Infertility - Sterility

We call this way to the impossibility of conceiving or to the failure of the generative feature. They are considered sterile 10% of the couples, and it cannot be accepted that sterility exists until a couple takes two years of sexual normal relationships. The very generalized belief that the lawsuit of the sterility is always of feminine origin, it is a great error that currently cannot be accepted. The man is also responsible for the sterility in 40% of the cases, in spite of conserving the sexual seemingly normal features. The sterility should be treated in common, owing the couple to go to a responsible gynecologist.

It is important to scan detailedly with the gynecologist, the habits of sexual activity. Some couples don't make coitus with the enough frequency so that a gestation happens times for religious reasons, there is who distance the sexual such relationships that don't take place in the moments of more fecundity. If the woman's cycles are short, and their relatively long menstrual periods, the ovulation can correspond to the period of abstinence. Or to the inverse one, the frequency of coitus can diminish or to overwork the capacity of production of the male's spermatozoa partially, reason why some days of rest they will improve the content of the ejaculation of this. Also, the position adopted during a coitus or after him, it can influence in the possibilities of the approach.

Among the lawsuits of sterility we can find: in the man, firstly the dysfunctions of the spermatozoa. When complete absence of them exists it is said that there is azoospermia; and when there is a decrease it is named oligoespermia. A normal man has in each ejaculation from 60 to 120 million spermatozoa for cubic centimetre. When there are less than 40 millions for cubic centimetre an oligoespermia it exists and it is difficult the fecundation. The ullage of spermatozoa can be due to an obturation, for lack of development of the channels male genital, or to adherences caused by tuberculous infections or old gonocócicas. Their decrease can also be due to hormonal dysfunctions. Another masculine dysfunction is the impotence, more or less hidden, and that it can obey organic lawsuits, when an illness of the penis exists, or to psychic lawsuits, among those that it can figure the repulsion more or less larvada toward the couple.

Another class of dysfunctions, they are the combined ones, that is to say that embrace the man and the woman. They are for example the barriers to the climb of the spermatozoa in a half vaginal one hostile, for abnormal mucus, acidity excess, inflammations of the neck of the uterus named cervicitis, among other.

In the woman, the same as in the man with the spermatozoa, they can exist the dysfunctions of the ovulation in the first place, with ovulation ullage or with ova of diminished vitality. The existence and accuracy of the ovulation can be determined by means of the basal temperature. The dysfunctions that produce an obstruction of the trumpets come later and they impede the step of the ovum from the ovary to the uterus; concretely it is this one of the most frequent lawsuits in feminine sterility and it is the result of a tuberculosis, gonococia or inflammations that have cured with adherences. They can also hinder more or less the coitus the vulva closed and the vaginismo that consists on a vagina spasm, sometimes very difficult of expiring. Likewise among the feminine lawsuits they should make an appointment the hormonal ones. Naturally, as much in the man as in the woman, the dysfunctions of the development are reasons of sterility.

The treatment of a sterility is complex, patient and I release. It should be continued and to be scanned each one of the parts of the genital apparatus of both spouses.

The Pregnancy - Changes in the Woman's Body

All the modifications that are generated in the woman's body during the pregnancy, are due to the influence of the hormones.

In the genital, the uterus is which suffers bigger quantity of modifications. Their volume quintuples passing of the 30 or 40 grams of habitual weight, to 1 200 or 1 500 grams. At the end of the third month it is appraised, for palpation of the stomach that stands out above the pubic bone, and in the fifth month it already reaches the navel. The ovaries maintain during the whole gestation the yellow body, remainder, I eat it is already known, of the old cavity that contained the ovum and later field producer of hormones. The vagina and the vulva more vascularizadas are, acquiring many times a coloration blued by the appearance of veins and even of varicose dilations, and it is observed an increase of their secretions or flow that, in start, it can be considered normal.

The mammas increase of size. It exists in them a pressure or swelling that many times are usually a precocious sign of pregnancy. The nipple is more and more pigmented and it is more erectile, flanked of an extensive and dark aureole. In the last weeks, a liquid usually segregates more or less opaque, called calostro that is very useful for the nutrition of the first days of the newly born one.

The abdominal walls suffer a progressive distension, and for repeated pregnancies or for a pregnancy of exaggerated volume, he/she takes place a failure of the abdominal muscles and the appearance, after the childbirth, of the stomach pendulum and of streaks that are consequence of the break of the fibers of this wall.

The remainder of the body suffers the consequences of the pregnancy equally. The weight usually raises about 10 kilograms during the nine months, with a rhythm from 1 to 2 kilograms every month to leave quarter delo. Bigger increases can indicate retention of fat and it dilutes, with the following hazards that it is necessary to avoid.

At the end of the pregnancy the heart increases lightly of size and he/she can give place to throbs or blasts, without transcendency, and that they disappear after the childbirth, because it is not about any injury, but of a transitory state. Changes can also appear in the voice and increase of the oxygen consumption.

The digestive system is also altered. It is frequent the appetite ullage in the first months and their increase later. Nauseas, vomits and constipation also appear. The gums bleed easily. The digestion and in general the whole intestine, they have a delayed feature. It raises the urination excretion when the urinary dilated channels being, that which favors the appearance of infections in this apparatus and he/she leaves as sequel many times, after the childbirth, urination incontinence and cystocele, that is to say, the urinary dilated bladder and drop. It is of current observation the increase of pigmentation in the skin, especially in the forehead, cheeks and nose, what constitutes the mask or cloasma gravídico. The genital, the areolas and the white line of the abdomen are also pigmented that becomes in moraine. Finally the psyche doesn't vary with the pregnancy, and if he/she makes it, it is only slightly, raising the irritability, the trend the dream, the instability, the depressive boxs encumber they are always boxs preexistentes that the pregnancy shows.