Infertility is now part of our everyday life and is one of the leading public health problems faced by increasing number of people. Before detailed examination of all possible causes of infertility, it would certainly exclude hidden infection.
Infertility and Lifestyle
Infertility can cause metabolic, immune, endocrine, mechanical and many others disorders in the orderly functioning of our body. Strong influence on fertility also has a way of life - difficult submission of daily stress, poor diet, alcohol, smoking, a number of psychological problems, including excessive intake of certain medications. But one of the main causes are often unfairly overlooked, such as infections.
Usual Suspects
The experts agree that the infections are now one of the leading causes of infertility. This information relates mostly to the agents of sexually transmitted diseases, although it certainly should not ignore the causes that are not only transmitted during sexual intercourse. Considering our geographical position and a reduced incidence of certain agents, it is extremely important to know that we should pay attention to this information. Since bacterial pathogens are the most important Chlamyidia trachomatis (chlamydia), Urogenital mycoplasmas, Gardnerella Vaginalis (often in combined with the Mycoplasma Hominis, and anaerobic bacteria such as Peptostreptokoka), as well as beta-hemolytic Streptococcus group B. The causes such as Treponema pallidum (Syphilis) and Neisseria gonorrhoeae or Gonococcus (Gonorrhea) are much rarer nowadays. From viruses should be mentioned the HPV (human papilloma virus) that is not directly related to the development of infertility, but it can cause changes in the form of abnormality of cells on the cervix, It is highly recommended the regular testing on it's presence. Trichomonas vaginalis belongs to a group of parasites and it can also harm the reproductive capability.
The Importance of Recognizing Symptoms
While some infections have specific symptoms, almost all can lead to the same or very similar clinical picture. Therefore the role of doctors based on the collected data set on suspicion of the possibility of infection and direct further processing to the exact diagnose. In addition to inflammation of the uterus (Vaginitis, ie. Colpitis) or Vulva (vulvitis), infection of the female genital system includes a number of diseases which can occur individually and in various combinations. Inflammation of the Cervix (cervicitis), inflammation of the lining of the Uterus (endometritis) and inflammation of the Fallopian tubes and ovaries (salpingitis, ie. Adnexitis) often make a whole, and we call them - the pelvis inflammatory disease. Even 12 percent of adolescent girls are diagnosed with a disease from this group, which certainly can result in the development of infertility. The established and untreated infections lead to scarring and blockage of the fallopian tubes, which increases the risk of ectopic pregnancy and infertility.
Do All the Tests
Before detailed examination of all possible causes of infertility, it would certainly exclude hidden infection. Therefore, in the agreement with the first doctor should do tests on pathogens that could cause difficulties in pregnancy or complete infertility. Taking swabs does not require much time, most of mentioned agents respond well to antibiotic therapy, and the affected couples could save a lot of precious time.
On completion of the treatment of proven infection of after antibiotic treatment is advised further if there is no conception, and thus follows a detailed review of women including gynecological ultrasound, monitoring of follicle growth, ie. Structure that contains the egg, examination of tubal patency and complete hormonal profile, as well as urological examination man with prior findings and semen sperm-culture.
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