What to consider when planning a pregnancy?
The birth of a baby is the most important and emotional moment in the life of each couple. In order for the pregnancy to be as comfortable as possible, it is very important to carefully plan conception.
Special features
Planning a pregnancy is a very important and responsible process. It often happens that the conception of a baby occurs spontaneously. Of course, in any case, the birth of a child is a great happiness, even if the couple did not specifically prepare for its conception.
However, this approach can not be considered responsible. The birth of a baby will require great responsibility from parents. It is better that this quality is manifested at the planning stage of pregnancy.
By the way, psychologists all over the world believe that planned conception is the best test for the maturity of future parents' psyche. This suggests that both man and woman are ready and very willing to have a baby.
Doctors also note that a woman who carefully planned her pregnancy is in a more calm and balanced state in the future. This leads to the fact that the period of carrying the baby in her flows favorably and brings her unknown to this emotion.
Many men believe that only a woman should prepare for conceiving a child. This feature is largely due to the peculiarities of the male psyche. However, this belief is not entirely true. Any doctor will say that Preparing to conceive a baby is a very important process for both men and women.
It happens that despite the preparation for pregnancy, the couple still can not conceive a baby. As a rule, in most cases, she visits doctors and only a woman passes all tests. After all, many men believe that if the conception of the baby does not occur, then this is the fault of their “halves”, but none of them is their own.
Ultimately, this situation contributes to the fact that the couple for quite a long time can not conceive a child. After several unsuccessful years that did not lead to the conception of a baby, the man still decides to seek a specialist for consultation. And what is his surprise when, after a series of tests, the doctor reveals infertility or other diseases of the reproductive organs that prevent conception.
It is very important for a couple who decide to become parents that it is primarily a big responsibility. According to psychologists, the birth of a baby should occur only when a man and a woman are both psychologically mature, that is, ready to be responsible for a new life.
In order for the pregnancy to continue safely, even at the stage of preparing for the conception of a baby it is very important to identify all the diseases that each of the couple has. It also happens that when conducting a complex of such diagnostics, doctors determine pathologies that patients do not even realize.
In such situations, the main thing to remember is that not all diseases are contraindications to conceiving a baby.Also, not all diseases can lead to infertility or reduced fertility (the ability to conceive a child).
After a comprehensive diagnosis, the doctors will make the necessary recommendations. They are compiled both separately for men and for women.
It is very important that such medical instructions are properly written.. They should contain a lot of points. They also include tips on lifestyle changes, on normalizing the regime, on optimizing nutrition, choosing the right diet and much more. The doctor will also indicate the need for taking any medications. In this case, the doctor will prescribe the duration of the course, the multiplicity of the use of drugs, as well as the necessary dosage.
What diseases prevent conceiving a child?
Pathologies that prevent the implementation of conception, in medicine, there are so many. In order to count all of them and tell them in detail, it will take more than tens of thousands of pages.
Each of the diseases has its own peculiarities of development. Many of them are chronic. It is important to note that Not only diseases that occur with frequent exacerbations and that greatly disturb a person can lead to infertility. On the contrary, it often happens that fertility decline occurs due to diseases that are asymptomatic and do not cause discomfort.
This feature causes the fact that many couples unsuccessfully try to conceive a baby. In this case, pathology can be identified only by carrying out the necessary diagnostic complex. Male and female diseases that cause difficulties in conceiving are certainly different. The degree of their severity may also differ.
The longer the disease lasts in the absence of treatment, the stronger the chance of fertility decline in one of the couples. In any case, it is worth differentiating diseases in both men and women separately.
Men's
The problems of male infertility are dealt with by urologists-andrologists. These specialists to conduct any pathologies in men necessarily conduct a clinical examination of the external genital organs and the prostate gland. Even in the course of such a simple diagnostic procedure, a competent doctor can recognize dangerous diseases that can cause infertility.
After a clinical examination, a specialist will definitely send a man to undergo additional diagnostics. This is necessary in order to correctly establish the diagnosis and prescribe the appropriate treatment or select recommendations.
Leucospermia
It is one of the most common specific male causes of reduced fertility. This pathological condition is characterized by an increase in the number of leukocyte cells in the semen.
In a healthy man, about 1 million of these white cells should be contained in 1 ml of ejaculate. The excess of this indicator over the norm is a consequence of leukospermia.
The danger of this pathology is that a man has a sharply reduced fertility. Male germ cells (spermatozoa) must be active and mobile in order for them to merge with the egg cell. When leukospermia these properties are violated. This leads to the fact that sperm in the semen are present, but are not complete and active.
