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The Truth About Infertility

Infertility is the inability tosecretions with a long cannula. The
conceive; it may be remedied. However,woman is to be instructed not to void,
should the conditions persist, it isbathe, or douche between coitus and the
referred to as sterility.examination; a perineal pad is worn
In the United States, one out of every 8until she is placed in ?lithotomy
to 10 couples are childless because ofposition? in the examining room.
infertility; it is a major medical andAspirated material is placed on a slide
social problem. Both husband and wifeand examined under microscope for
are urged to seek medical attention forpresence and viability of sperm cells.
complete examinations and evaluation,Treatment
since almost as many men as women causeThe treatment of sterility is a
a sterile marriage.difficult matter, because it may be
It is usually recommended that the malecaused by a combination of several
be evaluated first, because tests forfactors. Efforts are made to build up
the female are more expensive andthe general health of the patient,
time-consuming. Such tests may requiresupplying lacking glandular hormones as
the services of a urologist,indicated.
gynecologist, endocrinologist, andOperative treatments include removal of
internist.obstructions and plastic operations to
In the female, the organs ofrestore tubal potency. Unfortunately,
reproduction and the glands influencingthese are not too successful; in
them are evaluated. Among the causativeaddition, there is a high incidence of
factors may be displacement and tumorstubal pregnancy following such
of the uterus, genital infantilism, andoperations.
inflammation. To allow fertilization ofThe psychic and social factors of
an ovum, it is necessary that theinfertility must not be overlooked.
vagina, cervix, and uterus to be patentAmong some religious groups and
and have mucosal secretions receptive tonationalities, it is important to have
the sperm. Semen is alkaline, as isblood descendants; adopting children is
cervical secretion; normal vaginalnot acceptable in these families.
secretion is acid.In other family groups, the man?s
Treatment is directed towards correctingvirility, or woman?s femininity are
the deficiencies encountered in thesuspected when a couple fails to have
individual patient. The following testschildren. Many pregnancies have occurred
assist the gynecologist in delimitingafter an infertile couple has adopted a
the problem.child, moved to another location, or the
1. Rubin testhusband had a change of jobs.
This procedure is to determine theAll of these things indicate that the
potency of the fallopian tubes byconcepts behind infertility are not
introducing carbon dioxide through aabsolute and concrete. There are
sterile canula into the uterus, into theinstances that the information about
tubes, and into the peritoneal cavity.this particular problem may have
By listening with a stethoscope on theunderlying causes that should not be
abdomen, the physician may hear the gasblamed on the inability of the person to
swishing into the abdomen. If theconceive.
pressure gauge reaches 200 mm. of aBoiled down, the problem on infertility
mercury, an occlusion may be suspected.is more of a social problem than a
2. Salpinogram; Hysterosalpingogrambiological problem. It is not the aspect
A radiopaque substance is often used toof not being able to conceive that
determine the site of tubal obstruction;persons involved are hesitant to
an x-ray picture then shows the outlinedisclose the matter.
of the tubal lumen.If it is more than just biological
3. Hubner testmalady, then, it requires tough
Within an hour or two after intercourse,solutions.
the physician aspirates cervical



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