What are the common problems?
Ovulation disorders: Problems with the regulation of reproductive hormones by the hypothalamus, pituitary gland and ovary can cause ovulation problems. Polycystic ovary syndrome, hypothalamic dysfunction, primary ovarian failure, disorders of the thyroid or prolactin gland, which cause hormonal disorders, may prevent ovulation.
Fibroids: Fibroids can delay pregnancy depending on their location, number and size in the uterus. It is very important to detect and archive the presence of fibroids, which are more common in the reproductive period. While some fibroids need to be surgically removed or medically reduced before pregnancy, we have a large number of patients who have fibroids, but we do not see any inconvenience in getting pregnant, and their pregnancies are uneventful.
Patients with fibroids who are pregnant should be aware that fibroids can grow in the later stages of pregnancy, change their character, cause pain and even increase uterine contractions, causing the threat of premature birth.
Endometriosis: It is the placement and growth of the tissue in the inner wall of the uterus in organs such as the peritoneum, ovaries, tubes, and intestines outside the uterus. This extra tissue, which settles in organs that should not be, can make adhesions in the abdomen, prevent the fertilization of the egg and sperm in the tubes, and prevent the fertilized egg from attaching to the uterus. There is also increasing data showing that endometriosis reduces the number of eggs.
Damaged or blocked tubes: Partially or completely blocked tubes may prevent the sperm from meeting with the egg or the fertilized egg from reaching the uterus. Tubes can be damaged and blocked due to previous infections, surgeries (such as ectopic pregnancy surgeries), endometriosis disease.
Previous gynecological operations: Previous abdominal operations may cause adhesions, ectopic pregnancy operations may cause damage to the tube, ovarian operations may cause decreased number of eggs, uterine surgeries may cause intrauterine adhesions, and previous cesarean may delay conception by causing fluid accumulation in the uterus (istmocele).
Pelvic inflammatory disease: Chlamydia, gonorrhea, or other sexually transmitted infections of the uterus and tubes.
Sexual problems: A healthy sexual life is essential for getting pregnant within the expected period. Even for couples who have sexual intercourse 2-3 times a week, the rate of getting pregnant per month is 20 percent. On the other hand, the sex life directed towards pregnancy can increase the stress of the mother and father-to-be and delay the pregnancy.