Marital sterility

Marital sterility

Marital infertility or infertility of the couple occurs when 2 partners try to conceive a baby for at least 1 year, in which they do not use any contraceptive method, and fail. In one third of cases, infertility is diagnosed in women, in another third in men, and in the other cases the problem appears in both partners or for no known cause.

When the couple finds out they can't conceive a baby, they go to a specialist. The whole process of discovering the causes and solutions for fertility involves a whole team of specialists who will perform tests and analyzes to establish the diagnosis:

  • general practitioner;

  • endorcrinologice;

  • gynecological;

  • urological etc.

What are the causes of marital sterility?

The causes that underlie the impossibility of couple conception are divided into 4 categories:

  • female factors;

  • masculine factors;

  • combined factors;

  • unexplained factors.

So, in the case of a infertile couple, the problem is either male or female or combined.

Common causes in women

  • obstruction of the fallopian tubes;

  • anatomical pathology of the uterus;

  • hormonal imbalances;

  • uterine fibroids etc.

Common causes in men

  • conditions of the sperm (quality, quantity and morphology)
  • problems in the production and ejaculation of sperm

Increased risk factors that cause couple infertility:

  • alcohol;

  • drugs;

  • drugs;

  • exposure to toxins or pollutants;

  • age;

  • smoking;

  • chronic diseases;

  • obesity;

  • stress;

  • poor diet.

Evaluation of the sterile couple

In the diagnosis and approach of the couple the sexual history of both partners is very important. The frequency of sexual contacts and the use of lubricants during them are of particular importance.

Also, the doctors will diagnose all the essential elements involved in the reproduction process:

  • ovulation;

  • sperm production and viability;

  • cervical and uterine mucus receptivity, etc.

What analysis is done to detect sterility in the couple?

In general, the first to undergo evaluation tests is the man, who is given a spermogram. This is most often the first analysis that is used after the presentation to the doctor. After laborious tests of the semen, if there are no problems certifying the man's infertility, the feminine factor is evaluated.

However, great attention is paid to hormonal tests to detect hormonal abnormalities and imbalances that are most often the basis of both partners' infertility. These include:

  • luteinized hormone;

  • follicular stimulation hormone (FSH);

  • prolactin;

  • testosterone;

  • progesterone (tested only in women);

  • estrogen.

Other methods and tests that doctors use to determine causes and problems that prevent couples from conceiving are:

  • history;

  • physical examination;

  • thyroid testing;

  • endometrial biopsy;

  • ultrasound;

  • postcoital test;

  • colposcopy;

  • magnetic resonance imaging;

  • hysterosalpingography;

  • laparoscopy.

How is sterility or infertility treated in a couple?

The treatment or therapy needed to overcome couple infertility is a complex process that involves a lot of elements and criteria that doctors take into account. Each treatment is personalized according to the underlying causes of infertility. But there are therapeutic options for fertility in such cases. Some of them are:

  • sexual dysfunction therapy;

  • medication;

  • surgical interventions to solve problems that impede conception;

  • artificial insemination;

  • in vitro fertilization etc.

The emotional impact of infertility on the couple

In addition to the classical, medical treatment for infertility treatment, couples who are dealing with infertility must pay close attention to the control of the pheological effects of this condition on them.

The most emotionally affected is the woman, who can feel guilt, may lose her esteem and uncertainty in her, and her femininity is threatened. But neither partner is excluded from the emotional picture produced by infertility.

Ask for the help and support of relatives, friends and loved ones to overcome this condition, communicate openly and if you still feel that infertility is threatening the relationship and mental health of the couple, call a psychotherapist.

Tags Men infertility women Infertility Men infertility Women infertility