Getting married and having children is what most couples dream of. The arrival of a beloved child gives happiness and new color to household relationships, so it's no wonder that many people are so serious about preparing for pregnancy and the arrival of a baby.
Some of them even started preparing it to coincide with wedding preparations. However, often, couples who have been preparing for pregnancy for quite a long time have not been given a baby. If that happens to you and your partner, you need to pay attention to the state of each other's fertility. As is commonly known, infertility is the main trigger for the difficulty of having a baby.
Definition of Infertility
Infertility that occurs in some women is one of the factors that causes married couples to find it difficult to have children. This situation can be caused by various problems in the female reproductive mechanism, for example hormonal disorders and abnormalities in the reproductive organs.
A woman can be called experiencing infertility if she is not also pregnant, even though she has had sex regularly without using contraception or has even carried out a pregnancy program for one year or more.
Triggers of infertility in women can be caused by various causes, but usually arise due to problems with the ovulation process or the release of eggs from the ovaries (ovaries). When ovulation is disrupted, the egg cannot be released so it is difficult or may not be fertilized by sperm. Therefore, pregnancy also cannot occur.
There is one thing that you must remember that infertility is not only caused by factors from the wife. Factors from the husband or even between the two can be a trigger for difficult pregnancy. As for married couples whose wife is under 35 years old, you should immediately check with your obstetrician if you don't have children in the first year of marriage.
However, if the wife is over 35 years old, within six months after having regular sex without using contraception, she also does not experience pregnancy, immediately consult a gynecologist.
Factors Causing Infertility
The following are factors that can trigger a married couple to experience infertility, including:
- Impaired Testicular Function and Premature Ejaculation
One of the causes of testicular dysfunction is due to varicocele, namely, swelling of the veins in the testicles (scrotum). so that it can increase temperature and interfere with sperm production and function, consumption of certain drugs and supplements, history of cancer, chronic diseases, and an unhealthy lifestyle.
- Age Factor
The older a woman is, the lower her chances of getting pregnant. This is due to the decreasing number of egg cells. Besides that, the older a woman is, the greater the risk of miscarriage and genetic abnormalities in the unborn baby.
It is predicted that around 95% of women aged 35 years will get pregnant after three years of unprotected sexual intercourse. Meanwhile, women aged over 38 years or more only have a 78% chance of getting pregnant at the same time.
- Active Smokers
Smoking habits can increase a woman's risk of having a miscarriage and ectopic pregnancy. Not only that, inhaled cigarette smoke can also make the ovaries naturally aging faster and deplete the number of egg cells prematurely, making this difficult for the pregnancy process.
- Very Unideal Body Weight
Women who are overweight (obese) or even too low are also at risk of experiencing infertility. Calculation of the ideal body weight can be determined from the body mass index (BMI). Therefore, always keep your body weight so that fertility is always protected and your chances of getting pregnant are also getting bigger.
- Consuming Excessive Alcoholic Beverages
The habit of consuming alcoholic beverages to excess or for a long period is found to destroy the organs of the body, including the reproductive organs. Women who frequently drink alcoholic beverages are more at risk of developing ovulation problems and endometriosis. Therefore, stay away from or limit your regular consumption of alcoholic drinks to maintain your fertility.
Stress Too much stress can affect the mechanism of hormones in the body and the performance of the female reproductive organs. If not controlled, ongoing or too much stress can also affect female fertility. Stress also often makes women less eager to have sex, thus reducing the chance of getting pregnant.
- Diseases or Abnormalities
In addition, infertility in women and men can also be caused by several diseases such as ovulation disorders, fallopian tube blockages, postoperative scarring, cervical mucus disorders, congenital abnormalities, submucosal fibroids, endometriosis, and side effects of drugs.
How to Overcome Infertility?
There are two ways to treat infertility in both women and men, namely, non-invasive treatment and invasive treatment.invasive treatments include:
- Healthy lifestyle counseling
- Tracking ovulation cycles Ovulation
- induction to intrauterine insemination (IUI).
In addition to the methods above, non-invasive treatment that can be taken is by carrying out a sperm donor program if the patient wants it.
Meanwhile, invasive treatment in men and women has a different way of handling. Invasive treatment in women includes:
- Surgery, Uterine Surgery,
- Assisted Hatching,
- Donors Oocyte.
While invasive treatment in men by performing microsurgery for patients who have a history of:
- Sperm retrieval,
- Intracytoplasmic sperm injection (ICSI) and
- IVF or IVF.
All of the above treatment measures, of course, are carried out after the patient has gone through the screening related to infertility triggers. After that, the doctor will take further action according to the patient's condition. Therefore, to find out in detail regarding the triggers for infertility that you are experiencing, immediately consult yourself and your partner with your obstetrician.