It is impossible to determine this state only by external signs. Most often, this disease appears in a man after undergoing bacterial infections of the urinary or reproductive system. A man simply “ill” with these diseases, without even knowing what changes may occur in his body.
To identify this pathology can only help the whole complex of diagnostics. Applied research methods in this case ELISA, PCR - diagnostic test, as well as the study of sperm under a microscope during bacteriological examination.
Only after all these studies, the doctor will be able to ascertain the fact of the presence of this pathology. This disease is treated by the use of several means at once. Their selection is carried out individually, taking into account the reason that caused this condition.
Increased sperm acidity
The norm of this indicator is 7.2-8 pH. Quite often it happens that the acidity of the sperm becomes elevated.
According to statistics, if the acidity of the ejaculate becomes sharply alkaline (pH up to 10), then the possibility of conceiving a child is greatly reduced. The pathology of the prostate gland often leads to the development of this condition. Often such diseases develop in men who have low immunity.
According to statistics, after 45 years old, semen reading also starts to change. In this case, the acidity of the semen may also change. In this case, the andrologist will offer the man to undergo a complex therapy, including medication, as well as auxiliary methods of physiotherapy.
Sexually transmitted diseases
In the structure of the causes of the decline in male fertility, these pathologies occupy a leading place. The danger of them is that many of them have been virtually asymptomatic over the years.
A man who is already ready to become a father and is actively making all attempts for this may not achieve the desired result. This is due to the fact that many sexually transmitted diseases lead not only to disruption in the work of the genitals, but also to a change in spermograms.
Quite often it is the mobility and activity of the sperm that is violated. Some men decrease their number in the ejaculate. All men should definitely be tested for sexually transmitted diseases. Also very important attend a venereologist regularly.
It is better to know about your diagnosis and treat a disease than to simply ignore its presence. If the venereal disease is not treated, then this will lead not only to the infertility of the man, but also to the appearance of other very adverse effects on his health.
Chronic pathology of internal organs
Perhaps these diseases are the most numerous. Absolutely healthy people do not exist. Everyone has some kind of pathology. The only question is whether it can affect the ability to continue the race.
The planning stage of pregnancy is a great time to check your body quality. Problems with conception in men most often lead to diseases of the cardiovascular system. As a rule, they begin to manifest themselves at an older age.
Therapist is engaged in the diagnosis of these diseases. To do this, the doctor conducts auscultation (listening) of cardiac heart sounds and measures the level of blood pressure in a man. Also, a specialist must send an ECG. This examination is very important for all men. over 40 years old.
Women's
There are also a lot of female diseases that can cause difficulties in conceiving a baby. Often, in order to fully pass the diagnostic complex of examinations, a woman needs several weeks or even months.
Polycystic Ovary Syndrome
This pathology, unfortunately, has now begun to be registered more and more often. This is largely due to the fact that today's fast-paced standard of living does not at all contribute to the preservation and strengthening of women's health.
Women suffering from this pathology experience problems with the regularity of the menstrual cycle. This is manifested due to a strong dyshormonal state. Its development can lead a variety of reasons.
It often happens that it is extremely difficult to correct the resulting hormonal disorders with the help of drug treatment. Usually, hormonal drugs in such a situation are assigned to a woman for permanent reception. This is necessary so that her menstrual cycle normalizes and ovulation occurs in a timely manner.
Women who suffer from this pathology, it is important to remember that This is by no means a sentence to conceive a baby.. Cases of successful pregnancy and birth of babies in patients with this disease, gynecologists have noted a huge number.
A competent medical approach will help a woman plan and realize the long-awaited conception of a baby.
Torch (torch) - infection
Under this concept, experts understand a number of diseases that are caused by certain types of microorganisms. The abbreviation suggests exactly which pathologies are included in this group:
- To - Toxoplasmosis infection (Toxoplasmosis);
- R - rubella infection (Rubella);
- C - cytomegalovirus infection (Cytomegalovirus);
- H is an infection caused by the herpes simplex virus (Herpes simplex).
Many of these infectious pathologies are dangerous in the development of very unfavorable diseases for the fetus. If the baby is infected by them, being in my mother's tummy, then the full formation of his body can be disturbed. This leads to the fact that the child begins to form various diseases at the stage of their prenatal development.
Many women are interested in their doctors about whether these infections should be treated in advance if they are not worried about anything. Of course, this is a must.
During pregnancy in a woman naturally reduced immunity. This work of the immune system is understandable. So nature conceived so that the mother's body does not reject the baby.
Reduced immunity can lead to the fact that infections in a woman will simply worsen, and the adverse symptoms will manifest in full. In such a situation, the risk of developing dangerous fetal abnormalities in a fetus will increase several times.
Diseases of the reproductive system
Genital diseases also play a crucial role in reducing female fertility. Unfortunately, such pathologies manifest themselves in very young girls. With age, their course may progress and worsen.
It is very important that the girl think about the state of her reproductive system quite early. This will help prevent the development of adverse effects of diseases that will further prevent her from becoming a mother.
Pathology can reveal a gynecologist. Your female health should be trusted only to the doctor you trust. Clinical experience is of paramount importance. Especially in situations where a woman has any diseases of the genital organs.
Treatment of such pathologies should not be neglected. The neglect of the disease contributes to the fact that gradually the functions of the genitals begin to break down. This situation will lead to the fact that the woman does not have time and herself notice how she will have difficulty conceiving a baby.
Regular visits to the gynecologist (at least once a year) are a necessary condition for the preservation of women's health for each girl.
Which specialists to contact?
Both men and women who are preparing to conceive babies, it is very important to initially visit a therapist. This doctor possesses sufficient systematic thinking in order to draw up a comprehensive plan of diagnostic measures, which is required in each particular case.
Men should also visit a urologist. It is better, of course, that they go to such consultations at least once a year. It is much easier to prevent the disease than to treat it in the future.If a man has any chronic diseases of the genital organs, then in this case he must also visit an andrologist.
Required female doctor - gynecologist. All women who have not visited the clinic for a long time and are planning to conceive a baby soon should definitely sign up for a consultation with this specialist.
Before visiting, do not forget to take with you all the available medical documents and extracts from medical records on the gynecological profile. This is especially important if you plan to consult a new doctor.
After the clinical examination, the doctor will make a set of necessary recommendations for the patient. For all women who are planning to conceive a child soon, the doctor will recommend to follow the schedule of their basal temperature.
If a man or a woman has any chronic diseases of the cardiovascular system or they are in a dispensary account with a cardiologist, then they should definitely see this specialist. It is very important that at the planning stage of pregnancy the doctor recommends what medications may be required for continuous use in the future.
It is important to note that Some drugs may slightly reduce the likelihood of conceiving a baby. In this case, you should also certainly consult with your doctor about the possibility of canceling their reception.
Visiting specialists is compulsory for all who have diseases of the appropriate profile. So, with the existing pathologies of the urinary system, it is very important to seek advice from a urologist.
If the expectant mother has severe myopia or other visual impairment that requires careful medical observation, then she must first consult with her ophthalmologist. In some pathologies of the retina, pregnancy management is carried out under the close supervision of oculists.
Diagnostic methods
In order to determine all the available diseases, a huge number of different studies are required. Only a set of examinations allows doctors to get enough information about what changes are present in the body. The list of studies can be quite large. For each case, it is individual. However, there are general baseline studies.
Ultrasound of internal organs
Currently, this method of research allows to determine the pathology with very different localization. With the help of ultrasound, pathology of the liver, kidneys and urinary tract can be identified.
Also, future parents should definitely undergo an ultrasound examination of the reproductive organs. So, the andrologist may appoint a man to undergo an ultrasound of the prostate gland. One of the most common pathologies is chronic prostatitis. This pathology can also lead to a decrease in male fertility. This disease can be easily detected by ultrasound.
For women, especially those who have difficulty in conceiving a baby, it is very important to undergo an ultrasound examination of the uterus and appendages. During this examination, the doctor can determine the size of the genital organs, as well as “see” the existing pathology.
In this case, you should definitely treat them before pregnancy.
Fluorography
This research method is basic. He must be appointed absolutely to all people. Study should be at least once a year.
You can perform the examination in any clinic. With this study, you can identify such dangerous diseases as tuberculosis and various lung neoplasms. These dangerous conditions are relative contraindications to conception.
Auxiliary methods
If a woman or a man has any specific pathology of internal organs, then they may need specific diagnostic methods.Typically, these methods are assigned to people who are at the dispensary with narrow specialists.
Such auxiliary methods include radiography, Doppler, computed and magnetic resonance imaging. It is important to remember that these studies absolutely not required. They are prescribed only for certain medical conditions.
What to do after a miscarriage?
Loss of a baby for many women is a great psychological trauma. More suffering they have in the soul, and not on the physical level.
Psychologists believe that Immediately plan the next pregnancy after spontaneous abortion should not be. In this case, the body of the future mother is simply not ready to bear the baby.
Very important is the state of mind of a woman. After losing a child, it takes a long time to survive this condition. It is better that in this difficult moment of her life there is a loved one near her who can support her.
As a rule, it takes several months to prepare the female body for the next pregnancy. During this time, the woman must be treated.
It often happens that after a frozen pregnancy, a strong hormonal imbalance occurs in the female body. At the same time, the level of 17-OH progesterone can be increased, estrogen is reduced, or there is a shortage of other hormones. In this case, the obligatory intake of compensating drugs is required.
After a tragically completed pregnancy with the next conception, there can be severe difficulties. In order for the female body to recover, it takes some time. During this period, the conduct of sexual activity, doctors, as a rule, do not limit. In order to give the body time to recover and prevent premature conception of the baby, the doctor may prescribe a woman to use birth control pills.
The selection of these funds is carried out very carefully, taking into account the imbalance of sex hormones. The use of such drugs also helps to normalize the thickness of the inner layer of the uterine wall. Increase the endometrium will help exchange hormone treatments.
What tests need to pass?
To identify hidden pathologies, laboratory tests are used. Some of them are common for both men and women. However, there are specialized studies. With their help, are determined, as a rule, indicators of intimate male or female health.
A list of general tests will be for a couple therapist. In any case, to assess the state of health is required to evaluate the work of all vital organs. Such tests include complete blood count and urine analysis, as well as biochemical analyzes.
For men
To assess male fertility, it is very important to evaluate the concentration of testosterone in the blood. This basic hormone is responsible in the body of a man for normal spermatogenesis. It is under his influence that sperm cells become more active and mobile.
Normally, the testosterone level in the blood of men of reproductive age is 4.5-30.5 pg / ml. Reducing the level of this hormone leads to the fact that a man becomes much more difficult to become a father.
If the couple has difficulty conceiving a baby, then in this case it is very important to evaluate the spermogram indicators. For this analysis, a little sperm is taken.
In the laboratory are evaluated basic ejaculate performance. The doctor conducting the study can determine the activity and mobility of spermatozoa, as well as quantify their content in the biomaterial.
For women
The complex of hormonal studies for women is quite extensive. It includes all the major hormones that affect the fertility of women. It is important to remember that for each analysis there is a time frame for their analysis.
So, for a woman preparing to become a mother, it is very important to determine estrogen levels, progesterone, and other specific hormones. The doctor makes a conclusion about the state of reproductive women's health only on the basis of the obtained analyzes.
Often, when conducting hormonal studies in women, a reduced level of progesterone or estrogen is detected. In such a situation, correction of the conditions with the help of drugs is required.
It is also very important for expectant mothers to check the level of thyroid-stimulating hormone in the blood (TSH). This substance is necessary for the thyroid gland to function fully. Violations in the work of this body can lead to a complicated course of pregnancy or even to the difficulty of conception.
In some cases, special studies may be required. For example, a woman who is suspected of having an antiphospholipid syndrome can be tested by a doctor for a lupus anticoagulant. These class G immunoglobulins appear in the female body in response to negatively charged phospholipids.
Such a study is conducted in women who have severe difficulties with carrying a baby or there have been cases of a previous abortion.
Genetic studies
In order to assess the probability of having a baby with chromosomal diseases, it is very important to conduct special examinations. Also, using this method, you can assess the risk of a child developing genetic pathologies.
Such studies are not assigned to all couples. Doctors highlight quite a few criteria according to which they are forced to appoint a couple to undergo such an examination.
One of the most important indications is birth in previous births of a baby with a chromosomal or genetic disease. In this case, in the second pregnancy, these pathologies are screened.
If one of the future parents has relatives in close relationship who have these diseases, then they should definitely warn the doctor about it. In this situation, consultation with a geneticist is required. This specialist has the risk of developing genetic pathologies. Also, the doctor will be able to indicate the probability of whether the birth of a baby suffering from such diseases is possible.
Also, genetic studies will be shown to couples who are planning to conceive a baby after 35 years.
Every year mutations accumulate in the human body. This leads to the fact that the risk of breakdowns in the genetic apparatus of a child, which will be conceived by older parents, is quite high.
Necessary vaccinations
Very often in medical practice it happens that during pregnancy a woman becomes ill with infectious diseases. And some of them could easily have been prevented if she had delivered the vaccine on time.
Currently, Russia uses the National Calendar of preventive vaccinations. Many people think that it can be used only for children. It's not like that at all.
This medical document lists all the necessary vaccinations that are required even for adults. Both men and women Be sure to have vaccination against measles, rubella, mumps, tetanus, diphtheria.
A woman who plans to conceive a baby will also have a flu shot. Dr. Komarovsky believes that this simple method will save her and the future baby from the dangerous consequences of this disease. It is possible to consult about what vaccinations are shown in a particular case, with a therapist.
What should be discarded?
The risk of developing multiple pathologies is significantly higher in men and women who abuse alcohol or smoke. Ethyl alcohol and nicotine have a very strong effect on the tone and elasticity of all blood vessels. This leads to the fact that the reproductive organs simply do not work in full mode.Ultimately, this contributes to the formation of a decline in male and female fertility.
Good habits
During pregnancy planning, it is very important to monitor your condition. Health should be strengthened before conceiving a baby, and not after. It is important to remember that both men and women should take care of themselves in this way. Only in this case, a healthy conception of a baby is possible.
Improve health will help the easiest ways. Men who have low levels of testosterone in their blood need to exercise. Exercise should be done regularly. Systematic training plays in this case a crucial role. As an exercise, you can rock a press, improve your stamina and cardio load, as well as visit a bath.
Women should pay more attention. on the state of your nervous system. During pregnancy, she will constantly change hormones. It, as a rule, is shown by sharp differences in mood.
The more prepared a woman is that she will soon become a mother, the calmer her pregnancy will be. To normalize the nervous system, yoga or breathing practices are perfect.
Drug intake
It is very important to remember that before taking any medications and dietary supplements it is very important to consult with your doctor. This should be done only after conducting a complex of diagnostics and clarifying all the pathologies present in the body.
The program for the correction of male pathological conditions may be different. It largely depends on the reason that contributed to their development. If there are problems with a decrease in spermatogenesis, an andrologist prescribes the treatment. To do this, the doctor selects the necessary drugs. One such remedy is "Speroton." This drug helps to improve mobility and sperm count, and also normalizes sperm performance.
Antibiotics are used in the treatment of bacterial infections of the genital organs. Reception of these means usually makes 7-10 days. After antibiotic therapy is carried out, its effectiveness is necessarily evaluated.
To prepare a woman for pregnancy, it is very important to compensate the intake of all necessary vitamins and trace elements. For this, doctors prescribe both multivitamin complexes and individual vitamin preparations.
These tools include “Complivit”, “Vitrum”, “Complivit Mama”, “Ultra D”, “Foliber”, “Inofert”, “Vigantol”, “Akvadetrim”, fish oil and many others. They should be taken, as a rule, for a long time. Proper intake of these drugs will help improve health and prepare the female body for the upcoming conception of the baby.
In our country there are quite a few regions where people are deficient in iodine. Such pathologies are very dangerous. They not only reduce the likelihood of conception, but can further lead to various defects in fetal development. For the prevention of these pathologies is often used "Yodomarin."
Women who have problems with the menstrual cycle, doctors also prescribe various means. Some of them improve blood flow in the reproductive organs, while others stimulate ovulation and normalize the level of sex hormones in the blood.
These drugs can be prescribed only after hormonal studies. These tools include "Klostilbegit", "Ovarium compositum", "Kurantil", "Time Factor", borovoy uterus, "Cyclodynon", "Mastodinon", "Estrozhel", "Dostinex".
Selection of dosages of these drugs should be done very carefully, taking into account the initial state of the woman. Each of these remedies has side effects.
In addition to the health of the internal reproductive organs, it is very important to remember about the external. It often happens that during pregnancy a woman’s fungal infection of the vagina is often exacerbated.
In order to reduce the likelihood of the development of this pathology, the expectant mother should carefully monitor the hygiene of the intimate zone. In case of redness and itching in the vaginal area, you can use undermining with chamomile or sage. It will also help Epigen.
If the symptoms of candidiasis are already greatly disturbing the woman, then in such a situation, she needs to take fluconazole. It is important to remember that taking this product too often can cause side effects.
If candidiasis worries very often, then in such a situation it is necessary to discuss the choice of treatment tactics with your doctor. As a rule, in this case it is required to take medications that strengthen the immune system.
During pregnancy, many cosmetic procedures will be contraindicated. Thus, women who are preparing to become mothers should definitely carry out a number of procedures in advance if they resort to them.
For example, retinoic peeling can cause allergic reactions in a woman. In normal life, this condition can be easily corrected by taking antihistamines. During pregnancy, the risk of allergy increases many times. That is why experts recommend to postpone the peeling procedure during pregnancy planning.
Also during pregnancy it is undesirable to put Botox. To assess the possibility of a direct effect of the drug on the fetus is impossible. In such a situation, you should still perform this procedure in the planning period of pregnancy or after the completion of lactation.
Cock prepare for pregnancy? Why do many couples fail to get pregnant? What tests need to pass? You can find out about this and many other things by watching the following video.