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Frequent questions | |
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He asks the doctor | |
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Beginning | |
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STERILITY AND UNFERTILITY | |
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 DEFINITION INCIDENCE YOU CAUSE STUDY CONJUGAL UNFERTILITY TO CONSULT |
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The conjugal sterility is the incapability of a couple to achieve a pregnancy. By unfertility there is understood the problem of the couples who conceive, but whose fetuses do not reach viability. His frequency is variable in diverse built-up areas and latitudes, but it is believed that from 10 to 12 % of the couples in urban populations is affected by problems of this nature. One speaks about sterility or primary unfertility when there have never been viable children, or it would help when they have already existed. The reproduction and his problems are not a matter of the women, but they are shared by the couple: at least 40 % of the causes takes root in the male and 30 % in both simultaneously.
Sterility in the man:
Sterility in the woman:
Mixed causes:
Most of the couples who exercise the sexuality in normal form achieve a pregnancy in the first year (80 %) and others in the second year (5 % additional). For this motive, it usually recommends not to do neither studies nor specific treatments on this matter within 1 YEAR of sterile sexual relations. 1st. - Case history. The doctor will be interested for:
2nd. - Physical Exploration of the genital device. The doctor will try to discover:
3rd. - Cytology of the neck of the womb (examination of Papanicolaou) 4th. - Study of the snot endocervical. His macroscopic and microscopic characteristics indicate if there has been or not ovulation in a given moment of the menstrual cycle. 5th. - Espermiograma. He reports on the fertilizing capacity of the sperm. 6th. - Espermatobioscopia poscoito (it tries Sims-Huhner) to half of the cycle: he reports on the fertilizing capacity of the sperm, and also on the receptivity of the neck of the womb. The loss pregnancies appellant in the beginning viable can have genetic causes of any of the spouses or of both, immune, endocrines anatomical of the womb, poisonous, infectious or parasitic, which diagnosis and treatment yes need attention sometimes of very high specialization; therefore his study must be tackled from the beginning by the specialist to avoid wasting times, frustrations or worse damages in the reproductive potentiality of the couple. |
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