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Thursday, December 08, 2022

Reproductive Medicine

Dr. Pablo J., a gynecologist specializing in reproductive medicine at IGOM Comprehensive Medical Center. Avalos spoke with us about the treatments available for those who want to start a family or grow it.

Both the woman and the man regularly visit her office to begin the treatment needed to achieve a pregnancy, when this is not achieved during a long period of discovery or when, for various reasons, they wish to postpone the family project. And want to make sure they can achieve it when the time comes.

When to consult?

Most patients come when they have been looking for pregnancy for some time and have not been able to achieve it; After going through several professionals, they come to us. But you need to know that a woman’s age matters a lot. So if it comes to female patients below 35 years of age who are unable to conceive after a year of having regular sex and without using any contraceptive method, then it is time to consult a specialist. In the case of female patients over the age of 35, the time for consultation comes when they have had a 6-month search without results.

What studies are done?

We study women in various aspects. We study the uterus; whether the tubes are permeable or not, as this is what allows the union of the egg with the sperm; We study your ovarian function with a blood test and an ultrasound to do an antral follicle count. This gives us an idea of ​​the ovarian reserve in advance, how many eggs a woman can have.
It should be borne in mind that as the woman gets older, the number of eggs decreases. So when menopause comes, a woman’s menstruation stops because her eggs have been exhausted.

For the man, the quality of the sperm is studied. According to the result, the type of treatment is decided.

What other factors prevent pregnancy besides age?

30% are due to causes originating from women, another 30% that are inherited from men and 25% are shared causes. The remaining 15% are referred to as “sterility without apparent reason” because no studies show negative results but pregnancy is not achieved. In these chaos, the consumption of food, tobacco and coffee, among others, greatly affects the quality of sperm. In turn, being overweight in women causes hormonal changes that produce changes in cycles at the same time. These imbalances must be corrected to increase the chances of achieving pregnancy.

Do women take more advice than men?

In general, they have the idea that they should come for counseling as a couple. But many times it happens that only a woman comes because the man feels that he does not have a problem.
More and more questions are being asked from same-sex couples or single women who want to freeze their eggs.

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