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Infertility: what you need to know

Conception is a complicated process. According to statistics, the chance of spouses to conceive within a month is about 20%, and the age of the woman noticeably decreases. Some couples need careful planning and a longer period to conceive.

It is generally accepted that if a regular sexual life without contraception does not result in pregnancy for one year, the couple should undergo an examination to determine the cause of infertility.

A woman needs to create favorable conditions in her body to prepare for conception, pregnancy, and childbirth.

Abnormalities in health can be in both the woman and the man. The best approach is to be examined at a specialized institution, an infertility clinic. Experienced specialists will conduct a comprehensive examination of the couple, will provide an expert assessment of the state of reproductive function, and will identify the causes of infertility.

An extremely important task – to develop an individual algorithm for the treatment of infertility. One must keep in mind that not every gynecologist specializes in infertility, so it is best to consult with specialists who have successfully established themselves in this field and have extensive experience in the field of assisted reproductive technology.

When should I be examined for infertility?

Infertility is considered to be the absence of pregnancy within 12 months of sexual activity without the use of contraception. Accordingly, it is reasonable to conduct the examination after 1 year. However, it is generally accepted that it is reasonable to start evaluating the reproductive function of women over 35 years of age after 6 months. If there is a known cause of female infertility factor (e.g. fallopian tube obstruction, anovulation, endometriosis, etc.) there is no point in delaying the examination. The man takes a spermogram, the results of which are ready within 1 hour of delivery of material. Sperm analysis allows you to assess the state of spermatogenesis of the man.

What is the effect of age on a woman’s fertility?

There is a direct correlation between a woman’s age and her fertility (ability to conceive and bear a child). The frequency of infertility increases rapidly after the age of 35.

In today’s world, there is a growing trend to increase the age at which a woman decides to have her first baby. Today, it is believed that 35 is not a late age for the birth of the first child, more and more often women postpone until they are 40.

Only in the past 20-30 years has the rate of late pregnancies increased by 50%. It is generally accepted that depletion of the egg supply is the main reason for women’s declining fertility as they age. Moreover, the remaining oocytes “age” and become increasingly infertile with each passing year, while the uterus becomes less adapted to pregnancy.

It is an absolutely undeniable fact that with age, the likelihood of becoming pregnant and carrying it to term decreases. From about 37 years of age female reproductive function gradually declines every year, according to statistics, begins to fall catastrophically after 41 years of age.

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What are the specifics of managing an older woman?

The first step is to identify women with an unfavorable prognosis due to increased childbearing age. Taking into account the reduced probability of pregnancy, the reproductologist develops an individual algorithm for managing the patient. The techniques used in this group are often more expensive and possibly more invasive. The physician’s task is to honestly and correctly inform the patient about the prognosis.

It should be remembered that assisted reproductive technologies have nowadays become much more accessible. Age, preferences, as well as financial capabilities of the couple, should be taken into consideration when examining patients with infertility. Expensive and invasive methods of infertility diagnosis should be avoided if possible unless they contribute to the effectiveness of treatment.

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