The average woman has a 15 to 25 percent chance of conceiving a baby each cycle and about 85 percent of fertile couples will be successful within 12 months of having regular unprotected sex. However, some couples face challenges when it comes to conceiving.
Infertility is the inability to become pregnant after more than one year of regular, unprotected sexual intercourse. It is estimated that just over 10 percent of women of reproductive age have problems conceiving. In one third of cases, the problem lies with the woman’s reproductive system and in another third the problem lies with the man’s reproductive system. In the remaining third the problem lies with both partners or is not known. After a specialist’s investigation of both partners and treatment, 30-40 percent of couples achieve a pregnancy within two years.
What triggers infertility?
Why some people are infertile is not yet fully understood, but some causes have been identified. In women, it may be because ovaries are not producing eggs (anovulation). Endometriosis and pelvic inflammatory disease can damage or block fallopian tubes. In some women, mucus in the cervix may be hostile to the partner’s sperm. As par men, a common cause is defective sperm. For couples, the genetic makeup of one partner may prevent the couple from achieving a pregnancy naturally, or in some cases occupational hazards (such as chemicals and working practices) are involved.
What’s causing the problem?
You will have a physical examination and a detailed personal history will be taken. Obesity, acne and menstrual irregularities will be noted, and you may be asked about eating disorders, stress, occupational hazards (working with toxins, for example), exercise methods, sexual pattern, previous contraception and lifestyle habits such as alcohol, smoking and prescribed or illegal drugs.
Blood tests may be carried out to seek to known the reasons for infertility. an excess of prolactin (a hormone regulating menstruation), excess or deficiency of thyroid hormone or an excess of androgens such as testosterone.
If you have endometriosis, uterine fibroids, polyps or ovarian cysts, the doctor may refer you to a gynecologist or endocrinologist for assessment.
For your partner, the doctor may suggest a sperm analysis. Finding out early on that he has too few sperm, no sperm at all or slow-moving or misshapen sperm may lessen the chance of you having to undergo invasive tests (though if you have other physical symptoms you may still need investigation as well).
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Taking these steps before trying to conceive will maximize your chances of pregnancy:
‘ Completely stop all intake of alcohol.
‘ Stop smoking and avoid smoky rooms.
‘ Practice good hygiene to avoid infections.
‘ Maintain a healthy weight for your height.
‘ Get rid of excess stressors in your life.
‘ Practice anti-anxiety techniques’deep breathing, prayer, meditation or yoga.
‘ Give your body a chance to re-establish natural periods before you try to conceive, especially if you have recently taken hormonal contraception.
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