I can’t get pregnant
Most of us, at a certain life period, feel an irresistible desire to produce a child. However, if some married couples get it very quickly, then others plan to procreate for many years.
Why does pregnancy not occur?
The process of egg release from the ovary is called ovulation. During ovulation, the probability of conception is 33% – this is the maximum indicator.
Lack of ovulation is the main cause of female infertility. After all, in the absence of ovulation, the egg does not mature or its exit from the follicle does not occur, this means that there is nothing to fertilize the sperm, in this case, the onset of pregnancy is impossible. When planning a pregnancy, determining the presence of ovulation is the first stage.
Reasons for the absence of ovulation
Among the possible reasons for the lack of ovulation:
- diabetes mellitus;
- hyperprolactinemia;
- thyroid pathology;
- polycystic ovaries, etc.
The most common reason for the lack of ovulation, experts call polycystic ovaries, which is corrected by hormonal stimulation of the ovaries, after which pregnancy should occur naturally or by intrauterine insemination. Otherwise, the patient is assigned ECO services.
Obstruction of the uterine tubes
In the process of conception, the egg and the sperm unite in the fallopian tube, thus fertilization occurs. Then, moving through the fallopian tube, the fertilized egg enters the uterus. Therefore, another fairly common reason for the absence of pregnancy is a violation of the patency of the fallopian tubes, due to previous inflammatory diseases and, as a result, formed adhesions.
Check the patency of the fallopian tubes by hysterosalpingography. If the pathology is confirmed, it is possible to restore the patency of the pipes with the help of microsurgery. If it is impossible to resume the patency of the fallopian tubes, the patient is prescribed IVF.
Pathologies of the uterine cavity
The reason for the absence of pregnancy may also be any pathology of the uterine cavity. These can be congenital pathologies — underdevelopment of the uterus, saddle or doubling of the uterus, and acquired-scars, intrauterine fusion, fibroids, endometrial polyps.
Methods of diagnosing such pathologies are ultrasound, as well as hysteroscopy. For the treatment of uterine pathologies, reconstructive operations are performed, sometimes there is a need for surrogate programs.
Motility of male spermatozoa
It cannot be argued that if a couple cannot conceive a child, then the woman is “to blame”. It is scientifically proven that in 50% of cases, the male factor is the cause of infertility. Smoking, age, infectious and inflammatory diseases of the urogenital tract-all these factors negatively affect the reproductive ability of a man. A spermogram is a comprehensive laboratory examination that will help to find out the cause of disorders in the reproductive sphere. This analysis, based on the number, motility and morphology of spermatozoa, will allow us to assess the fertility of the patient’s sperm.
Insufficient motor activity of spermatozoa in the cervical mucus of the cervical canal is also the reason for the absence of pregnancy. To study the interaction of spermatozoa with cervical mucus, a postcoital test is performed.
It is important to note that according to the latest WHO classification, infertility is likely if, with regular sexual activity, pregnancy has not occurred for a year or more. Thus, if conception has not occurred within a year, it is recommended to seek medical help!
