The various causes of infertility

    In women, it may be due to ovulatory problems, such as anovulation (no ovulation) or dysovulation (abnormal ovulation). It may be related to endocrine causes (thyroid problems or adrenal gland), or to treatments such as chemotherapy or radiation that affected the ovaries. It can also come from mechanical causes: blocked tubes (due to genital infection poorly treated, for example), endometriosis (which affects the fallopian tubes, uterus and ovaries), problem with the cervical mucus, or finally come to immune causes fertilization but is not successful because the body of the woman rejects the embryo.

    In men, it is important not to equate sterility to impotence. Infertility can be due to an abnormality in sperm as azoospermia (absence of sperm in the semen). It can also be caused by an abnormality of the position of the testes, varicocele to (veins are too dilated, causing a backflow of blood and too hot testes). Infertility can be due to finally oligospermia (reduced secretion of sperm), or sperm that move badly, whose morphology is abnormal or that are fragmented.

 

A growing phenomenon

Thus, it appears that 26% of women who gave birth became pregnant within the first month, or about a quarter, but 32% of pregnancies occurred more than 6 months. Among them, 18% waited one year and 8% waited two years. The figures of the Observatory are a bit more pessimistic but probably closer to reality as possible to include non-maternity recruited couples who never have a child and abandon their parental project. Thus, 46% of couples do not get pregnant 6 months after stopping contraception, 24% after one year and 11% after two years.

The biological clock" that is not running on Women

But if one remains on a purely technical and medical (for example by putting aside the question of economic costs and the increasing gap between those who "can afford" to cool their pulp kids and others risk indeed moderate and as stated Smith, considering the universal sperm bank as a new prerogative of public health services), risks are much less than those relating to delayed childbearing.
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We often complain (and often rightly) that procreation and surroundings are a matter reserved for women, so why should we not inform men about these issues? Why tolerate the pressure of the "biological clock" alourdisse only women's lives, when we now know that it also turns for men, although the pace and modalities of his planned obsolescence different?   ivf cost in india


"Men should think much earlier their families. We must get the message that it is a much better idea for men and women, to children between 20 and 30 years." blastocyst transfer


If you want to reproduce, the balance of costs and benefits of delayed childbearing compared to the "normal natural" should be the choice of each, and this choice be minimally guided by economic constraints. But the reality is this: this choice has never been more possible and it will not cease to be more in coming years. laser hatching

Infertility causes in France - ivf infertility

In France, the quality of sperm donors down in some regions like Paris. And also decreases partners in couples using medically assisted procreation for the period 1989-1994, particularly among men born after 1950. However, it should be cautious about interpreting these data, according to Dr. Joëlle Belaïsch-Allart, head of fertility service hospital of the Four Cities (Sèvres, 92): "Sperm quality standards have changed since 2010, she said. 

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Given the significant increase in the number of semen analyzes considered abnormal, the World Health Organization has set new standards from samples of fertile men. Today a semen analysis with 15% of typical sperm is normal while a few years ago, it was 60%! ".

Nevertheless, behavioral and environmental factors are increasingly suspected to affect fertility. "In women, older age, being overweight or smoking during pregnancy are not well documented risk factors," slice-Joëlle Bellaïsch Allart. And suspicions weigh on certain heavy metals such as lead, persistent organic pollutants, endocrine disruptors like bisphenol during intrauterine life or after birth, perfluorinated compounds or air pollution (diesel smoke, etc.) .
A public health and social problem

As such, establish a monitoring fertility of couples over time could provide a sentinel function, witness of the health impact of environmental changes or behaviors. For the authors of the study, it would be relevant to public health as an indicator of health but also to predict the evolution of demand in terms of assisted reproduction. "

Epidemiological Observatory fertility example shows that nearly 10% of women consulting for infertility after a year of unsuccessful attempts. "This could be the starting point of such monitoring," said Rémy Slama. According to him, a fertility monitoring system could be based on population studies such as these, in addition to the monitoring of biological female and male reproduction (hormone levels, sperm quality, etc.) in order to take account all of the reproductive age population, not just couples wanting a child.

Now it is up to governments to decide whether the fact that nearly a quarter of couples had no children after one year is a health and social problem and if this monitoring is needed.

Week of infertility, LDCs only?

Assisted reproductive methods (LDCs) may be considered. This is an artificial insemination when there incompatibility between the cervical mucus and sperm. These methods succeed especially as the woman is young. A highlight: the LDCs still has no legal framework in Morocco. laser hatching

In vitro fertilization (IVF) is used when a woman has blocked tubes. After stimulation of the ovaries, oocytes are placed in vitro with human sperm. The embryos are then placed in the uterus, hoping that one (or more) cling. The others are frozen. Today, there are about 2,000 IVF per year in Morocco. The injection of a sperm into each oocyte (ICSI) also exists. Donating sperm, egg, or pregnancy to others (GPA) are still banned. chandigah ivf

The infertility problem is it still taboo among couples you receive?

It is no longer taboo, but couples I get are generally in a catastrophic psychological state, as if they had cancer. They are desperate to have a child, and are often part of the family and social pressure. Women often come with weeping, some think that their husband will divorce if they are unable to have children. Finally, unfortunately, the various operations and drugs against infertility are very expensive (between 20,000 and 25,000 dirhams for IVF, for example). The state and insurance must do something, because this is a real public health problem.delhi ivf, media center , india ivf

Pregnancy: 5 signs that you are pregnant without doubt you are very very very tired ...

This is probably the most commonly shared by pregnant women symptoms. Even in the earliest days of pregnancy, your body prepares for future changes that will face. If a sudden tiredness falls on you when you have not changed your heres sleeping or waking, it's probably that you're "sleeping for two."

You feel daubed

Nothing like morning sickness, which in a few weeks, will require you to rush to the toilet as soon as you put one foot down in the morning. You do not want to vomit smeared but you feel as if the dinner the night before was struggling to pass. And this unpleasant sensation can fall on you at any time of the day. Doctors believe that this is the first indication of hormonal changes occurring in your body for pregnancy.

Your bra is too tight

The levels of estrogen, progesterone and prolactin are on the rise: all these hormonal fluctuations have a direct impact on your chest. Your breasts are heavier than usual, as if you are suffering from pre-menstrual syndrome, and you feel uncomfortable in your bra. If you look carefully you will notice also that surely areolas of your breasts are darker than usual.

Your temperature is a tad higher

When you ovulate, your body temperature rises half a degree thanks to a surge in progesterone. She then sets out again downwards when the rules appear. But if you are pregnant, progesterone levels will stay high and your temperature too. The difference is too small for you to ressentiez, like when you have fever. But if you take your temperature every morning upon waking to find your ovulation days, that's something you might have noticed.

You lose a little blood

Your rules should not arrive before a week and yet you have noticed some blood stains on your underwear. Above all do not worry: it's quite normal to lose a little blood after conception and has nothing to worry about. This happens to about one in three women: doctors call the "implantation bleeding". They are among the warning signs of pregnancy: when the egg implants in the uterine lining, it sometimes damages the lining, causing bleeding.

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