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According to epidemiological studies, infertility affects one in six couples, and is on the increase.
The woman will undergo general, genital and breast physical examination. If the history or the symptoms of the man make it advisable, they will be referred to an andrologist.
We must only consider three groups of tests with systematic application.
The structural and al normality of the uterus and tubes is investigated by means of diagnostic imaging tests:
Normal ovulation and the normal hormonal of the ovary can be studied by means of several tests:
Why is stress common?
Stress is closely related to the experience of infertility, as it is expressed as a result of difficulty conceiving a child, of not knowing the cause, of not knowing if it will happen one day, of the pressure felt from the outside world. Couples with reproductive problems usually refer to infertility as the worst crisis of their lives.
What alteration in emotional states can occur?
Why do the partners have different feelings in view of the same situation?
Gender differences between men and women make each partner respond differently in view of the different situations which they have to face.
When the partner faces a reproductive problem, the woman tends to express sadness by crying and seeking refuge in their loved ones. The man, however, usually adopts behaviours of avoidance, seeking refuge in his work, in going out with friends, etc. This does not mean that one is more affected and committed to the idea than the other, but that each partner expresses their emotion in their own way.
In view of this situation, it is important:
What things could improve these sensations?
What can be done in view of a negative result?
One of the worst moments in the treatment is receiving negative results from a pregnancy test. Here are some guidelines for dealing with a negative result:
When to say "enough".
Saying "enough" is health and, sometimes, very necessary. Just as it is important to walk the path necessary to achieve the desire to be biological parents, it is also important to know when to stop. It is not beneficial for the couple to continue trying cycles repeatedly at any cost, even when their physical and mental strength and economic resources are scarce. It must be remembered that there are alternatives to "biological" paternity.
How to decide whether to resort to gamete donation.
The donation of gametes in heterosexual couples is usually a difficult decision and one which s time to reflect. Consulting with a specialist psychologist is the most recommendable option in these cases.
Some questions that can help to reflect are:
In gamete donation, is it recommended to tell the child about their origin?
Currently, many patients turn to gamete donation to have a child. Some because they do not have a partner or male partner, and other because their gametes do not permit them to achieve a pregnancy.
This means that the child will have no genetic link to one or both of its parents. This lack of genetic link is the basis of the questioning: "should I tell my child about their origin?", "what should I tell them?", "how and when do I say it?"
Some suggestions to bear in mind when taking the decision:
Women with no male partner and same sex couples.
In these cases, there is not necessarily a reproductive problem. Therefore, the emotional conflict generated in patients with reproductive problems is not always present.
These women usually come to consultations:
Current scientific evidence has not discovered significant differences in relations between children of mothers with a female partner, single mothers and heterosexual mothers (with a partner) either on a psychological level or in terms of social development, development and gender behaviours.
Each of them will be present in one or several stages of the process, sometimes directly and sometimes with more or less visibility, but all of them form part of a large team whose only aim is the integral care of patients/couples.
For this reason, in each of the stages and in each of the different levels of care, patients will have nursing professionals who will be their reference from the first visit consultation to the end of the cycle in the pregnancy test consultation.
The educational work for the correct completion of the treatments, the care and accompaniment of the patient/couple in the different processes (insemination/puncture/transfer) will continue to be down to the nursing staff, along with the necessary pre-, intra- and post-procedure information.
Details such as: how to come for a certain test, its duration, recommendations after it, need for rest, feeling pain or discomfort, what changes to introduce in your lifestyle, who to turn to in case of...? When the patient has vast information on what they are going to ener in the different parts of the treatment and the different scenarios thereof, the levels of anxiety and fear of the unknown reduce; it also helps to feel professionally accompanied with personalised care, with sufficient time and, of course, knowing how and who is there at each moment.
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