Diagnosis and treatment of i birth control

The article was consulted professionally by Specialist Ii Huynh Thi Hien – Obstetrician and Gynecologist – Obstetrics and Gynecology Department – Share99 Nha Trang International Health Hub.

Infertility is infertility when the wife has not been pregnant yet, after 1 year of co-living is not pregnant despite normal interseding and does not use contraceptive methods.

According to the World Health Organization WHO, infertility is a condition where couples cannot have children after 1 year of living together despite not using normal contraception and intersable. For wives over the age of 35, the period of "release" after 6 months without pregnancy has been evaluated as infertile. In Vietnam, the infertility rate is about 7.7%, which is about 1 million infertile couples.

Infertility is classified into 2 forms: Primitive infertility and Second-born infertility.

If second-born infertility is a condition where a couple is pregnant, but then can no longer get pregnant, then i birth infertility is a condition where the couple cannot get pregnant even though they have never conceived. Primitive infertility is more common than a second-born one at a rate of 70% of cases of infertility. For the treatment of ipsyinfertility , it is necessary to depend on the cause in both spouses, after which the new doctor has the appropriate treatment.

Methods of diagnosing infertility for women:

First, the doctor will make a clinical examination and conduct tests to find problems during ovulation in women. Tests for the diagnosis of iiveness in women include:

• Uterus imaging;
• Check the reserve capacity of the ovaries;
• Hormone tests;
• Pelvic ultrasound;
• Check for ovulation.

Methods of diagnosing primitive infertility for men:

Similar to women, men will be examined clinically by doctors, then conduct tests to find problems during esacing and sperm production. Tests for the diagnosis of iiveness in men include:

• Semen test;
• Hormone tests;
• Ultrasound of the scrotum;
• Genetic testing;
• A bio biosy of the testicles.

The principle of treatment of iive birth control should be based on the cause of the disease. This is the basis for the doctor to be able to give the most appropriate method. Treatments for i infertility based on the cause of the disease include:

Lifestyle changes:

Couples can control their birth infertility with healthy lifestyle changes. Limit greasy and alcoholic foods; Exercise regularly. Improves being too skinny or too fat; Do not smoke, drink alcohol; Supplement healthy foods to improve sperm quality, not to affect ovulation and menstrual cycles.

Men need to have healthy living habits, limit alcoholic substances, eat healthy foods to improve the quality of sperm.

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Use of the drug

Cases of pathology-in-the-first infertility will be prescribed medications or surgeries based on the condition of the disease. The drugs for the treatment of cause-based infertility include: Use of drugs that help conceive to stimulate ovulation for women who suffer from infertility due to ovulation disorders; Medications for problems affecting men's fertility such as erectile dysfunction,hormone imbalance … Antioxidants or specialty drugs to improve sperm quality; Antibiotics to treat inflammation, destroy bacteria, facilitate healthy sperm and move more easily.

Surgery

Surgery is in place in the following cases:

In females: Surgery to solve problems in the uterus such as endometrial polyps; scar tissue in the uterus; the septum of the uterus…

In men :Surgery to treat obstruction of the duct tube; Varicose veins surgery in the testicles…

Assisted reproduction methods

In case of application of methods of using drugs, surgery, lifestyle changes … but to no less result, couples can look to assisted reproductionmethods . Some of the main methods of assisted reproduction include:

• IVF in vism invismization : In this method, instead of sperm and eggs combined in the female's proboscis will be combined in vi proboscis. After the embryo is successfully formed, it will be transferred back into the uterus chamber for the embryo to nest, which develops into the fetus.
• Injection of sperm into ovules (ICSI): A good quality sperm is selected for injection directly into the ovule in order to increase the likelihood of fertilization. After successful fertilization, the embryo will be cultured until the 3rd or 5th day and then transferred to the mother's uterus for nesting, developing into a healthy fetus.
• Support for membrane drainage (AH): Is a method of thinning or opening the outer membrane of the embryo, increasing the adhesion of the embryo to the lining of the uterus, thereby increasing the nesting capacity of the embryo.
• Embryo transfer (5th day embryo): Embryo transfer (5th day after the date of egg poking) increases nesting capacity, increases pregnancy rate, and limits the risk of multiple pregnancies due to the number of embryos to be transferred less than the number of embryos transferred on day 2 or 3.
• Method of in-test ovule m maturity: After ovule puncture, the inmamed ovules can be further cultured in the in viinal fertilization labo for about 24-48 hours to reach adulthood. Only adult ovules are capable of fertilizing with sperm and developing into embryos.
• Pumping sperm into the uterus (IUI): Is a method of sperm being filtered washed, selectively healthy sperm to pump directly into the woman's uterus to increase the likelihood of conception.
• Get sperm by procedure in case of male infertility
• Receiving ovules, sperm and embryos…
• Cold storage of embryos, sperm and ovules

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