Maternity is the main goal and destinationalmost any woman. It is hardly possible to imagine greater happiness than the first smile, the first tooth, the first word of crumbs. But, to the greatest regret, sometimes nature can play a cruel joke with a woman and she for some reason does not get pregnant - what to do in this situation? Very often, such an obstacle to the onset of pregnancy are any problems with women's health. However, in no case should a woman give up and give up the opportunity to feel the happiness that the mother feels while hugging her baby. In this article we will consider the cases of why it is not possible to get pregnant with some women. However, our readers should remember that all the information stated in this article is given only for general acquaintance. Be sure to seek help from doctors - gynecologists with experience in the treatment of secondary infertility, and do not puzzle over the problem of "you can not get pregnant, what to do?" Yourself. To begin with, let's look briefly at the process of fertilization. If the fertilization process proceeds normally, it proceeds according to the following scheme: a mature egg leaves the ovary and begins its progression through the fallopian tube, where, under the condition of having sexual intercourse and viability of the spermatozoa, the egg and spermatozoon merge. The egg immediately starts the process of division and progression into the uterine cavity. The mucous membrane of the uterus, under the influence of certain hormones, changes and becomes able to absorb a fertilized cell, allowing it to gain a foothold. From this moment, pregnancy begins to develop rapidly. However, sometimes this natural process is impossible for some reason. Below are the most common pathological processes in the female body that prevent normal conception.
Pregnancy with one tube after ectopic pregnancy
The first problem, which we will describe - howPregnant after an ectopic pregnancy. As already mentioned above, a fertilized egg moves along the fallopian tube into the uterine cavity, where it is fixed. However, sometimes, under the influence of very different, often completely unpredictable factors, a fertilized cell is introduced not into the uterine cavity, but into the ovary, cervix or, which is much more common, in the uterine tube. If pregnancy begins to develop, doctors talk about a phenomenon such as an ectopic pregnancy. The causes of ectopic pregnancy are such diseases as:
- Chronic endometritis or endometriosis
- Chronic andxitis and other inflammatorydiseases of female genital organs lead to adhesive process and various complications. That's why doctors on a woman's question about whether it is possible to become pregnant with spikes are advised to first get rid of them
- The presence of sexually transmitted diseases, especially chronic, existing for a woman for a long time and taking place in a slow form
All these diseases are quite difficult,for a long time, giving the woman a lot of inconvenience and unpleasant moments. However, the most important and insidious danger that all inflammatory diseases conceal in itself is the formation of a huge number of different adhesions, which often make the fallopian tubes impassable for a fertilized egg, as a result of which the egg is fixed in the fallopian tube. Have this fact in mind when deciding whether to get pregnant with spikes. And if this reason is known to a sufficiently wide range of people, then only a few know about the second reason for developing an ectopic pregnancy. The embryo can be implanted and begin to develop outside the uterine cavity if the egg is fertilized by an inferior sperm. By the way, very often the quality of sperm is affected by the presence of chronic sluggish infectious diseases in men, which can be completely asymptomatic. That is why doctors strongly recommend that all couples planning to become parents in the near future should undergo a two-person examination, both a woman and a man. This will help to avoid various complications of the normal course of pregnancy - the probability of becoming pregnant after laparoscopy is much higher than without appropriate treatment.
Symptoms of ectopic pregnancy
Uterine pregnancy in the early stages proceeds in the same way as the usual safe uterine. A pregnant woman can have all the same signs as with a normal pregnancy:
- Termination of the menstrual cycle
Despite the fact that most often the menstrual cycleThe pregnant woman stops in any case, regardless of whether the pregnancy is uterine or not, in some cases there are exceptions and from these rules. Pay special attention to your condition and state of health in case if the monthly started untimely, or it did not proceed as usual - there were more abundant or, on the contrary, very meager, especially smearing with a syphilis, this is often a sign of trouble, in particular, an ectopic pregnancy.
- The emergence of nausea, dizziness, the appearance of taste perversions and other indirect signs, indicating the presence of a woman's pregnancy
Despite the fact that fixing the ovum outsidethe uterine cavity is a pathological process, the body receives signals that there is a pregnancy and it is developing. Of course, in response to these signals, the woman's body begins to produce certain hormones that change the entire hormonal background. It is as a result of this change in the hormonal background that all symptoms of pregnancy arise. However, remember also that they are not always present not only with ectopic, but also with usual pregnancy. Everything depends on the individual characteristics of the organism of each particular woman.
- Presence of a positive pregnancy test
If a woman who has an ectopic pregnancy,will make a pregnancy test, he will show a positive result. This fact is explained by the same changed hormonal background, thanks to which in the woman's urine there are also certain hormones. They are responsible for the "stripedness" of the test.
