Causas de
Esterilidad
La infertilidad puede ser una de las experiencias más devastadoras en la vida de una persona. La idea de perder la capacidad de tener un bebé puede traer desesperanza y desesperación a las personas más fuertes. Afortunadamente, se pueden superar prácticamente todas las formas de infertilidad. Al conocer las causas, se puede identificar la barrera y personalizar el tratamiento para lograr un embarazo exitoso.
Las causas generalmente se dividen en factores masculinos (40%), factores femeninos (40%) y factores inexplicables (20%). Las barreras que limitan la capacidad de un hombre para procrear generalmente involucran factores que afectan su conteo de espermatozoides. Estos se discuten en Infertilidad masculina.
Factores femeninos
Las principales causas que afectan a una mujer pueden recordarse mejor por su anatomía:
- Factores de huevo como trastornos de la ovulación y barreras relacionadas con la edad o el "reloj biológico".
- Factores pélvicos como endometriosis y adherencias.
- Factores tubáricos como trompas de Falopio bloqueadas u obstruidas y trompas dañadas como hidrosálpinges.
- Factores uterinos como fibromas, pólipos, cicatrices o malformaciones uterinas.
- Factores cervicales que limitan el paso de los espermatozoides
- Factores vaginales como infecciones por hongos bacterianas o recurrentes.
La causa más común de infertilidad en las mujeres es síndrome de ovario poliquísticoy, sin embargo, es uno de los más tratables. De hecho, para cada causa de infertilidad, existe un tratamiento muy eficaz diseñado para superarla.
Fertilidad inexplicable
La infertilidad inexplicable se define como la incapacidad de identificar la causa mediante nuestras pruebas de diagnóstico estándar, como un análisis de semen, histerosalpingograma (HSG) y pruebas hormonales. Todavía hay una razón, pero no tan obvia. Un ejemplo es cuando todas las pruebas son normales, incluida la HSG, pero los tubos no funcionan correctamente. La endometriosis es una razón subyacente común para la disfunción tubárica. La infertilidad inexplicable puede ser frustrante porque no hay una razón directa, pero existe un algoritmo o plan de tratamiento adecuado que superará o encontrará la razón con el tiempo.
Pérdida del embarazo
La pérdida recurrente del embarazo o los abortos espontáneos pueden ser una causa desgarradora y frustrante de infertilidad. Afortunadamente, existe un plan de diagnóstico y tratamiento que aborda de manera efectiva las razones que conducen a los abortos espontáneos. Es de vital importancia ver a un médico con conocimientos y experiencia en el tratamiento de estas pérdidas para lograr el éxito. Algunos de los mayores avances recientes en nuestro campo se refieren a la superación de las causas genéticas de los abortos espontáneos repetidos.
Causas comunes de infertilidad
Como el primer centro de endocrinología reproductiva certificado a nivel nacional en Idaho, ICRM ofrece tratamientos de vanguardia para la infertilidad. Haga clic para obtener más información sobre las causas más comunes de infertilidad.
Causas de la infertilidad - Idaho Center for Reproductive Medicine
At Idaho Center for Reproductive Medicine (ICRM), we recognize that infertility affects both men and women. Causes of infertility are generally categorized into female factors (40%), male factors (40%), and unexplained factors (20%).
Infertility can be one of the most devastating experiences in a person’s life, leading to feelings of hopelessness and despair. However, it’s important to know that virtually all forms of infertility can be overcome with the right approach. By understanding the underlying causes, we can pinpoint individual barriers to conception and customize effective treatment options for a successful pregnancy. Here, we provide a comprehensive overview of both female and male infertility and provide you with the next steps for overcoming an infertility diagnosis.
Female Infertility
Female infertility encompasses a range of factors that can impede a woman’s ability to conceive. Key issues include:
- Egg Factors: Disorders of ovulation and factors related to age, often referred to as the “biological clock.”
- Pelvic Factors: Conditions such as endometriosis and adhesions can affect reproductive organs.
- Tubal Factors: Blockages or damage to the fallopian tubes, hindering egg transport.
- Uterine Factors: Issues like fibroids, polyps, scarring, or structural malformations of the uterus.
- Cervical Factors: Conditions that restrict sperm passage through the cervix.
- Vaginal Factors: Infections, such as recurrent bacterial or yeast infections that could inhibit conception.
The most common cause of female infertility is Polycystic Ovarian Syndrome (PCOS), which is highly treatable. Whatever the cause, effective treatments are available to overcome these challenges.
Infertilidad masculina
Male infertility accounts for approximately 40% of infertility cases. It primarily revolves around the sperm’s ability to fertilize an egg. Key considerations include:
- Sperm Production: Issues affecting the testicles’ ability to produce healthy sperm.
- Sperm Transport Blockage: Obstructions that prevent sperm from reaching the egg.
- Sperm Quality: Motility and morphology can significantly affect fertilization success rates.
A semen analysis is the starting point in evaluating male fertility. It assesses various sperm parameters to identify issues and guide treatment options. Treatments may include lifestyle changes, medication, or assisted reproductive technologies such as Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF) combined with Intracytoplasmic Sperm Injection (ICSI).
Unexplained Infertility
Unexplained infertility refers to the inability to determine a specific cause despite standard diagnostic tests, such as semen analysis, hysterosalpingogram (HSG), and hormone testing. While no apparent reason may be found, there is often an underlying issue. One common example is tubal dysfunction resulting from endometriosis.
The frustration of unexplained infertility stems from the lack of a precise diagnosis; however, it is possible to develop a treatment plan that addresses (and possibly identifies) the underlying issue over time. Our skilled team at ICRM possesses extensive experience and success in treating unexplained infertility, providing hope and guidance on your path to parenthood.
Recurring Pregnancy Loss
Recurrent pregnancy loss or miscarriage can be a heartbreaking and frustrating cause of infertility. Fortunately, there is hope—some of the most significant advances recently in our field deal with overcoming genetic causes for repeated miscarriages. There is a specific diagnostic and treatment protocol that effectively addresses the reasons that lead to miscarriages. At ICRM, our knowledgeable physicians are highly skilled at treating recurrent pregnancy loss to find success.
Understanding Infertility Together: A Partnership Approach
At ICRM, we understand that infertility affects both partners. It’s vital for couples experiencing challenges to seek comprehensive evaluation and treatment that addresses both female and male factors equally. Our focus is on individualized care, and our team of specialists is dedicated to helping you navigate these complex issues. Schedule your initial consultation with us today, and let’s embark on your journey to parenthood together!
