Desire for children – fertility center berlin

This fertility-Pages cover the first pressing questions in 3 chapters when the desire for a child arises – and the success does not come about: Questions about fertility, Experience and success and possible risks. Also specific questions about fertility women and men.

On this page
  • Unfulfilled desire to have children
  • Success rates of the Fertility Center Berlin
  • Risks of fertility treatment
  • Causes in women
  • Causes in men

Am i sterile? And when do you talk about it??

The desire for your own child is part of our humanity, and if it is not "folds", we need one thing above all: helpful information and enlightenment. And secondly: good ones solutions.

We are talking about one infertility, if too after a year regular efforts of a couple to prevent pregnancy. The WHO (World Health organization), which takes into account the changing living conditions in the western industrialized nations, e.g. B. the greater mobility of partners. There are many reasons for infertility in men and women; they are each 20% -30% in women, 50% in men and a further 20% in both men and women. The cause of childlessness remains unclear in 10% -15% of all couples. Sterility treatment is therefore always a couple therapy.

infertility

Fertility in women and men

The highest natural Fertility of women is between the ages of 22 and 27 and then gradually decreases. Natural fertility ends when menopause begins.

The natural Fertility of the man slowly decreases from the age of 40; however, in individual cases it can persist into old age.

Statutory health insurance companies that 2017 for the Try one to three to cover 100 percent of the cost of fertility treatment if both spouses are insured there

  • DAK
  • BAKN BKK
  • IKKBB

You are also welcome to visit the Federal Ministry for Family, Seniors, Women and Youth’s desire for information portal.

Success rates of the Fertility Center Berlin

The success of fertility treatment depends primarily on the experience of the attending doctors and the laboratory. The Fertility Center Berlin team has been working in the same constellation since 1999. The doctors have known each other since 1991 and have already worked on the University Hospital the Free University of Berlin (location Pulsstraße) and to the DRK clinics Westend Fertility treatment carried out.

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Risks of fertility treatment

What can happen – I want to be informed!

No successful treatment is without risks – it is the same with fertility treatment. The risks mainly result from hormone stimulation and its consequences.

Hormone stimulation is usually necessary for successful fertility treatment. This leads to follicle growth and, in rare cases, can lead to overstimulation. Over-stimulation goes hand in hand with enlarged ovaries, fluid in the abdomen and more or less pronounced pelvic complaints. In rare cases, shortness of breath or thrombosis can also occur. Overstimulation is very rare in conventional sterility therapy (pure hormone stimulation or semen transmission). It occurs most frequently when stimulated for in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). If you experience overstimulation, a gynecologist should always be consulted.

Another risk of treatment is the development of a multiple pregnancy. A higher-level multiple pregnancy (triplets or higher) is very rare and occurs after conventional fertility treatment

Causes in women

An unfulfilled desire to have children – it’s up to me?

The causes of one unfulfilled desire to have children are only 30% with the woman alone. 50% of the man is the sole cause, another 20% has a common cause.

The Fertility Center Berlin supports you in clarifying the causes in your personal case. We talk discreetly about all questions, carry out an exact one diagnosis through and develop one if necessary treatment plan for you – in close cooperation with specialists or the doctor you trust.

The reasons for the woman’s unfulfilled desire to have children can be:

  • Fallopian tube occlusion (tubular sterility)
  • Carrying of endometrium into the free abdominal cavity (endometriosis)
  • Hormone disorders with too much male hormones and lack of ovulation (PCO syndrome)
  • premature aging of the ovaries
  • Not working the pituitary gland with no ovarian stimulation
  • and many other causes.

After our Experience A large part of the causes lies in the premature exhaustion of the ovaries, which in individual cases can occur in early years. For many women over the age of 38, however, this exhaustion of the ovarian reserve is increasing. This can be measured using the anti-Müllerian hormone (AMH), which can give us direct information about the extent to which the ovaries are still functional and how good the chances of fertility treatment are.

What is the anti-müller hormone (AMH)?

The anti-Müllerian hormone is released by the ovary or testicle. It directly measures the number of small ovules (follicles) in the ovary and thus directly the ovarian reserve. In menopausal women, the anti-Müllerian hormone is below the detection limit. The value is increased in women with excessive ovarian production (such as polycystic ovary syndrome / PCO syndrome). The AMH is the earliest marker with which an early depletion of the ovarian reserve can be recognized.

Causes in men

What man should know

More than 50% of the causes of an unfulfilled desire to have children lie with the man – that is undisputed. In any case, it is good to take advantage of the opportunities offered by the Fertility Center Berlin: we will talk to you about the possible causes, carry out an exact diagnosis and then carry out a research into the causes – and develop your treatment plan in collaboration with specialists.

Infertility in men

The most common cause of male infertility is decreased sperm quality. There can be many reasons for this, including the following:

  • hormonal imbalances
  • Varicose veins in the testicles
  • Testicular abnormality
  • Mumps disease in childhood
  • diabetes
  • Operated tumors
  • Genetic causes
  • stress
  • infections
  • Drug and alcohol abuse

Limited sperm quality

There are several forms of reduced sperm quality: oligozoospermia, asthenozoospermia, teratozoospermia, cryptozoospermia and azoospermia. These can occur individually or in combination with one another.

  • Oligozoospermia: The number of sperm in the ejaculate is too low (norm: > 20 million sperm / ml).
  • Asthenozoospermia: The motility of the sperm is reduced (norm: > 50% motile sperm).
  • Teratozoospermia: There are too few normally shaped sperm in the ejaculate (norm: >15% normal sperm).
  • Cryptozoospermia: There are only a few sperm in the ejaculate.
  • Azoospermia: The ejaculate contains no sperm at all.

If the examination of the ejaculate shows no abnormalities and all values ​​are within the normal range, this is called normozoospermia. After an exact diagnosis in our center (spermiogram and blood sampling), the cause research and planning of the treatment is carried out in close cooperation with appropriate specialists (human geneticists and urologists), if this appears necessary.

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Christina Cherry
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