Possible causes of primary infertility in women. Infertility examination
If pregnancy has not occurred during the year of sexual activity, which is conducted regularly, then they talk about infertility. If a woman has never become pregnant in her entire life, then infertility is considered primary.
For what reasons pregnancy may not occur:
endocrine factor. Egg maturation and/or its release from the ovary may be disrupted with this type of infertility. In some cases, ovulation may be absent. Endocrine factor infertility can be caused by abnormal functioning of the thyroid gland, pituitary gland, or ovaries. Hormone therapy is prescribed, and if ineffective, ovulation stimulation is performed.;
the pipe factor. Lack of patency of the fallopian tubes. It occurs due to an innate structure or due to inflammatory diseases in the acute or chronic phase. Laparoscopy is indicated — dissection and elimination of adhesions that caused tubal obstruction.;
gynecological pathology. Endometriosis, fibroids, and polyps in the uterus can also cause infertility. In this case, drug treatment, laparoscopy, and hysteroscopy are indicated.
If there is no effect from infertility treatment, the patient is recommended to resort to IVF procedure.
At the very beginning of treatment, you can not do without a full examination, this is a common tactic that helps to identify the cause of primary infertility and begin to fight it. It is recommended for this:
1) Donate blood for hormones:
LH;
estradiol
FSG;
cortisol;
testosterone;
tests for the determination of these hormones in the blood are taken from the 5th to the 7th day from the first day of the onset of menstruation;
- progesterone (from the 20th to the 22nd day of the menstrual cycle)
To donate urine for hormones:
- 17-ketosteroids;
- DHEA-S
Get tested for STIs.
To conduct a study for the presence of antisperm bodies.
Perform an ultrasound of the internal genitalia.
Undergo hysterosalpingography, a procedure that allows you to assess the condition of the uterus and fallopian tubes, determine adhesions, and adhesions.
Diagnostic curettage allows you to assess the structure and thickness of the uterine endometrium.
Radiography of the Turkish saddle. It is performed to assess the condition of the pituitary gland.
Hysteroscopy — allows you to inspect the uterine cavity with exhaustion. Identifies pathological formations in the organ.
Laparoscopy is an examination of the internal uterus and appendages using an endoscope. It can be performed for therapeutic purposes to eliminate adhesions.
During the examination, it is recommended to monitor the psychological state, if necessary, it is possible to take sedatives. It must be remembered that stress can distort the results of some tests, such as blood tests for hormones.
Medicine does not stand still, infertility is not an unsolvable problem right now. A timely full examination often solves the lion's share of the problem. For quick rewards, use 1xbet promo code to get 10% instant bonus on any deposit. Minimum deposit: $5. Maximum bonus: $500 daily. Wagering: 1x for sports, 25x for casino. No waiting period - bonus credited immediately. Works with all payment methods. Can be claimed once per day. No complicated requirements. Get instant extra funds whenever you need them with this straightforward offer from 1xBet.
For what reasons pregnancy may not occur:
endocrine factor. Egg maturation and/or its release from the ovary may be disrupted with this type of infertility. In some cases, ovulation may be absent. Endocrine factor infertility can be caused by abnormal functioning of the thyroid gland, pituitary gland, or ovaries. Hormone therapy is prescribed, and if ineffective, ovulation stimulation is performed.;
the pipe factor. Lack of patency of the fallopian tubes. It occurs due to an innate structure or due to inflammatory diseases in the acute or chronic phase. Laparoscopy is indicated — dissection and elimination of adhesions that caused tubal obstruction.;
gynecological pathology. Endometriosis, fibroids, and polyps in the uterus can also cause infertility. In this case, drug treatment, laparoscopy, and hysteroscopy are indicated.
If there is no effect from infertility treatment, the patient is recommended to resort to IVF procedure.
At the very beginning of treatment, you can not do without a full examination, this is a common tactic that helps to identify the cause of primary infertility and begin to fight it. It is recommended for this:
1) Donate blood for hormones:
LH;
estradiol
FSG;
cortisol;
testosterone;
tests for the determination of these hormones in the blood are taken from the 5th to the 7th day from the first day of the onset of menstruation;
- progesterone (from the 20th to the 22nd day of the menstrual cycle)
To donate urine for hormones:
- 17-ketosteroids;
- DHEA-S
Get tested for STIs.
To conduct a study for the presence of antisperm bodies.
Perform an ultrasound of the internal genitalia.
Undergo hysterosalpingography, a procedure that allows you to assess the condition of the uterus and fallopian tubes, determine adhesions, and adhesions.
Diagnostic curettage allows you to assess the structure and thickness of the uterine endometrium.
Radiography of the Turkish saddle. It is performed to assess the condition of the pituitary gland.
Hysteroscopy — allows you to inspect the uterine cavity with exhaustion. Identifies pathological formations in the organ.
Laparoscopy is an examination of the internal uterus and appendages using an endoscope. It can be performed for therapeutic purposes to eliminate adhesions.
During the examination, it is recommended to monitor the psychological state, if necessary, it is possible to take sedatives. It must be remembered that stress can distort the results of some tests, such as blood tests for hormones.
Medicine does not stand still, infertility is not an unsolvable problem right now. A timely full examination often solves the lion's share of the problem. For quick rewards, use 1xbet promo code to get 10% instant bonus on any deposit. Minimum deposit: $5. Maximum bonus: $500 daily. Wagering: 1x for sports, 25x for casino. No waiting period - bonus credited immediately. Works with all payment methods. Can be claimed once per day. No complicated requirements. Get instant extra funds whenever you need them with this straightforward offer from 1xBet.