fertility

introduction

Desire to have a baby is a topic that will affect many couples in the course of their relationship.

What you need to know beforehand, what are the precautions to take beforehand, when is the best time to stop taking the pill and what else is important to know, you can read here below.

If the implementation of family planning takes longer than you had hoped, you can find out here about the basics of fertility treatment.

What has to be considered before?

The decision is made, the time has come: now you would like to become pregnant. Only: what should be considered in advance?

If you want to tackle the idea of ​​becoming pregnant, it makes sense to contact his gynecologist and have various medical diagnostics performed.

These include the exclusion of infectious diseases such as toxoplasmosis. This is a parasitic disease transmitted via cat excrement.

The disease usually heals in immunocompetent patients without major complications, but primary infection with toxoplasma is a serious complication in pregnancy, which can lead to serious harm to the unborn child. Therefore it makes sense to find out if you are immune to the disease. 95% of individuals who have been infected with toxoplasmosis in the past become immune to life for a long time after healing and are no longer infected.

If a pregnant woman is not immune to toxoplasma, she should be given extra precautionary measures for the duration of pregnancy to prevent primary infection during pregnancy. Other explanatory diseases include cytomegalovirus, HIV, chlamydia, lues, and others. Unfortunately, certain examinations are often not carried out by health insurances. If you are interested, ask your health insurance and your gynecologist!

Apart from infectious diseases, it is also useful to pick out his vaccination and submit this to the doctor. This will decide whether you have sufficient immune protection against various diseases, or if something has to be refreshed before you get pregnant! Particular attention should be given to vaccination against rubella, chickenpox (varicella), whooping cough (pertussis) and measles.

Be advised and pay attention to possible intervals between vaccination and pregnancy!

Tips for children

In pregnancy, a healthy, balanced lifestyle is essential to create the perfect conditions for your child to thrive.

A healthy lifestyle is also beneficial in advance, as it increases the chance of ovulation and successful conception! Here, the long deferred intent of changing the diet and increasing sports activity pays off!

Sometimes less is even more, because intense competitive sports and too little body fat are not helpful to make the desire to have children a reality. But overweight and too little nutrition could be your wish in the way. So here is the healthy middle ground again, the recipe for success.

Easier said than done: do not be too frustrated if it does not work right away. The desire to have children is by definition unfulfilled until a couple has sex at the right time for 12 months with the right method and still does not get pregnant after one year.

Creating a new life is a small miracle, and sometimes this can take more, sometimes less time. Try to have fun together and do things the easy way because stress can negatively affect the secretion of various hormones important for conception.

When should you stop taking the pill?

If you are taking an oral contraceptive pill ("pill") and are now dedicating to family planning, then the question is when to stop the pill.

In general, pregnancy is possible immediately after discontinuation of a hormonal contraceptive. Unfortunately, there is no rule of thumb here that can tell you how long it will take you personally.

Every woman reacts differently to stopping the pill and each body takes different amounts of time to normalize its own hormone production. After stopping the pill, it is possible that the cycle will set in the shortest possible time as before.

However, it is also possible that the body needs a little more time. This can take up to a year in extreme cases. Note that a missed menstrual period is initially not a sure indication of a "natural contraceptive protection", since the mucous membrane is often very little built up after gestagen-stressed pill intake, and therefore no significant menstrual bleeding occurs, but very likely an ovulation may have occurred!

How long it takes to give birth after stopping the pill is exactly dependent on it: ovulation.

It depends on you and the urgency of your family planning, whether you give the pill long before your specific wish for a child or in immediate vigor. Talk to your doctor about it.

Tablets for children

The market is packed with vitamin, mineral and other nutritional supplements, such as Femibion®, which pregnant women should take to be well supplied with all the essential nutrients.

Taking recourse to these combined preparations, which are designed for pregnancy planning and the different periods of pregnancy, makes sense, since these preparations are tailored to the needs of the body at different stages.

There are different systems and approaches here. Together they have one thing: folic acid. A folic acid deficiency can lead to various problems, including pregnancy. Since the development step, in which the folic acid is particularly important, already in the early pregnancy of Statten goes, one should already have well-filled folic acid storage before the conception.

Taking a folic acid preparation in the case of a diagnosed pregnancy may be too late because the occlusion of the neural tube occurs just a few weeks after the fertilization and implantation of the egg. Therefore, it makes sense to already start playing with the idea of ​​"child desire" with the intake of such a preparation. Various environmental influences and drugs, such as birth control pills are also the cause of a reduced folic acid value. Therefore, a general folic acid supplement is worth considering.

Of course, supplements do not replace a healthy, well-balanced diet, but they are still useful from the point of view of pregnancy planning, as certain vitamins are needed in pregnancy on a large scale and it is difficult to take them alone through the diet.

In addition to folic acid, many other vitamins are of course important. This includes the supply of iodide to ensure a functioning thyroid. If you suffer from thyroid disease, ask your doctor if substituting iodide in your pregnancy (planning) is useful. Make sure you have enough iron and zinc, but also omega-3 fatty acids and other vitamins.

When are the fertile days?

In order to get pregnant as quickly as possible, apart from the presence of ovulation, it is important to have sexual intercourse at the right time.

This should take place regularly in the fertile days in order to make the best possible use of the cycle. Generally, 5-6 days per cycle are considered fertile. These are distributed around the ovulation around.

The greatest chance of successful conception is three days before the immediate day of ovulation.

Since sperm can survive up to 7 days in the vaginal milieu, an egg can therefore also be fertilized, if shortly before sexual intercourse took place.