- Increased size of the uterus
With a manual vaginal examination of a female doctorThe gynecologist determines the increase in the uterus in the size, according to the probable period of pregnancy. And this process occurs under the influence of the changed hormonal background of the female body. However, a certain amount of time passes, the fetus continues to grow very soon in the fallopian tube, simply there is no room for further growth and development. And the woman has the first, but really serious symptoms of an ectopic pregnancy:
- The woman has pain in the lower abdomen
As a rule, in almost all cases, painEctopic pregnancy is very, very specific: they are extremely acute, localized only on one side, depending on whether the embryo was implanted in the right or left tube. Such pain is usually given to the coccyx. In addition, we can not fail to mention the intensity of pain - the pain is so strong that it can lead to the development of a woman's real pain shock, accompanied by a significant drop in blood pressure and other satellites of this condition.
- The appearance of bleeding
Another very common featureEctopic pregnancy is the appearance of bleeding. It can be either very intense or rather lean. Incidentally, it is the meager secretions of the saccharum that are found most often. To great regret, thousands of women and doctors regret that it is simply impossible to maintain such a pregnancy in principle. The growing fruit simply simply breaks the narrow tube and, as a consequence, begins the strongest bleeding into the abdominal cavity. A serious condition that threatens the life of a woman develops. The faster an ectopic pregnancy is detected in a woman, the less is the risk of developing severe complications. That is why gynecologists strongly advise all women, at the slightest delay in pregnancy, to conduct a pregnancy test, in case the woman has sex life, of course. Otherwise, the first symptoms of pregnancy can be taken by a pregnant woman for the banal beginning of painful periods. If a woman who knows about her pregnancy has any bloody discharge, even if not accompanied by a pain syndrome, she should seek help from a gynecological hospital as soon as possible, and call an ambulance at night . If the pregnancy turns out to be ectopic, a woman should receive high-quality medical care as soon as possible in a hospital - otherwise she risks dying from shock and blood loss. In the same case, if bleeding has occurred in a woman with a normal, rather than an ectopic pregnancy, medical care is extremely necessary in order to save the baby's life. Thus, whatever causes were caused by bleeding during pregnancy, a woman should as soon as possible get into the hospital.
Help with ectopic pregnancy
In addition, if you have a pregnancystill ectopic, remember that. That fate is sure to give you one more, and maybe not one, chance to become a mother. And the sooner the woman will receive medical care, the higher this chance for a successful repeat pregnancy. If an ectopic pregnancy is diagnosed at an early age, doctors use the most gentle methods of treatment. In the abdominal wall with the help of special tools, very small openings are made into which an endoscope is inserted. With the help of an endoscope, the doctor can remove the embryo from the fallopian tube without damaging its integrity. As a rule, such operations are tolerated by women fairly easily, and already on the second - third day they are discharged home. In the same case, if the ectopic pregnancy due to various circumstances in time is not diagnosed and is in a neglected state, doctors, in order to save a woman's life, are forced to resort to more serious measures. Doctors have to perform a full-blown cavity operation with a sufficiently large incision, in order to remove the tube in which the fetus developed. As you understand, this method of treatment significantly reduces a woman's chances of a happy motherhood in the future. However, do not despair, and in this case - since the onset of pregnancy and with one tube is quite realistic. Those who become pregnant after laparoscopy and even remove one tube, give birth to beautiful babies. And the chances of getting pregnant after laparoscopy, as well as the probability of getting pregnant after hysteroscopy, are much higher than without any treatment. Whichever way the doctors remove the fetus - with the help of laparoscopy or during a lumbar operation - doctors will definitely carefully assess the condition and level of patency of the second fallopian tube in order to objectively assess the woman's ability to conceive in the future. After all, those who became pregnant with spikes once and encountered the problem of pregnancy, are in a group at increased risk of the recurrence of such a pregnancy. And the question of whether it is possible to conceive after laparoscopy for them is not even worth it - often it is laparoscopy to eliminate the obstruction of fallopian tubes that allows a woman to give birth to a child. As a rule, the chances of a repeat pregnancy in women who are faced with this misfortune are high enough. Pregnancy can occur even if one of the pipes is removed completely, provided that the patency of the second pipe is not broken. However, there is also the second side of this issue. To the great regret, the risk that the case of ectopic pregnancy will recur again is great enough. This fact is explained simply - as a rule, ectopic pregnancy is most often caused by tube adhesions, which lead to various inflammatory diseases. But, as a rule, these diseases affect both fallopian tubes, leading to the appearance of an adhesive process, which violates patency.
