In order to know why pregnancy did not happen, we have to test 4 basic things:
1. Sperm
2. Towing
3. Pipe (where sperm and egg meet = fertilization site)
4. The uterus (receives fertilized egg)
Therefore, it is necessary to detect these things before starting treatment
In 40% of the cases, the problem is in the husband and in 40% of the cases the problem is in the wife and in 10% of the cases the problem is in the husband and wife together and in 10% of the cases to find a problem in the husband or wife
When visiting a doctor: Usually the doctor starts by asking about the history of patients and the regularity of the session and whether there are previous operations or other disease so you should be ready to answer such questions
Detection is important and usually the doctor looks at the abnormal growth of hair or the presence of secretions of the breast
After that, it is necessary to perform the analyzes and can be completed in a month where there are certain times during the session where the work of analysis and general tests can be started as follows:
Analysis of sperm per day 4-5 for the menstrual cycle (the first day of menstruation = day 1 of the session). The analysis requires abstinence from sexual intercourse for 4 days
Blood analysis of the wife to detect FSH + LH + TSH + Lactin and can be done on day 3-5 of the course
Rays of the dye on the uterus and tubes in the day 6-8 of the session or after the menstruation day or two rays sonar to follow the growth of the egg can work between the day 11 to 16 of the session and possible to test after intercourse during this period with the test of cervical secretions
Blood analysis to detect the progesterone hormone on day 21-22 of the cycle where it confirms the occurrence of ovulation or infertility
It is possible to perform laparoscopy in the day 20-25 of the course with a sample of the lining of the uterus, so all tests and tests required have been done in one month and we can reassure the couple on the analysis or start the treatment plan after one month should be alerted that the conduct of these tests and tests should Is complete even if a problem was detected in one of the analyzes where some when the discovery of the absence of ovulation cancels the detection of the tubes or analysis of the husband and remain the wife to treat the activation of the ovaries without pregnancy because of a problem not detected in the tubes or analysis of the husband.
The presence of an abnormal result of one of the tests or tests does not mean that the problem exists but must be confirmed by the re-analysis to ensure that the problem continues.
Sometimes it is difficult for the couple to accept the existence of a barrier to pregnancy and therefore we find that many resort to change the doctor constantly with the return of tests or treatment without tests to detect the problem and thus wasted a long time without interest.
With the advancement of technology we can find solutions to the problem but always remember that the problem should first be identified in order to be solved with the assurance that the basic analysis has been done where it is often found that the analyzes are done at intervals and sometimes treatment is a problem such as non-ovulation without Detection of tubes or semen analysis so we find a lot of wonder why pregnancy did not occur despite the occurrence of ovulation.
Abstract In order to be pregnant there must be sperm capable of fertilization (sperm analysis). There is regular ovulation (analysis of the hormones of the wife + sonar) and the existence of healthy tubes to meet the egg and sperm (ray + Rays of the dye + endometrium sample + test after intercourse)