Friday, April 16

infertility 15 things you need to know

My heart always yearns for a woman to give birth to a child, a woman who suffers the pain of motherhood!
A woman who has become a guinea pig for family planning if she wants to avoid having children!
Pregnancy has stopped, a woman has suffered even for abortion!
By having an abortion, a woman is also guilty of God, guilty of law, and suffering mental anguish!
Who is to blame for not having a child? Then the same woman!


In Indo-Pak society, the title of infertility has been reserved for women, which is absolutely wrong. Even if the man is infertile, society will be told that the woman is infertile and the man is not remarrying in love with her. In this case, too, the crown of greatness is placed on the head of the man. Even if a barren man remarries, the woman is usually made the sacrificial animal in the name of diagnosis and treatment.

Also, read a delicious joke ‘Dubai Infertility Syndrome’. Ten or fifteen days after the marriage, the husband goes abroad for work. The daughter-in-law is spending the day in a strange relationship. The husband never gets a visa, never arranges money to travel around the country, and never leaves the job. During this time, the husband, being a man, avoids at least one test by listening to the phrase, “Have you not had a child for so many years?” The daughter-in-law, father-in-law, and society count the years of marriage while the marriage remained the same for the first ten to fifteen days which were spent in invitations. If the pregnancy is stopped, the woman is forgiven. If she is not stopped, she will be fed in a crusher from which the oil of her aspirations comes out.



* Whenever such a woman comes with her mother-in-law to take medicine for pregnancy, first of all, I congratulate the mother-in-law to find a capable, patient daughter-in-law. Then count the time spent with the husband and wife, which is usually fifteen days with an interval of one year or two or three months after an interval of two years. Even if the marriage lasts for years, the probable period of pregnancy is limited to the few days that the couple spends with society.

When does pregnancy stop?

* The setup of the female reproductive system is such that the egg is laid on any one day out of 28 to 30 days between one date and another. This day is usually exactly fourteen days before the next possible date. The egg survives in the reproductive system for 12 to 24 hours, after which it is lost. If for some reason the distance between the couple remains the same during these 24 hours, the chances of getting pregnant in the rest of the month are almost nil. Keep in mind that twenty-four hours of a particular day in each month, that is, ‘only one full day’, which is suitable for pregnancy, is only twelve days in a year for a woman.

* Male reproductive germs can survive in the female reproductive system for a few minutes to five days, ie the maximum age of the germ in the uterus is five days. Various studies have shown that most pregnancies are the result of mating one to two days before ovulation. There were also a few pregnancies in this study that occurred as a result of mating five days before ovulation. During the five-day life of the germ, the germs also have to travel from the vagina, the long neck of the uterus, the uterus, and the fallopian tubes to the ovary, and after mating with the egg, the tubes travel back to the uterus.

Similarly, it is not always possible to accurately predict the day of a woman’s egg hatching, so carefully consider it as possible one day before and one day after the possible day, ie, those specific 24 hours in a 48-hour protective siege. Bring it so that the chance of pregnancy is not missed. Science calls this break the “fertility window” and estimates its exact time to be 12 to 36 hours before ovulation. Now, during this particular interval, the couple wishing to conceive should not accept any picnic or invitation, ie stay at home, and couples who do not wish to conceive should abstain on these special days. In the female reproductive system of the male germ, keep a gap of 5 days to 3 days, which is useful for pregnancy in view of the possible life span of 5 days. This type of protection can prevent both couples from taking any of the painful and unhealthy contraceptives and surgeries.

* I always write a three-word motto to my patient at the beginning of the treatment ‘patience, encouragement, cooperation’. Every month, when hope is dashed, be patient, continue the treatment with courage, and cooperate fully with the doctor during the treatment. The mother-in-law who wants to feed her grandchildren should make her heart big, the son is yours, he will not change it by getting a wife, God willing. If you want a grandson, arrange to send the daughter-in-law to the husband, save the newlyweds from unnecessary tests and treatment, and collect prayers. Yes! If a newly-married couple spends a year together without any distance, but the pregnancy is not declared, then the couple’s parties should consult a gynecologist and get the necessary initial tests done. If both tests are correct, spend another year of a honeymoon without any treatment or tension.

