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Fertility problems to get pregnant

Fertility problems to get pregnant



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In Spain, fertility problems affect two out of ten couples, a figure that is increasing, as noted by Dr. Buenaventura Coroleu, president of the Spanish Fertility Society (SEF) and head of the Reproductive Medicine Service of the Instituto Universitari Dexeus, Barcelona, ​​within the framework of the Assisted Human Reproduction Forum.

Of all the couples with fertility problems to achieve a pregnancy, "only half go to the specialist, despite the fact that assisted reproduction techniques can solve seven out of ten cases," lamented Dr. José Manuel Bajo Arena, president of the Spanish Society of Gynecology and Obstetrics (SEGO).

The lack of full demand for treatments may be due, in the words of Dr. Bajo Arenas, "to mistrust, to the cold image of assisted reproduction techniques or to the economic situation."

Given that the wait to access a treatment in a public center can be up to two years, a precious time especially for women over 35, "many couples opt for a private center, where fathering a child can cost between 3,000 and 6,000 euros ", ensures the specialist. Therefore, specialists consider it important to increase all resources to facilitate couples' access to reproductive techniques, including private centers.

In addition, "it is necessary to speed up the diagnosis in the gynecologist's office, to a maximum of three months and refer to a specialized center, if possible," remarks Dr. Arenas. Likewise, specialists advocate taking a step forward so that society "stops stigmatizing infertility, since it is a health problem, considered as such by the World Health Organization, with a great epidemiological and psychological impact on couples. "adds Dr. Coroleu.

Four out of ten couple fertility problems are attributable to male factors, according to Dr. Coroleu, while the rest have their origin in women. Among the underlying causes of female infertility, "the tendency to delay the moment of pregnancy in couples stands out, in many cases until the age of 35, a time when ovary activity slows down and fertility declines by 50 percent. ", highlights the specialist.

"Developing a professional career and fulfilling a job makes women consider the possibility of being a mother much later," says this specialist. In addition, "the sequelae of certain genital infections, which alter the quality of the tubes, also make it difficult to become pregnant," adds Dr. Coroleu.

But, men also have "their share of infertility", emphasizes Dr. Coroleu. This is due to factors such as "stress, poor diet, tobacco and alcohol, and tight clothing, among others, which continue to reduce the quality and quantity of sperm," acknowledges this specialist from Barcelona.

Reproduction techniques "are indicated for all causes of infertility, both for male and female factors", says the specialist. In that sense, they are divided into two groups: artificial insemination and in vitro fertilization. Artificial insemination, "is indicated in cases of sterility without apparent cause or with mild male factor."

It is a "simple technique, which consists of making a selection of suitable male sperm and placing it inside the mother. In these cases, the tubes have to be in perfect condition for it to be carried out successfully", emphasizes the doctor. Coroleu. While in vitro fertilization is a laboratory technique that involves greater complexity, applicable when there is a problem in the tubes that hinders the union between the ovum and the sperm ", adds this specialist.

Before considering one or the other option, "the couple should start by consulting the gynecologist in their area, where the woman goes for her specific gynecological check-ups; from there, the specialist will start a study to see the quality of ovulation, the quality of the tubes -detect if there might be an obstructive problem- and then the sperm analysis is carried out by the specialist, the andrologist ", describes Dr. Coroleu.

The combination of both specialists - gynecologist and andrologist - is essential to identify the simplest and most appropriate therapy for the couple, "he adds. In this sense, Spain "is a benchmark country in assisted reproductive techniques; the proof of this is that many people travel to our country from all over Europe", says Dr. Coroleu.

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