Why have children still infertile? – VnExpress

Infertility after having children, also known as secondary infertility, can be caused by the wife or the husband, or both.

According to the medical definition, secondary infertility is a situation in which couples who have already had a child, or have been pregnant at least once, want to have another child but have difficulty. Although they have regular sex, do not use birth control for 6-12 months, but do not have children.

Being infertile despite having a daughter at the age of 10, Ms. Hoa (Tan Phu, Dong Nai) went to 3 different hospitals for check-ups. Doctors all have the same conclusion that she is infertile secondary to ovarian failure, thin endothelium. At the age of 37, Ms. Hoa’s AMH index was only 0.8, making it difficult to get pregnant naturally.

Unlucky like Ms. Hoa, Mr. Tan and his wife have been married for 3 years, pregnant with their first child, but had a miscarriage at 19 weeks. Expecting a baby for 2 years later but no good news, they went to the fertility clinic and was concluded secondary infertility, caused by both husband and wife. The husband did not have sperm due to complications from mumps more than a year ago. The wife has uterine fibroids, size 2 cm, blocked left fallopian tube.

Doctor My Tu advises patients on secondary infertility treatment. Image: Manic states.

According to Dr. Pham Thi My Tu, Reproductive Support Center of Tam Anh General Hospital in Ho Chi Minh City, the percentage of couples who have children and then become infertile tends to increase, accounting for nearly 50% of the number of infertility clients being treated at the hospital. Tam Anh General Hospital System.

Secondary infertility can have female or male causes. In women, it is often related to diseases of the uterus, ovaries, old age and especially complications after multiple abortions. In men, it is often due to poor sperm quality, toxic environmental exposure, genital trauma, hypogonadism, mumps…

In addition, those who have an unhealthy sex life and are prone to sexually transmitted diseases also increase the likelihood of secondary infertility.

At Tam Anh General Hospital, couples are examined basically to find the cause of secondary infertility. The wife is evaluated for ovarian reserve, systemic diseases affecting pregnancy, gynecological examination, hysteroscopy – fallopian tube. The husband is examined and has a semen analysis, endocrine test, genetic test, epididymectomy, testicular biopsy… Depending on the results, both will be advised on treatment measures. Fit.

Can secondary infertility be treated?

Doctor My Tu said, today, with modern medicine, the treatment of secondary infertility is not difficult. At Tam Anh General Hospital, secondary infertility cases have a high success rate of treatment thanks to the combination of Reproductive Support, Obstetrics and Gynecology, Andrology and Lab.

Hysteroscopy to diagnose female infertility at IVFTA-HCM.  Photo: Phuong Trinh.

Hysteroscopy to diagnose female infertility at IVFTA-HCM. Image: Phuong Trinh.

When treatment methods have been performed but there are no results, the doctor can advise couples to apply assisted reproductive methods. Secondary infertility treatments include:

Medical treatment: Depending on the medical condition of the spouse, the doctor will prescribe the appropriate drugs. In cases of secondary infertility due to infectious diseases, drugs will be prescribed to eliminate the causative agent. In addition, patients can use additional drugs to support anti-inflammatory, increase resistance, improve physical condition to improve reproductive health.

Surgical treatment: Surgery is often indicated for cases such as varicocele, testicular torsion, blocked fallopian tube, blocked vas deferens; submucosal fibroids, uterine polyps…

Assisted reproductive methods: Commonly prescribed methods for couples with secondary infertility include intrauterine insemination (IUI), in vitro fertilization (IVF), and intracytoplasmic sperm injection. oocyte (ICSI), assisted embryo escape (AH)…

Changes in lifestyle and nutrition: To increase fertility, couples should improve their reproductive health through healthy lifestyle changes that combine a rich diet such as regular exercise. exercise, control your weight well, limit the use of alcohol and stimulants…

Doctor My Tu advises couples to pay attention to periodic health checks, especially reproductive health, to get pregnant before the age of 35, to keep a gap between pregnancies of 3-5 years.

Couples need to maintain a healthy and safe sex life, and adhere to the intimate hygiene of both husband and wife before and after sex. For women who need to clean the private area properly, when signs of vaginal infection appear, they should go to the doctor as soon as possible and try to treat it completely. At the same time, improve the health of husband and wife by increasing sports training, eating healthy, limiting tobacco and alcohol, avoiding the environment of exposure to harmful chemicals…

Tue Diem


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