About: Infertility

HOW TO GET PREGNANT

NO OVULATION PERIOD - NOT PREGNANT?

An infertile couple is considered to be the one that is incapable of impregnating within 12 months, given a desire to have a child, an active sex life and non-applying of contraceptives.

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 Infertility

It's usually considered that without applying contraceptives, a pregnancy occurs within one year at 75% of couples, provided a regular sex life is led (2-3 intercourses per week) (Southam,1960). The “primary infertility” term refers to couples never to have given birth to a child. The “secondary infertility” term refers to couples who had an impregnation, but as of today the pregnancy cannot occur. Approximately 10% of couples suffer from infertility according to a definition “at least one year of sex life without applying contraception”. Infertile couples amount to about 15% of total couples. There are many reasons of infertility. Male and female infertility are used to be estimated as being almost equally spread within a population. The same value (app. 30-35%) refers to mixed types. Principal reasons for female infertility are considered as follows: Endocrine factors – 35-40% Salpingian and peritoneal factors – 20-30% Immunologic factors – 20% Cervical factor –5%. The infertility reason is unidentified in 10-15% of cases.

 A fertile phase covers the time after the ovulation occurs and terminates 48 hrs later after the ovulation. This time includes 12-14 hours, during which an ovum can be fertilized, and additional 24 hours are due to some irregularities in determining ovulation time.  Spermatozoa being in cervical mucus preserve its capability to fertilize an ovum till 3-5 days. Actually, a fertile phase is estimated as 6-8 days after the tenth day of menstrual cycle given a 28-day cycle.

An absolute sterility commences 48 hours after the ovulation and lasts till the end of menstruation.

The final stage of a proliferative follicle growth is connected with a high capability of synthesizing and secreting estrogens. The interaction of estrogens and gonadotrophins coordinates a final differentiation of a proliferative follicle. At the periphery follicular estrogens initiate a peak increase of gonadotrophins in the mid-cycle, effecting a hypothalamus and hypothysis complex by means of a positive feedback.

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Reproductive endocrinologists, the doctors specializing in infertility, consider a couple to be infertile if: the couple has not conceived after 12 months of contraceptive-free intercourse if the female is under the age of 34 the couple has not conceived after 6 months of contraceptive-free intercourse if the female is over the age of 35 (declining egg quality of females over the age of 35 account for the age-based discrepancy as when to seek medical intervention) the female is incapable of carrying a pregnancy to term.