Ask the expert
Dr. Daniela Uzdris
Medical Specialist, Obstetrics-Gynecology
Warning! The advice given by Dr. Uzdris are provided only as orientation and cannot replace a detailed checkup performed in a medical practice.
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Frequently asked questions
A healthy couple of 25 years old has 25% chances of conceiving in the first month, 70% chances in 6 months, 85% in one year, and 95% chances in two years.
As the count and quality of ovules decreases in time, in the case of women over 35, the time needed for conceiving will be longer. Concomitantly, after that age, the risk of endometriosis, uterine fibroids and miscarriage is higher and they all influence conception. For example, in women over 38, approximately 50% of the pregnancies end in miscarriage by comparison to just 10% in the case of 25-year olds.
For improving the chances of conceiving naturally, the couple is advised to have intercourse every 2-3 days, particularly during the fertile period. After the ovary released the egg, it survives up to 24 hours and only then the sperm can fertilize it. There are several methods of monitoring the ovulation, but you must not focus exclusively on that because the anxiety caused is counterproductive and can damage your relationship.
Ovulation is connected to regular menstrual cycles, every 28±5 days. If a woman experiences irregular periods, most times it can be said that she has no constant natural ovulation. Ovulatory dysfunctions occur due to the ovary or the signal the central nervous system sends to the ovary. For setting out the root of the ovulatory dysfunction, a series of specific tests are available.
Infertility is defined as the inability to conceive after one year of regular intercourse without using any methods of contraception. Before the couple reaching the conclusion that it is infertile, they should first be aware of the “typical fertility” definition, which is a couple’s ability to conceive naturally in 2 years of regular intercourse. Out of the total couples that did not conceive in one year, almost half will conceive naturally in the next year. If the partners are young, the chances increase. However, in the case of couples over 35, one more year of waiting means too much for beginning tests and undergoing treatments. Female fertility decreases after 35-40 years, and the ovarian reserve ages.
Infertility has several causes involving the female or male or both partners’ reproductive systems. The most frequent causes are
Infertility is the couple’s problem: regardless of the partner experiencing a condition, the cooperation of both partners is vital for increasing their chances of success.
In approximately 40% of the cases, infertility is due to male dysfunctions: modifications of the testicular area, ductus deferens obstruction, prostate conditions, ejaculation modifications, erectile dysfunctions, or semen changes.
In other approximately 40% of the cases, infertility is due to female dysfunctions, such as early onset of menopause, endometriosis, Fallopian tube blockages or lesions, cervical or uterus abnormalities, as well as ovulation problems.
After one year of regular intercourse that did not result in conceiving a baby, the couple should begin suspecting that there is some kind of dysfunction. It is recommended that they would make an appointment with a doctor in one of the next cases:
There are certain natural or alternative treatments one can use, according to the fertility issues the couple is facing. The most known are acupuncture, homeopathy, medicinal plants, special diet, reflexotherapy, cranial osteopathy and stress management. Please be aware that structural problems (lack of ductus deferens, conditions of the Fallopian tubes, etc.) causing infertility can only be treated by the use of medical techniques.