Pregnancy after ectopic
For successful pregnancy is veryit is important to follow all the recommendations of gynecologists. Firstly, the first time after surgery for an ectopic pregnancy necessarily be protected during the time that is necessary for the female body for a successful and complete rehabilitation. As a rule, the doctor determines how long this period will last, based on observations of the woman's condition. Also, be sure to pay attention to such an aspect as a means for preventing pregnancy after an ectopic pregnancy. Do not listen to the advice of friends and girlfriends - it is much more reasonable in this case to take into account the opinion of your treating doctor - a gynecologist. So, for example, doctors extremely do not recommend the first six months after an ectopic pregnancy to use for contraception with an intrauterine device. As a rule, a woman who plans to become pregnant after an ectopic pregnancy is under the constant and close supervision of doctors, and before the onset of pregnancy receives an intensive course of treatment aimed at preventing the onset of a repeated ectopic pregnancy. But remember - even in the event that, despite all the efforts of physicians, for some reason, you will have a repeated ectopic pregnancy and, in the worst case, you will have both ectopic tubes removed, do not despair and fall into despair , forever giving up the opportunity to have their children. The level of modern medicine is so high that it allows a woman deprived of both fallopian tubes to safely endure and give birth to her long-awaited crumbs. To do this, doctors use IVF, which will be discussed below.
Pregnancy in polyps
Another question - is it possible to become pregnant whenpolyps? There is a huge number of different polyps. And if the presence of polyps of the cervical canal or cervix, there are no special obstacles to the onset of pregnancy, because it is very fast and without any labor. And polyps endometrial uterus deliver much more problems than all other types of polyps - getting pregnant after removing the polyp is much easier and safer. The first thing to be said about is the reason for the polyp of the endometrium. In most cases, the cause of the occurrence of endometrial polyps in a woman becomes artificial abortion or a complicated course of childbirth. Usually, if after the scraping of the uterine cavity during the interruption of pregnancy the doctor leaves there the fetal tissue, on this place and appears the polyp of the endometrium. Approximately the same thing happens in the case if after the birth the latter does not completely leave, and the doctor did not notice the small remnants of the placenta in the uterine cavity - the development of the endometrial polishers will not make you wait. In both cases, the cause of polyps of the endometrium are those blood clots that remain on the uterine mucosa. Very quickly, the connective tissue begins to grow rapidly in the place of blood clots. The polyp has the property of growing very very quickly and literally in a few weeks can reach considerable dimensions. In the same case, if the polyp was formed from placental tissue, he and the name is appropriate - placental. It is also worth noting that polyps can be of a variety of sizes. And, for the sake of justice, it should be noted that the size of polyps does not always affect the possibility of conception. Often a woman can not conceive for years, because she has a small polyp that does not externally show itself in any way. And it is found only by chance, when a woman undergoes a thorough examination for secondary infertility. Any woman, and even more so, the one that plans to become the mother of charming crumbs in the future, if she is diagnosed with such a disease as the endometrial polyps of the uterus, it is necessary to undergo treatment as quickly as possible. Remember that the earlier the polyp is removed, the less likely it is that various complications will develop as a result of the disease. Polyps of the endometrium significantly impede the movement of the fetal egg in the uterine cavity and its subsequent implantation. Of course, with the polyp of the endometrium, pregnancy may occur, but remember that with this pregnancy, the risk of spontaneous abortion significantly increases. This factor is also another argument in favor of removal of the polyps of the endometrium before the onset of pregnancy. In some cases, although it is rare enough, a gynecologist can prescribe a treatment for an endometrial polyp to a woman who is in early pregnancy. Such treatment is carried out only in a hospital, under constant strict medical supervision. Always remember that in the event that previously you have already removed the endometrial polyp of the uterus, you need to constantly see a doctor - a gynecologist. Polyps of the endometrium are quite an insidious disease, which has the property of giving relapses, and not once. And even in the event that in the future you do not plan to become a mother again, remember that the endometrial polyps of the uterus can give a number of other complications, besides secondary infertility. Unfortunately, sometimes even radical treatment of the endometrial polyps of the uterus does not bring the proper result - the disease returns again and again, preventing the woman from becoming pregnant. For the sake of justice, it is worth noting that such cases are rare, but they do exist. And you can not simply not mention them. In this case, a woman can be helped by IVF. The embryo sits down in the uterus at the most favorable time for it, between relapses of the disease.
Pregnancy IVF - what is it?
ECO is the abbreviated name ExtraCorporal Fertilization. Its name derives from the Latin expression "extra corpora", which literally translates as "outside the body." This achievement of modern medicine and science makes it possible to become parents to those couples who have tried all other methods of treating diseases leading to infertility - both primary and secondary. Pregnancy through IVF is possible in 90% of all cases of infertility - both male and female. Those who become pregnant after stimulation and artificial insemination, go through all the same stages of pregnancy, excluding only the process of conception. The principle of this method of artificial insemination is as follows: the very process of fertilization - the fusion of the egg and sperm - occurs in artificially created favorable conditions, in a special incubator, and not in the fallopian tubes, as it happens in natural conditions. The founders of this method of artificial insemination are British scientists. It was thanks to their titanic efforts and painstaking work that the first child "from the test tube" appeared - the girl Lisa Brown. There was this joyful event in 1978. Today, IVF fertilization has become an almost routine medical procedure - more than 50,000 children are born every year, conceived through in vitro fertilization. And these children are absolutely not distinguished in any way among their peers, conceived in a natural way. At the moment, Eco is recognized by the World Health Organization as the most effective of all currently available treatments for persistent infertility. This fact is explained very simply - the effectiveness of this procedure reaches 70% even in the most severe cases. This method of artificial insemination made it possible to feel the joy of being parents even to couples who had lost all hope for this.
