Infertility in women: causes, symptoms and diagnosis
REPRODUCTION
40% of cases are associated with female factors.
The female infertility accounts for 40% of cases associated with gender factors that prevent having a baby, but now there are methods to fulfill this dream, such as assisted reproduction.
Dr. Karina del Carmen Olmos de la Torre, specialist in Gynecology and Obstetrics, indicates that it is very important to understand what is female infertility and its causes or factors. One of the first to be considered is age, since it is related to 25% of cases in women over 35 years and 30% in people over 40 years old, the specialist indicates, details the specialized portal SuMedico.com.
The World Health Organization (WHO) defines infertility as the inability of a couple to conceive after 12 months of frequent sexual intercourse, without contraceptive methods, in women under 35, which is reduced to 6 months of sexual intercourse frequent for women over 35
Overall, the causes of infertility are divided into 40% by male factors, 40% by females, 10% by mixed factors, and the last 10% by unknown causes.
Regarding the most common causes of female infertility, the WHO indicates that they are:
- Ovulatory disorders (25%)
- Endometriosis (15%)
- Pelvic adhesions (12%)
- Tubal obstruction (11%)
- Other tubal alterations (11%)
- Hyperprolactinemia (7%)
A large percentage of cases of female infertility is asymptomatic, however, when they are present, Dr. Carmen explains that the following signs or symptoms have been identified: irregular menstruation, milk secretion from the breasts, moderate to severe pelvic pain.
To carry out an adequate diagnosis of female infertility, the specialist of Ingenes indicates that factors such as clinical history, lifestyle and various tests must be evaluated, including several aspects:
Clinic history
- Duration of infertility
- Menstrual history (characteristics and duration)
- Medical and surgical history
- Obstétricos Background
- Family history (infertility, genetic)
- Drug addiction.
Lifestyle
- Physical exploration
- Body mass index and physical characteristics (Habitus)
- Thyroid and Mama
- Vaginal touch to rule out a tumor when Pelvic Inflammatory Disease is suspected.
Diagnostic tests
- Semen analysis for detection of male infertility
- Transvaginal ultrasound for evaluation of uterine cavity and ovarian reserve
- Hysterosalpingography, when tubal cause is suspected
- Other hormonal tests (FSH and AMH).
When to go to a diagnosis for female infertility?
A timely diagnosis is vital to receive the most appropriate treatment for the respective cause of female infertility, since the ovular quality decreases with age.
Because of the above, Dr. Karina del Carmen recommends that women under 35 years of age go for a revision: if after a year of sexual intercourse they have not achieved pregnancy, in adults over 35 years after 6 months, and before 6 months if they have any of the following characteristics:
- Be over 40 years old
- Frequent menstruations
- Endometriosis
- Antecedents of chemotherapy or radiotherapy.
How to know if I am fertile?
Remember that if you and your partner have been trying to be parents for a long time but can not, it is very important that you go to a specialist in assisted reproduction who will perform infertility tests and can give you a correct diagnosis, as well as the best treatment option for fulfill your dream of having a baby.
40% of cases are associated with female factors.
The female infertility accounts for 40% of cases associated with gender factors that prevent having a baby, but now there are methods to fulfill this dream, such as assisted reproduction.
Dr. Karina del Carmen Olmos de la Torre, specialist in Gynecology and Obstetrics, indicates that it is very important to understand what is female infertility and its causes or factors. One of the first to be considered is age, since it is related to 25% of cases in women over 35 years and 30% in people over 40 years old, the specialist indicates, details the specialized portal SuMedico.com.
The World Health Organization (WHO) defines infertility as the inability of a couple to conceive after 12 months of frequent sexual intercourse, without contraceptive methods, in women under 35, which is reduced to 6 months of sexual intercourse frequent for women over 35
Overall, the causes of infertility are divided into 40% by male factors, 40% by females, 10% by mixed factors, and the last 10% by unknown causes.
Regarding the most common causes of female infertility, the WHO indicates that they are:
- Ovulatory disorders (25%)
- Endometriosis (15%)
- Pelvic adhesions (12%)
- Tubal obstruction (11%)
- Other tubal alterations (11%)
- Hyperprolactinemia (7%)
A large percentage of cases of female infertility is asymptomatic, however, when they are present, Dr. Carmen explains that the following signs or symptoms have been identified: irregular menstruation, milk secretion from the breasts, moderate to severe pelvic pain.
To carry out an adequate diagnosis of female infertility, the specialist of Ingenes indicates that factors such as clinical history, lifestyle and various tests must be evaluated, including several aspects:
Clinic history
- Duration of infertility
- Menstrual history (characteristics and duration)
- Medical and surgical history
- Obstétricos Background
- Family history (infertility, genetic)
- Drug addiction.
Lifestyle
- Physical exploration
- Body mass index and physical characteristics (Habitus)
- Thyroid and Mama
- Vaginal touch to rule out a tumor when Pelvic Inflammatory Disease is suspected.
Diagnostic tests
- Semen analysis for detection of male infertility
- Transvaginal ultrasound for evaluation of uterine cavity and ovarian reserve
- Hysterosalpingography, when tubal cause is suspected
- Other hormonal tests (FSH and AMH).
When to go to a diagnosis for female infertility?
A timely diagnosis is vital to receive the most appropriate treatment for the respective cause of female infertility, since the ovular quality decreases with age.
Because of the above, Dr. Karina del Carmen recommends that women under 35 years of age go for a revision: if after a year of sexual intercourse they have not achieved pregnancy, in adults over 35 years after 6 months, and before 6 months if they have any of the following characteristics:
- Be over 40 years old
- Frequent menstruations
- Endometriosis
- Antecedents of chemotherapy or radiotherapy.
How to know if I am fertile?
Remember that if you and your partner have been trying to be parents for a long time but can not, it is very important that you go to a specialist in assisted reproduction who will perform infertility tests and can give you a correct diagnosis, as well as the best treatment option for fulfill your dream of having a baby.
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