In the meantime, if the pregnancy does not stop, then it is time to undergo ‘specialized’ tests and treat the relevant deficiency/weakness/disease after regular diagnosis. Remember, I am telling you all this time parade with a young couple in mind. If one or both of the parties are married at a late age or if one or both of them have experience of being pregnant or not in the previous marriage before this marriage or infertility in your family especially siblings, In that case, the couple’s time is precious, so don’t waste it. Contact a specialist gynecologist as soon as possible.

Remember! At the beginning of infertility treatment, the doctor conducts an interview with the couple in which the couple’s marital routine and procedures are reviewed and the treatment is decided accordingly. In many couples no cause for infertility can be diagnosed. The problem with such a couple is called unexplained infertility. Infertility treatment is expensive, long and sometimes painful and in the end there is no guarantee of success.

Men’s tests:

* For a man’s fertility, it is important that his testicles produce the right amount of healthy reproductive cells and that these cells are effectively inserted into the vagina from where they can complete the journey to the ovary. All the tests of the man are done to check for any obstacles and difficulties encountered during the whole process. The following tests are performed after a general medical examination and examination of the reproductive organs:
1. Sperm testing: Samples obtained from a man at 1 to 2 different times are tested. The relevant doctor or lab assistant explains how to obtain the sample. The presence of semen in the urine can also be checked under certain circumstances.
2. Hormone Tests: Blood tests are used to determine the levels of various male hormones such as testosterone and others such as thyroid, prolactin, or LH so that any deficiencies can be ruled out.
3. Genetic testing: It is seen that infertility is not a sign of any hereditary disease.
4. Testicular biopsy: In selected cases, a sample of a part of the testicle is surgically obtained to not only diagnose infertility but also to obtain and preserve/freeze the live reproductive cells in the testicles which are then assisted. Can be used in products such as a test tube.
5. Imaging studies: In some cases, tests are performed to check for obstruction of brain MRI, scalp x-ray (old method), bone mineral density, scrotal ultrasound, or vas deferens (testicular veins).
6. More special tests: In very special cases, some specific tests can be done, such as to check the health and quality of the reproductive cell or to confirm any abnormality in the DNA.

Women’s tests

* A woman’s fertility and fertility depend on the fact that her ovaries produce healthy eggs. The reproductive system allows the egg to pass through the fallopian tubes and meet the male cell, freeing the fertilized egg from the tube to the uterus and sticking to the lining of the uterus. Or to test the difficulty. The tests performed after a general medical examination and gynecological examination are:
1. Egg secretion test: A blood test is done to find out the number of hormones to determine if the right amount of eggs are being formed and released.
2. Tubes test: This test, as the name implies, is performed to determine the shape of the uterus and its adjacent tubes and any obstructions or defects in them. This test uses a drug/contrast (which paints a white image on a black X-ray). The medicine is inserted into the uterus through a soft flexible tube, which is then X-rayed or fluoroscopy. Fluoroscopy or saline infusion sonography is more common these days with fluoroscopy or ultrasound instead of normal saline contrast and X-ray. In all of these cases, the drug passes through the uterus and enters the stomach through a tube where it is absorbed naturally and is not harmful. Throughout this process, obstruction in the uterine tumor or tube becomes apparent. When the tube is blocked, the medicine does not move forward but starts coming back.
3. Ovarian reverse testing: This test is used to check the quality and quantity of ovaries in the ovaries. This test is done at the beginning of the month with a hormone test.
4. Hormone test: The hormones that control the growth and reproduction of eggs as well as the pituitary hormones that control the reproductive system are tested.
5. Imaging test: The condition of the uterus, ovaries, and tubes is examined by internal ultrasound. Hysterosonography is a camera that closely examines the inner space of the uterus and tube, which is not possible with ordinary ultrasound. Hysteroscopy, laparoscopy, and genetic testing can also be done in special cases.
Not every patient needs every test. You and your doctor decide in consultation when a test should be done.


* The treatment of infertility depends on the following four points:
1. What causes infertility? 2. What is the duration of infertility? 3. How old is the couple? 4. What is the personal desire of the couple?
Remember! Some of the causes of infertility are incurable. Infertility treatment can be financially, physically, and psychologically difficult and expensive. Also, during the treatment, the couple’s time, determination, and high morale are very important.

