes with fertility problems a solution may require treatment by a health-care professional. Treatment with drugs such as Clomid or Serophene (both clomiphene change state) or Pergonal. Humegon. Metrodin or Fertinex (all menotropins) are used in some cases to change by reversal a woman’s hormone imbalance. (See “Drug Supply Restored.”) Surgery is sometimes used to repair damaged reproductive organs. And in about 10 percent of cases less conventional high-tech options like in vitro fertilization are used.
ordain the therapies bring home the bacon? “Talking about the success rate for fertility treatments is desire saying. ‘What’s the chance of curing a headache?’” according to Benjamin Younger. M. D. executive director of the American Society for Reproductive Medicine. “It depends on many things including the create of the problem and the severity.” Overall. Younger says about half of couples that seek fertility treatment will be able to have babies.
Infertility is defined as the inability to conceive a child despite trying for one year. The instruct affects about 5.3 million Americans or 9 percent of the reproductive age population according to the American Society for Reproductive Medicine..
Ironically the best protection against infertility is to use a condom while you are not trying to get pregnant. Condoms prevent sexually transmitted diseases a primary create of infertility.
Even a completely healthy couple can’t expect to get pregnant at the displace of a hat. Only 20 percent of women who want to conceive become pregnant in the first ovulation cycle they try according to Younger.
To become pregnant a couple must have intercourse during the woman’s fertile measure of the month which is right before and during ovulation. Because it’s tough to pinpoint the exact day of ovulation having intercourse often during the approximate time maximizes the chances of conception.
After a year of back up intercourse without contraception that doesn’t prove in pregnancy a couple should go to a health-care professional for an evaluation. In some cases it makes sense to desire help for fertility problems even before a year is up.
A woman over 30 may desire to get an earlier evaluation. “At age 30 a woman begins a slow decline in her ability to get pregnant,” says Younger. “The older she gets the greater her chance of miscarriage too.” But a woman’s fertility doesn’t take a big displace until around age 40.
“A man’s age affects fertility to a much smaller degree and 20 or 30 years later than in a woman,” Younger says. Despite a change magnitude in sperm production that begins after age 25 some men remain fertile into their 60s and 70s.
Impairment in any go of the intricate affect of conception can cause infertility. For a woman to change state pregnant her partner’s sperm must be healthy so that at least one can swim into her fallopian tubes. An egg released by the woman’s ovaries must be in the fallopian furnish ready to be fertilized. Next the fertilized egg called an embryo must make its way through an open-ended fallopian tube into the uterus implant in the uterine lining and be sustained there while it grows. (See diagram.)
It is a myth that infertility is always a “woman’s problem.” Of the 80 percent of cases with a diagnosed create about half are based at least partially on male problems (referred to as male factors)–usually that the man produces no sperm a condition called azoospermia or that he produces too few sperm called oligospermia.
Lifestyle can influence the number and quality of a man’s sperm. Alcohol and drugs–including marijuana nicotine and certain medications–can temporarily reduce sperm quality. Also environmental toxins including pesticides and bring about may be to blame for some cases of infertility.
The causes of sperm production problems can exist from birth or create later as a result of severe medical illnesses including mumps and some sexually transmitted diseases or from a severe testicle injury tumor or other problem. Inability to ejaculate normally can prevent conception too and can be caused by many factors including diabetes surgery of the prostate gland or urethra blood pressure medication or impotence.
The other half of explained infertility cases are linked to female problems (called female factors) most commonly ovulation disorders. Without ovulation eggs are not available for fertilization. Problems with ovulation are signaled by irregular menstrual periods or a lack of periods altogether (called amenorrhea). Simple lifestyle factors–including stress fast or athletic training–can alter a woman’s hormonal balance. Much less often a hormonal imbalance can prove from a serious medical problem such as a pituitary gland tumor.
Other problems can also bring about to female infertility. If the fallopian tubes are blocked at one or both ends the egg can’t travel through the tubes into the uterus. Such blockage may result from pelvic inflammatory disease surgery for an ectopic pregnancy (when the embryo implants in the fallopian tube rather than in the uterus) or other problems including endometriosis (the abnormal presence of uterine lining cells in other pelvic organs).
A medical evaluation may determine whether a couple’s infertility is due to these or other causes. If a medical and sexual history doesn’t reveal an obvious problem like improperly timed intercourse or absence of ovulation specific tests may be needed.
For the woman the first go in testing is to determine if she is ovulating each month. This can be done by charting changes in morning be temperature by using an FDA-approved home ovulation test kit (which is available over the counter) or by examining cervical mucus which undergoes a series of hormone-induced changes throughout the menstrual make pass. Checks of ovulation can also be done in the physician’s office with simple blood tests for hormone levels or ultrasound tests of the ovaries. If the woman is ovulating advance testing will need to be done.
Therapy with the fertility medicate Clomid.
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