Indications for IVF
At the very beginning of the history of IVF, artificialFertilization was performed only if a woman who wants to become a mother does not have both mother tubes. However, the list of indications was constantly replenished, and in our time it includes the following diseases:
- Various abnormalities of the fallopian tubes
There are a lot of anomaliesFallopian tubes - both congenital and acquired. So, congenital anomalies arise during the development of the girl in the womb of the mother, and acquired are the result of diseases occurring in the woman. In particular, partial or complete obstruction of the fallopian tubes can be a consequence of a woman's inflammatory diseases of genital organs of various origin, surgical interventions or ectopic pregnancy.
Endometriosis is a fairly serious disease in which the endometrial layer migrates beyond the uterus. Endometriosis is often the cause of persistent secondary infertility.
- Disorders of the endocrine system
Of course, the very presence of such a womandiseases like diabetes mellitus, impaired function of the pituitary or adrenal glands, is not an indication for IVF. But in the event that they accompany tubal infertility, which is not amenable to other methods of treatment, it is possible to carry out artificial insemination.
- Polycystic ovary
Very often a woman faces the question of howPregnant with multifollicular ovaries. If a woman has a syndrome of polycystic ovaries during the ultrasound, the doctor can observe a large number of cysts located on the ovaries, and when a blood test reveals a clear violation of the normal hormonal background. There is a large enough number of possible methods of treating this disease, but if for some reason it does not bring the expected result, doctors can suggest the patient to resort to the IVF method.
- Age factor of secondary infertility
As is known, the number of ovules in the femalethe body is laid even during intrauterine development of the girl. And, of course, by about 40 years, the stock of eggs simply goes to the end, the probability of conception naturally decreases several times. Significantly deteriorating vitality and ability to fertilize those eggs that have remained. And it is the method of IVF that allows a woman to become pregnant, without looking at her age. For example, the question of how to get pregnant after 40 years in the case of IVF simply does not arise. In addition to the factors of female infertility, there are indications for IVF from the male sexual system. These indications include such violations as:
Azoospermia is a violation of normal functionseminal ducts and testicles. Characterized by this violation of the lack of ejaculate sperm, as such. In this case, IVF will be the only possible way out of this situation. Also very often women ask if they can get pregnant with asthenozoospermia. In this case, the chances of a couple are really appreciated only by a doctor. Among those couples who become pregnant with a bad spermogram, there are both cases of natural conception, and IVF.
Very often, male infertility is caused by dilated veins of the spermatic cord. Another way to treat this type of male infertility, except for IVF, simply does not exist.
- Idiotoptic Infertility
Unfortunately, sometimes doctors facecases, when it is simply impossible to establish the cause of infertility. For example, a woman complains: 2 years can not become pregnant. Doctors conduct a thorough examination, but they still can not find out the causes of infertility.
Features of the IVF method
However, in fairness it should be noted -despite its high enough efficiency, the method of in vitro fertilization, like any other medical intervention, significantly increases the chances of a woman to have a baby, but still can not be a 100% guarantee of an offensive and the successful completion of such a long-awaited pregnancy. But, nevertheless, considering that the number of attempts to get pregnant with IVF is limited only by the financial capabilities of future parents, most often couples manage to achieve the desired goal and give birth to a child. As a rule, the average probability of getting pregnant with IVF for one attempt is approximately 35%. This figure can vary considerably depending on various factors and, first of all, on the age of the future mother. The younger a woman, the higher her chances of becoming pregnant with IVF. Very many women who have decided on in vitro fertilization, are extremely afraid of the side effects that the drugs necessary for special stimulation and preparation for pregnancy of the female body possess. However, all these fears are completely groundless - numerous studies have shown that absolutely all side effects are only temporary, arise only at the time of application of these drugs and disappear immediately after the end of their use. Of course, in vitro fertilization is a fairly serious step, which must be considered not one or two times. You should be prepared for the fact that a long-awaited pregnancy can not occur from the first, nor from the second, or even from the third time. Be sure to carefully study all available information, which describes your case of infertility . Perhaps there are alternative waystreatment, less radical than IVF. In any case, our team sincerely wishes you to hear such a long-awaited word "mom" as soon as possible! We advise you to read: