5 myths about infertility02.08.2022
We deal with the myths associated with infertility with Anna Igorevna Kutasova, obstetrician-gynecologist, reproductologist at the Remedi Institute of Reproductive Medicine
Myth 1. The woman is to blame
It is generally accepted that problems with the onset of pregnancy are most often caused by abnormalities in a woman’s reproductive health – for example, intrauterine pathology or tubal obstruction. However, in 50% of cases, the “responsibility” for the couple’s infertility lies with the man. So, poor production and low sperm motility or azoospermia (the complete absence of sperm in the ejaculate) directly affects the possibility of conception.
A spermogram allows you to determine the condition of a man’s sperm and eliminate possible risks during fertilization. This is an analysis of the ejaculate for mobility, morphology and the number of spermatozoa contained in it. If the doctor identifies a pathology, he will prescribe the appropriate treatment. It will help a man restore performance and become a father.
Myth 2. You can not give birth to a normal child after 35 years
Modern medicine is capable of much, even of prolonging a fertile youth. Thanks to effective reproductive technologies, women can give birth even after 35 years.
If a woman wants to become pregnant in the future, but now for some reason she is in no hurry to have children, she should pay attention to egg freezing. The procedure for collecting biomaterial is safe for the body of the future mother, and the egg itself can be stored in the cryochamber almost forever.
At the right moment, the eggs are thawed, fertilized in vitro (in vitro) with viable partner or donor spermatozoa, and then the resulting embryo is transferred into the woman’s uterus. With a preliminary examination of the patient and the exclusion of all kinds of risks, such a procedure does not have a detrimental effect on the health and development of the unborn child.
Myth 3. If a couple cannot have children, then they are terminally ill.
In Russia, as in many other countries, there is an opinion that infertility is an incurable disease. Actually it is not. The inability to conceive a child should not be equated with “death while alive.” This problem can be solved with the help of modern reproductive technologies.
IVF is gaining popularity around the world – an effective procedure that makes it possible to have children even for couples who are faced with infertility. This technology involves the fertilization of an egg outside the female body (in laboratory conditions) and the bearing of the embryo in the body of a biological or surrogate mother.
Before the procedure, doctors conduct a thorough examination to eliminate all risks for the expectant mother and child. However, the end result can bring a couple real happiness – a long-awaited baby.
Myth 4. The COVID-19 vaccine causes infertility.
World researchers have come to the conclusion that vaccination during pregnancy is necessary, since the benefits of vaccination outweigh the possible complications.
According to a group of Russian scientists led by academician of the Russian Academy of Sciences Leyla Adamyan, the risks of deviations during pregnancy do not depend on whether a woman has been vaccinated or not. However, before getting vaccinated, you should consult with a specialist.
Myth 5. You can’t have children after an abortion.
Many girls are sure that after an abortion it is impossible to get pregnant again. And then unwanted pregnancy becomes a real problem. Of course, to have an abortion or keep a child is the personal choice of every woman. But you still need to figure out how dangerous this procedure is.
The chance of complications after a medical abortion performed by an experienced doctor is approximately 2%. But it largely depends on the method of the procedure and the term of termination of pregnancy. The most common complications include bleeding, which can be stopped with medication. If an unwanted pregnancy was terminated by medical abortion or vacuum aspiration, you can conceive again after a couple of months.
Girls should be more careful with surgical abortions, as they increase the risk of infertility. To avoid this, experts recommend choosing the most gentle method of termination of pregnancy – for example, medical or mini-abortion. After it, it is necessary to observe a gynecologist for 3-6 months to promptly eliminate possible complications. Also, together with the doctor, the patient needs to choose effective and safe methods of contraception.
After unsuccessful attempts to conceive a child, you should not self-diagnose yourself. Contact a specialist, because only an examination of the reproductive health of both partners and competent therapy will bear fruit.
- Vaccines against COVID-19 are effective. US Centers for Disease Control and Prevention website .
- Organization of medical care for pregnant women, women in childbirth, puerperas and newborns with a new coronavirus infection COVID-19. Guidelines. — Ministry of Health of the Russian Federation. — Ver. 4, 07/05/2021, pdf document .