Male treatment

* In the treatment of men, the problems related to the marital relationships are solved and the weakness of male reproductive cells is treated.
1. Change Lifestyle: Take a look at the routine of life. Improving it makes it easier to control infertility, such as avoiding unnecessary drugs and medications, avoiding unhealthy substances such as cigarettes and energy drinks, and exercising and walking in the open air. Increasing intimacy and improving time (2 to 3 times a week), avoiding habits that reduce fertility. For example, overeating, obesity, staying up late at night, smoking, drinking, etc.
2. Medicines: There are medicines that improve the quantity and quality of the reproductive germs and increase the performance of the testicles. Your doctor may prescribe one or more medications according to your diagnosis.
3. Surgery: In some cases, the obstruction in the flow of sperm is removed through surgery, or the discharge of sperm in the urine is controlled.
4. Sperm Retrieval (Obtaining Reproductive Cells): Sperm is obtained from the testicles of a man if there is an obstruction in the ejaculation of sperm or a very small number of sperm in the sperm. They are commonly used in sperm assisted reproduction. It is also suggested that for assisted reproduction, two to three samples of male patients with very low sperm counts should be obtained at appropriate intervals and frozen. By combining all the samples on the day of the procedure, a better amount of sperm can be obtained from these samples, thus this deficiency can be overcome.


Treatment of women

* Usually a patient needs one or two treatments but sometimes different techniques are used in a female patient for a positive result.
1. Ovulation Medications: Infertility medications are designed for women who have problems producing or expelling eggs. These drugs stimulate and regulate the process of ovulation and ensure their release. It is best to discuss the use and benefits of these medications with your doctor before starting treatment.
2. IUI / IUTPI comes second. , Delivering semen into the uterus or delivering semen into the uterine membrane In this treatment, healthy germs are inserted directly into the patient’s uterus. This treatment is beneficial for women whose vaginal fluids are spermicide or whose husband’s sperm count is very low.
For this procedure, the time is chosen when the time for hatching is near, ie during the fertilization window (12 to 36 hours before hatching or LH surgery). The timing of ovulation and IUI / IUTPI can be determined from the patient’s routine monthly system or from fertility-enhancing drugs, depending on the cause of the patient’s infertility.
3. Surgery: Treatment of uterine tumors or any type of wound with a camera (hysteroscope or laparoscope).
4. Assisted Reproduction Technology: This includes every treatment in which sperm and eggs are handled outside the body. The ART team consists of physicians, psychiatrists, embryologists, lab technicians, nurses, and related field staff who work together to help an infertile couple have children.IVF or test tube baby is the most popular. In it, large quantities of eggs are obtained from the wife’s ovaries through medication, which is mixed with the husband’s germ in a laboratory dish. The fertilized egg is placed in the uterus 3 to 5 days after fertilization. This 3 to 5-day interval is absolutely necessary to confirm the success of fertilization.

The first of the other techniques used during IVF is icsi. In this technique, a healthy bacterium is injected into a mature egg. This method is useful for couples where the amount or quality of sperm is low, such as a case of slow germs or a couple in which routine IVF has failed.

On the other side is assisted hatching. In this technique, the outer membrane of the fertilized egg is opened (hatching, egg hatching) and it is attached to the uterine membrane.

Third, donor eggs or sperm are used, but this technique can only be used in Pakistan in the case of two wives of the same husband in which a healthy wife agrees to give her egg to a barren wife. This method is commonly used in the West and through it completely infertile men and women who have severe sperm or ovarian defects are making up for their deficiency. In this method, the egg sperm or embryo (fertile egg) is obtained from the donor and placed in the uterus of the recipient.

Fourth is the pregnancy career number. Suppose a woman whose egg is completely healthy but has a problem in her uterus that the uterus is not suitable for conceiving or the pregnancy is dangerous for her life. Such a woman can place her fertilized egg/pregnancy in a carrier woman through her test tube. This method is also not used in Pakistan. In the West, infertile couples, elderly childless couples, and homosexuals are having children in this way.