It is advantageous to grasp the exact time of fertile days when a woman can interpret well the signs of her body. This can be based on methods such as ovulation computers that measure specific hormone levels in a woman's urine.

Cheaper, well-tried methods such as evaluation of cervical secretion, basal body temperature, and palpation of the cervix can also be learned by women, and facilitate determination of fertile time. Women who have a very regular cycle will also find it easier because they can easily figure out when to ovulate.

How often should you have intercourse?

If the fertile days are at the door, they should be exploited if there is a desire for children. It usually suffices to have sexual intercourse every two to three days. Infrequent intercourse reduces the likelihood of successful egg fertilization. At the same time, sexual intercourse is also not very useful, as the proportion of sperm in the ejaculate then decreases.

Most importantly, you and your partner do not put too much pressure and do not lose the fun of it.

treatment

But what to do if you have been trying to get pregnant for some time without success. You have followed all the tips and advice, but still did not succeed?

In this case, you should contact your gynecologist or a fertility clinic. These will perform various tests to find out the possible cause of the missed pregnancy.

These include blood tests as well as ultrasound procedures or more invasive procedures. In order to exclude hormonal imbalances, various hormones are determined in the blood. These include, among others, the laboratory levels of the hormones FSH, LH, estrogen and progesterone.

Also, the determination of various male hormones (androgens) makes sense, since too high a quantity of these can also be the cause of missing ovulation, as it may be the case for example in Polycystic Ovarian Syndrome (PCOS).

Even though the pituitary gland produces too much prolactin, this may be a reason for transient infertility. Your fertility specialist will also monitor thyroid levels, as both hyperthyroidism and hypofunction may make it difficult to become pregnant.

In addition to hormonal imbalances and anatomical peculiarities may cause the unfulfilled desire for children. Certain underlying conditions may complicate conception, as may be the case, for example, with adhesions in endometriosis or obstruction of the fallopian tubes in an infection with chlamydia or other tubal inflammation.

Because the patency of the fallopian tubes can not be determined sonographically alone, various procedures can be used. There are invasive and non-invasive procedures, such as chromopertubation (invasive), in which various diseases of the internal genitalia and the impermeability of the fallopian tubes can be excluded by a color solution in the course of a laparoscopy.

An equivalent, but much less invasive procedure for tubal patency is Hystero salpingography, in which the contrast agent can be ultrasonically imaged, indicating the patency of the fallopian tubes.

Every procedure has its advantages and disadvantages. Your doctor will decide together with you what is individually suitable for you. Of course, it should not be forgotten that the unfulfilled wish for children should not only be clarified by the woman, but could also be the cause of the partner. Therefore, it makes sense to have concurrently with the examinations of the woman and the sperm quality of the man at an andrologist clarify.

Depending on which individual cause leads to the unfulfilled desire for children, different fertility treatments can be sought. The methods range from hormone treatments to increase fertility via the direct introduction of sperm into the uterus (insemination) to the various methods of artificial insemination.

The hormonal stimulation of the ovaries is especially useful in women with certain hormonal imbalances. The aim of the procedures is the maturation of good follicles in the ovary, which are then made to jump at the right time. The stimulation is carried out by various drugs that stimulate the maturation of the oocytes. Often these are combined with other hormones to prevent premature jumping of the eggs.

With a low sperm concentration in the ejaculate, dysfunctions in the sense of aggravated locomotion or poor conditions for sperm survival in the vaginal environment, insemination may be the method of choice. Here, the male ejaculate is processed in the laboratory, so that the basic conditions are as beneficial as possible. Subsequently, the sperm are introduced in the fertile period by means of a syringe or a catheter in the uterus of the woman.

When it is popularly referred to as "artificial insemination", however, it is usually meant procedures in which the egg cell fertilizes outside the female body, and only the embryo is reinstated in the uterus. There are several methods for this:

In Vitro Fertilization (IVF): In IVF, women are first given hormones that stimulate the ovaries to mature into ovarian follicles. If multiple ovarian follicles in the ovaries are large enough, they are taken by a doctor and brought together with the prepared sperm of the partner. In IVF, fertilization of the eggs is done by the sperm itself. Subsequently, the fertilized eggs continue to mature. Those who reach some stage of cell proliferation and cell division are shortlisted for embryo transfer. When the fertilized egg cells have developed enough, up to three of them can be transferred to the uterus.

If the quality of the spermatozoa is not sufficient to complete fertilization of the egg cell, it is still possible to resort to Intracytoplasmic Sperm Injection (ICSI). Very similar to the IVF method, here, unlike IVF, several sperm cells are not brought together with the egg cell, but a single sperm is injected directly into an egg cell in the laboratory. Also by this method, up to three embryos can be transferred to the uterus.

Summary

Nowadays, there are many ways to help a couple to have their baby luck.

Find out in advance about what you can do personally to increase your fertility and to create the best starting conditions for your desire to have children. File the methodology: use this phase of your life again to get to know your body and its signals well. This will make it easier for you to determine the fertile days! However, if you need a little more help, do not be shy.

Find out from your gynecologist about possible therapies and approaches in order to decide together which step will make sense for you personally next.

Make sure you get pregnant on the best basic conditions for your baby: get enough vitamins and other important nutrients, be well protected against the common infectious diseases and, if necessary, take precautions to protect yourself and your child to enable the best conditions. And last but not least, enjoy this exciting time together with your partner!

Female fertility animation (December 2019).


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