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The Truth About Infertility

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Title:
The Truth About Infertility

Word Count:
590

Summary:
Infertility is the inability to conceive; it may be remedied. However, should the conditions persist, it is referred to as sterility.

In the United States, one out of every 8 to 10 couples are childless because of infertility; it is a major medical and social problem. Both husband and wife are urged to seek medical attention for complete examinations and evaluation, since almost as many men as women cause a sterile marriage.

It is usually recommended that the male be ev...


Keywords:
infertility


Article Body:
Infertility is the inability to conceive; it may be remedied. However, should the conditions persist, it is referred to as sterility.

In the United States, one out of every 8 to 10 couples are childless because of infertility; it is a major medical and social problem. Both husband and wife are urged to seek medical attention for complete examinations and evaluation, since almost as many men as women cause a sterile marriage.

It is usually recommended that the male be evaluated first, because tests for the female are more expensive and time-consuming. Such tests may require the services of a urologist, gynecologist, endocrinologist, and internist.

In the female, the organs of reproduction and the glands influencing them are evaluated. Among the causative factors may be displacement and tumors of the uterus, genital infantilism, and inflammation. To allow fertilization of an ovum, it is necessary that the vagina, cervix, and uterus to be patent and have mucosal secretions receptive to the sperm. Semen is alkaline, as is cervical secretion; normal vaginal secretion is acid.

Treatment is directed towards correcting the deficiencies encountered in the individual patient. The following tests assist the gynecologist in delimiting the problem.

1. Rubin test

This procedure is to determine the potency of the fallopian tubes by introducing carbon dioxide through a sterile canula into the uterus, into the tubes, and into the peritoneal cavity.

By listening with a stethoscope on the abdomen, the physician may hear the gas swishing into the abdomen. If the pressure gauge reaches 200 mm. of a mercury, an occlusion may be suspected.

2. Salpinogram; Hysterosalpingogram

A radiopaque substance is often used to determine the site of tubal obstruction; an x-ray picture then shows the outline of the tubal lumen.

3. Hubner test

Within an hour or two after intercourse, the physician aspirates cervical secretions with a long cannula. The woman is to be instructed not to void, bathe, or douche between coitus and the examination; a perineal pad is worn until she is placed in “lithotomy position” in the examining room. Aspirated material is placed on a slide and examined under microscope for presence and viability of sperm cells.

Treatment

The treatment of sterility is a difficult matter, because it may be caused by a combination of several factors. Efforts are made to build up the general health of the patient, supplying lacking glandular hormones as indicated.

Operative treatments include removal of obstructions and plastic operations to restore tubal potency. Unfortunately, these are not too successful; in addition, there is a high incidence of tubal pregnancy following such operations.

The psychic and social factors of infertility must not be overlooked. Among some religious groups and nationalities, it is important to have blood descendants; adopting children is not acceptable in these families.

In other family groups, the man’s virility, or woman’s femininity are suspected when a couple fails to have children. Many pregnancies have occurred after an infertile couple has adopted a child, moved to another location, or the husband had a change of jobs.

All of these things indicate that the concepts behind infertility are not absolute and concrete. There are instances that the information about this particular problem may have underlying causes that should not be blamed on the inability of the person to conceive.

Boiled down, the problem on infertility is more of a social problem than a biological problem. It is not the aspect of not being able to conceive that persons involved are hesitant to disclose the matter.

If it is more than just biological malady, then, it requires tough solutions.


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BONUS : Title:
The Whole Nine Months: Low Carb Diets and Pregnancy

Word Count:
524

Summary:
It’s very important to watch what you eat. You are eating for two—which doesn’t mean that you eat more (so say goodbye to that second slice of cake), but that you eat smart. You are your baby’s only source of nutrients, and you need the proper balance of proteins, vitamins, minerals, fiber and carbohydrates.


Keywords:
low carb diets, low carb food, low carb books


Article Body:
It’s very important to watch what you eat. You are eating for two—which doesn’t mean that you eat more (so say goodbye to that second slice of cake), but that you eat smart. You are your baby’s only source of nutrients, and you need the proper balance of proteins, vitamins, minerals, fiber and carbohydrates.

That being said, most prenatal dieticians strongly advise against adhering to a strict no-carb diet. Without sufficient carbs, your body will produce a by-product called ketones during your blood stream, which can put your baby at risk for brain damage.

But what about low carb diets? Aside from the risk of mental retardation, there are some aspects of low carb diets that can worsen the discomforts of pregnancy. For example, low carb diets tend to have low levels of dietary fiber, which exacerbate the constipation that many pregnant moms suffer because of the required iron supplements. Also, most prenatal dieticians recommend taking a lot of fruit because of its rich vitamin content, but most of the items you’ll find in a typical shake are banned by Atkins and South Beach because of the sugars.

But some doctors may recommend taking modified low-carb diets, especially if you are obese, suffer from gestational diabetes or low blood sugar. All three conditions have been proven to have adverse affects on the baby (including prematurity, birth defects, and early rupture of the membranes) so losing weight or controlling intake may actually be the best thing for your baby.

If you are asked to go on a low-carb diet during pregnancy, you will probably be told to go on the maintenance phase of the Atkins Diet, or the second phase of the South Beach Diet. Here, you are allowed a controlled number of carbohydrates, usually from whole grains and fruits, while minimizing white bread, white rice, and pasta. That is fine, as you are still giving your baby the adequate nutrients, while removing processed foods.

If you are not allowed to go low-carb, but still need to control your weight, there are some options open to you. First of all, eat small but frequent meals. If you want a snack, instead of taking junk food or processed meats (which have a lot of calories, but significantly less nutrients), take salads, fruits, nuts and crackers. Choose lean cuts of meat, and minimize salt and rich sauces during cooking. And while you do need carbohydrates, take in moderation. One plate of pasta is good, three servings of it smothered in white sauce is not.

But the most important thing to remember is that before you go on any diet during pregnancy consult your obstetrician-gynaecologist. She or he can properly determine the best course of action given your particular medical history and the condition of your baby. Do not go on any weight management program without the advice and the approval of your doctor. Whether it’s low carb or Zone or the Mediterranean Diet, the point is that there is a proven link between prenatal nutrition and the baby’s health. Complications can include low birth weight, birth defects, and early delivery.


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