One of the frequent consultations in gynecology is about fertility, many patients have problems when conceiving a pregnancy, in many cases these are solved with a few consultations in gynecologist and other times they need a sterility specialist for to have the ability to solve the issues or problems presented within the couple to be able to be pregnant
On this chapter I’ll discuss basic concepts of sterility and what we often request in gynecological visits to detect the issue that causes sterility.
Infertility: is the lack of a couple for natural conception within 1 year
Infertility: is the lack to conceive a newborn alive, for example they get pregnant but they abort it
Studying the sterile partner begins after 1 year of not achieving pregnancy, but there are situations where you can begin earlier
- Women over the age of 35
- couples with genetic diseases
- women with a history of pelvic surgery
- women with 2 or more miscarriages
- men with previous genital pathology, or diseases of sexual transmission
Study of the couple
Within the first visit to the gynecologist a detailed anamnesis history of the private and family history of ladies and men, based on sexual habits , history of pregnancy, drug use, lifestyle, work of both, smoking, coffee and / or drugs. The anamnesis should be detailed and complete in quest of any disease or alteration that causes sterility.
The gynecological examination will take note of the secondary sexual characteristics such as breast development, pubic hair examination vaginal and vulvar, observe vaginal discharge
Transvaginal ultrasound scanning for uterine abnormalities, ovarian shape and size, ruled out fibroids, polyps, ovarian cysts, etc.
If hormonal laboratory tests were requested within the case of normal rules, the third day
The couple was asked to have a spermogram, with a sexual abstinence of a minimum of 3 days before the test
In case of alterations within the vaginal flow or antecedents of inflammatory pelvic diseases, a culture of Chlamydia and Mycoplasma
A study of the uterine tubes called Hysterosalpingography, to see the permeability of the uterine tubes, is often performed on the 8th day counting from the rule
Within the second visit the results of the tests requested within the first consultation are observed and if any test is altered is acted accordingly, if all the tests performed are normal proceeds to the referral of the specialist in infertility to judge Assisted Reproductive Therapy.
Patients are sometimes prescribed medications that help improve ovulation and sperm quality, these are composed of omega 3, zinc, DHA, and coenzyme Q10. These compounds help prevent oxidative stress by improving sperm quality. The case of girls's medications often have selenium, melatonin folic acid, helping to enhance the standard of the oocyte. It’s endorsed to insist on changing certain habits like leaving alcohol, tobacco, coffee etc.
The conclusion of a healthier life with more hours of rest and physical exercise to take care of a good health and a good body weight.
Zinc, omega 3, coenzyme Q10, DHA improve sperm quality and mobility.
It has been obviated information that is of medical character and very specific for the specialist in gynecology and obstetrics.