Treatment complications

* Treatment of infertility may face the following complications:
Multiple pregnancies: This is the most common and beautiful complication. Beautiful because two or three or more children come together in one swing while trying one. In general, the more babies there are in a pregnancy, the greater the risk of premature birth. Similarly, the risk of pregnancy diseases such as diabetes is multiplied. The health and life of a premature baby are also at different and severe risks. Talk to your doctor before treatment about how to avoid having multiple pregnancies.
Ovarian Disease (OHSS): Medications are given to treat infertility accelerate the process of egg formation and can lead to OHSS. The ovaries become swollen and swollen. Mild abdominal pain, bloating, and nausea are symptoms that can last up to a week. These problems persist for a long time in the case of pregnancy. In severe complications, the abdomen swells rapidly, weight gain and shortness of breath begin. In extreme cases, death can occur. This is an emergency situation and requires emergency measures.

Blood loss or infection: There is also a small percentage of common complications that can occur after any type of surgical procedure.
*, remember! During lactation, the egg-laying process can be slowed down and even stopped completely. Especially as long as the infant is receiving his full diet from the father. During this time, the woman’s monthly system is usually not released. Older women were unfamiliar with family planning but loved breastfeeding their children as much as faith. Consider that most of their offspring will have a gap of two years. This is due to the obstruction of the egg-laying process during lactation. Therefore, if a breastfeeding woman wants the next pregnancy and does not succeed in it, she should seek advice on weaning. If the menstrual cycle continues during breastfeeding, the chances of pregnancy naturally increase.

* Even if a woman’s children are being lost from top to bottom, she is not infertile. There are many apostles who do not allow the seed to take root. Please treat such a couple, do not declare them infertile. I usually see that the pressure of the in-laws to get pregnant increases so much that the couples meet each other not in a state of happiness but in a state of hope and fear and anxiety. Stress, whether physical or mental, interferes with a woman’s egg formation and ejaculation. Couples who are close due to stress are less likely to get pregnant than those who are under stress. In such a situation, the role of the husband is important. His consolation saves his wife from mental and emotional stress. In the same way, when the doctor assures the couple that they are completely healthy after the examination and test, then the couple can be seen receiving good news in a short period of time without any medicine. We all have a shared responsibility to save such an affected couple from family and social pressures.

Arrange for prayers as well as medicine. The sustenance is only in the hands of the sustenance and the children are also a kind of sustenance.
He bestows (only) daughters on whomever He wills, and bestows (only) sons on whomever He wills, or gives them daughters and sons, and leaves childless whom He wills. Verily, He is the All-Knowing, the All-Powerful. ”(Qur’an)
Stay in touch with God Almighty who can bless Hazrat Zakariya (as) with Hazrat Yahya (as) in his old age. ۔ Bus! Don’t let your relationship with the Lord weaken.

World Scenario of Infertility

What is infertility? What is its rate? Which of the following is responsible for infertility? Infertility is a disease of the reproductive system that results in a couple not being able to enjoy pregnancy for 12 months of married life, despite spending time with each other (without family planning). According to today’s standards, infertility is considered a strict term and has been replaced by subfertility. In the same way, it was possible to save the couple from complete despair and to maintain their courage, as well as a great deal of freedom from social pressure.
What is the rate of infertility in the world? According to statistics, 50 million couples worldwide are affected by infertility. According to the National Health Service, 10.5% of women worldwide have secondary infertility. This problem is most common in women in Russia and all other Central Asian states in the world. In addition, women in Malaysia, Indonesia and Liberia also suffer from this problem.

Only 2% of the world’s population has been diagnosed with primary infertility. The countries with the highest rates of primary infertility in the world include Pakistan, Yemen, Ukraine, Georgia, Morocco and Cameroon. The countries with the lowest rates of infertility include Bolivia, Peru, Ecuador, Australia, Bangladesh, China, Mongolia, Kazakhstan, Uzbekistan, Turkmenistan, Kyrgyzstan, Nepal, Burma, Sudan, Ethiopia, Somalia, Uganda, These include Tanzania, Namibia, Botswana and Zimbabwe.
According to the World Health Organization, it is almost impossible to determine the rate of infertility because no single clear definition of infertility is possible, so the diagnosis and reporting of infertility is usually incomplete. It is important to remember that the causes of infertility include both men and women. In general, 33% of the causes of infertility in couples are found in women only, 33% in men only and 34% in couples.



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