infertility 20%

Professor and consultant of obstetrics and gynecology and infertility treatment, with a general specialty in gynecology and obstetrics surgery, specializing in the treatment of infertility and IVF, Professor Hassan Saleh Jamal explained that infertility is the absence of pregnancy after marriage without using any method of contraception after a full year of attempts.

Increase in prevalence

He emphasized that the prevalence of infertility is increasing at the level of the world and the Kingdom, as the percentage was previously from 10-15% and now it has reached 15-20% and perhaps more in some countries, and this is due to five factors, foremost of which are: (change in diet, pollution Environmental, delayed childbearing age for women, increased psychological stress, and the spread of sexual diseases).

Causes of infertility

On the main causes of infertility in women, he answered that they include insufficiency and disruption of ovarian function and the subject of ovulation, obstruction of the fallopian tubes, insufficiency and disorder of the function of the pituitary and thyroid gland, endometriosis disease in the pelvis, polycystic ovarian disease, chronic and recurrent gynecological infections and psychological stress.

Previous knowledge

And he indicated that it is not easy to know whether a woman is "sterile" or not from certain indicators without returning to the specialist doctor before marriage, but it may require a clinical examination, examinations, analyzes and x-rays that show the girl''s ability to have children in the future, confirming that infertility usually occurs gradually in the woman unless it is The cause is congenital, so it is deterministic from the beginning, such as absence of the uterus or atrophy of the ovaries, and these are congenital.

High proportions

Dr. It is good that the success rate in treating infertility is very high and exceeds 95% of cases due to the rapid and scientific development of technologies in this field.

Female sterility

And about the means available to treat infertility in women, Dr. Well, this depends on the cause of infertility, for example if it is due to poor ovulation, drugs can be used to stimulate ovulation, and if it is due to a blockage in the tubes, it can be treated with an IVF procedure, and there is a treatment by ICSI, which gives high results.

Male sterility

As for the treatment of male infertility, he stated that it is possible to treat with medication if the problem is a lack of sperm count or poor movement, but if the reason is the absence of sperm in the semen, testicular biopsies are taken and a microscopic injection is performed. Varicose testicles, this is done by surgery.

ICSI

And about the difference between IVF and ICSI and which is better, I tell that IVF is the process of fertilizing an egg by placing it with a group of sperm in the laboratory, then returning it after fertilization to the uterus, and as for ICSI, it is a delicate process used in the case of severe weakness in the man''s sperm In which the sperm is injected into the egg using a special needle and a special microscope, and ICSI is better than IVF.

Dr. added. Well, he said: In general, treatment of male infertility is more difficult than treatment of female infertility, especially in the case of absence of sputum and weak gonads for men.

Treatment s

Regarding the developments in the treatment of infertility, he mentioned that there are great developments in the treatment of delayed childbearing, including plasma injection in the ovaries in the event of severe ovarian insufficiency in some women, and there are also techniques for taking sperm from the testicle directly, not from the semen to avoid some deformities. And changes in semen sperm.

Uterine implantation

He concluded by saying: Uterine transplants have been successful as a treatment for infertility since 2014 in Sweden as the first case, and then many cases followed in other countries, such as: America, Japan and Turkey.