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Today, infertility increases with the change of many parameters in our lives. Although different problems are observed in men and women, environmental factors, body health and childbearing age are listed as the most important factors affecting fertility. How fertile you can be determined by some tests…
Nowadays, people wonder and want to learn their fertility levels without permanent partners, without even wanting children. When the event is medically approached, it is not recommended to take any tests if there are no symptoms, but if the person insists on this and wants to learn, there are tests that can be performed in both men and women. The spermiogram in men, women in the second or third day of menstruation to look at the hormone FSH hormone is shown as the most basic fertility tests.
FACTORS AFFECTING FERTILITY
Environmental changes: One of the main reasons why infertility is so widely spoken today is its prevalence. The most important factors that increase infertility are environmental factors. ASM Women Health Coordinator Dr. Aydın Arıcı gives the following information about the effects of environmental problems on infertility:
“Now people are using more pesticides. While industrial wastes posed a great threat to the environment, there was a Chernobyl catastrophe followed by some of its consequences, some of which we still do not know. Here, infertility was one of the costs paid with increasing radiation, chemical pollution, industrialization, globalization and the use of uncontrolled pesticides. A European study showed a clear decline in sperm count and sperm motility in men over the past 40 years. ”
Age of childbearing: Of course, one of the most important factors affecting fertility is the increase in the age of childbearing. Today, after coming to a place in the business world and consolidating its place, the idea of having children pushes the age of having children forward. However, women need to see the difference in their productivity. In other words, while sperm production in men is infinitely dependent on age, there is little decrease after the 50s. The reason men cannot have children after a certain age is not due to their inability to produce sperm, but because of different reasons. Unfortunately, women are not so lucky. Because women's egg capacity decreases with age.
Body health: Professor Dr. Aydın Arıcı emphasizes that fertility is one of the most luxurious functions of our body and therefore the body should be healthy for fertility and conveys the following information:
Sağlayan The organs such as lung, liver, heart, brain, which provide the most important vital functions of the body, always have priority. Fertility is not a vital function. If a person is not fertile, he will not die. Therefore, the body is aware of it. Fertility is at risk if a woman is not fed well enough and uses her energy to other functions. For example, marathon runners have almost no menstruation because they shift their energy here because they exercise continuously. The same is true for people who start exercising for a long time, such as ballerinas, at a young age. Ovulation function stops in people entering heavy diets in order to lose weight and in diets up to anorexia. Because the small amount of energy in the body at that time is transferred to vital organs instead of non-vital organs. The body will stop because there is an environment where the baby may grow unhealthy. So in short, a healthy body is needed for fertility. ”
FERTILITY IN WOMEN
There are many factors affecting fertility for women. Among them, egg capacity, egg defect, endometriosis and other factors that affect them.
Egg capacity: Egg production in women unfortunately has a very cruel nature. A woman's egg production takes place only in the mother's womb. About 2 million eggs settle in the ovaries around the fourth month of pregnancy and no more eggs are produced. When the baby is born, it loses half of its eggs and is born with about 1 million eggs. In adolescence, this number decreases to 400 thousand and the eggs are decreasing rapidly from the first menstruation until the age of 45. The chances of a woman becoming pregnant during this period are limited to only 1-3 percent.
While the number of eggs decreases with age, the quality of eggs also decreases. The age at which a woman peaks in productivity is between 20 and 25 years old. ASM Director of Infertility and IVF Unit Op. Dr. Aytuğ Kolankaya, the first quality of the eggs are thrown and then left the poor quality, or the eggs in the body dura dura heat and body hormones with a more poor quality is not yet fully known, he says.
But it is a known fact that the 20-year-old egg cell is not of the same quality as the 30-year-old egg cell. Therefore, women who become pregnant after 35 years of age are likely to be damaged eggs in babies because of the genetic problems are more and this can lead to abnormal pregnancies.
Kiss. Dr. According to the information provided by Kolankaya, 40-year-old pregnancy is likely to be seen in genetic problems. Approximately 80 percent of pregnancies with genetic problems end with miscarriage. Down 20 percent, down syndrome, organ disorders, mental retardation can occur.
With FSH, it is possible to say about 90 percent of the egg capacity. Op Aytuğ Kolankaya, a woman who thinks that they should take action as soon as possible, stating that a woman who continues to continue: But we don't have anything to do anymore. Or they get pregnant due to the presence of eggs in the period immediately after marriage. Getting that kid. They also feel extremely comfortable because they experience something like this. After 4-5 years of protection, it is too late when they want the child. ”
Ovulation disorder: The most common cause of inability to have children in women ovulation disorder that says Op. Dr. Aytuğ Kolankaya, but stresses that this problem can be treated with simple drugs. Menstrual irregularity is an important symptom in ovulation disorder. The most common ovulation disorder is in the polycystic ovary. Temples and pubescence under the navel, which we call hard hair; facial acne, weight changes, menstrual irregularity or no vision are listed as the most important symptoms of polycystic ovary.
Endometriosis: Endometriosis, which causes adhesions outside the uterus and is seen as painful and painful menstruation, can also lead to a decrease in fertility. Endometriosis-free infertile women, seen in 7 to 10 percent of young women, can be seen in 30-50 percent. Endometriosis is a progressive disease and continues with the decline of egg quality Op. Dr. Aytuğ Kolankaya, sometimes can occur in the ovary with cysts, so it is important to diagnose in the early period, he says. Kiss. Dr. Kolankaya, warned the parents, “If the girls have menstrual pains, the underlying cause must be investigated. It should not be forgotten that this may be related to the child's future fertility. ”
Menstrual irregularities: Menstrual irregularities, menstrual pain, intra-abdominal or vaginal inflammation may be a sign of future fertility, such as pointing out that they should not be omitted Op. Dr. Kolankaya says that it is normal for women to have their period between 21-35 days, and if this period is going inconsistently, it should be checked. The amount of menstrual bleeding is also important Op says. Dr. Ank Bleeding usually starts on the first day, intensifies on the second and third days, and cools off on the fourth and fifth days. However, if bleeding continues for a day, it is useful to consult a physician as this may indicate hormone deficiency and decreased ovulation capacity. If bleeding continues intensively for ten days, it may be indicative of changes in the intrauterine tissue as well as a risk of uterine cancer. If bleeding occurs as spotting or after intercourse, it is necessary to investigate whether there is a hormone disorder. Bozuk
Cigaret: One of the most important factors affecting fertility is smoking. Cigarette smoking on women's fertility by 50 percent, there are studies showing that Op. Dr. Kolankaya reminds that there is also information that smoking reduces the man's ability to produce.
Other reasons: In addition, abdominal pain and abdominal pain in the important and permanent damage to the physician should be seen before the occurrence of significant damage Op. Dr. Kolankaya, kadınlar Tuberculosis, can hold the tubes and intrauterine canals, women who have had tuberculosis should be checked at any time. Chlamydia is also known when a sexual disease is detected in a vaginal discharge or spouse, dikkatli he says. In addition, some gynecological diseases can also affect fertility, leading to fibroids. Professor Dr. According to the information given by Aydin Beekeeper, a uterine uterine fibroids can close the uterus to prevent the sperm from going up. If it's on the edges, it can block the tubes. Like uterine fibroids, uterine fibroids can prevent the formation of pregnancy.