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The Truth About Infertility

Infertility is the inability to conceive; it
may be remedied. However, should theWithin an hour or two after intercourse, the
conditions persist, it is referred to asphysician aspirates cervical secretions with
sterility.a long cannula. The woman is to be instructed
not to void, bathe, or douche between coitus
In the United States, one out of every 8 toand the examination; a perineal pad is worn
10 couples are childless because ofuntil she is placed in ?lithotomy position?
infertility; it is a major medical and socialin the examining room. Aspirated material is
problem. Both husband and wife are urged toplaced on a slide and examined under
seek medical attention for completemicroscope for presence and viability of
examinations and evaluation, since almost assperm  cells.
many  men  as women cause a sterile marriage.
Treatment
It is usually recommended that the male be
evaluated first, because tests for the femaleThe treatment of sterility is a difficult
are more expensive and time-consuming. Suchmatter, because it may be caused by a
tests may require the services of acombination of several factors. Efforts are
urologist, gynecologist, endocrinologist, andmade to build up the general health of the
internist.patient, supplying lacking glandular hormones
as  indicated.
In the female, the organs of reproduction and
the glands influencing them are evaluated.Operative treatments include removal of
Among the causative factors may beobstructions and plastic operations to
displacement and tumors of the uterus,restore tubal potency. Unfortunately, these
genital infantilism, and inflammation. Toare not too successful; in addition, there is
allow fertilization of an ovum, it isa high incidence of tubal pregnancy following
necessary that the vagina, cervix, and uterussuch  operations.
to be patent and have mucosal secretions
receptive to the sperm. Semen is alkaline, asThe psychic and social factors of infertility
is cervical secretion; normal vaginalmust not be overlooked. Among some religious
secretion  is  acid.groups and nationalities, it is important to
have blood descendants; adopting children is
Treatment is directed towards correcting thenot  acceptable  in  these  families.
deficiencies encountered in the individual
patient. The following tests assist theIn other family groups, the man?s virility,
gynecologist  in  delimiting  the  problem.or woman?s femininity are suspected when a
couple fails to have children. Many
1.  Rubin  testpregnancies have occurred after an infertile
couple has adopted a child, moved to another
This procedure is to determine the potency oflocation, or the husband had a change of
the fallopian tubes by introducing carbonjobs.
dioxide through a sterile canula into the
uterus, into the tubes, and into theAll of these things indicate that the
peritoneal  cavity.concepts behind infertility are not absolute
and concrete. There are instances that the
By listening with a stethoscope on theinformation about this particular problem may
abdomen, the physician may hear the gashave underlying causes that should not be
swishing into the abdomen. If the pressureblamed on the inability of the person to
gauge reaches 200 mm. of a mercury, anconceive.
occlusion  may  be  suspected.
Boiled down, the problem on infertility is
2.  Salpinogram;  Hysterosalpingogrammore of a social problem than a biological
problem. It is not the aspect of not being
A radiopaque substance is often used toable to conceive that persons involved are
determine the site of tubal obstruction; anhesitant  to  disclose  the  matter.
x-ray picture then shows the outline of the
tubal  lumen.If it is more than just biological malady,
then, it requires tough solutions.
3.  Hubner  test



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