Unfulfilled desire to have children

The causes of reduced fertility in men can be varied:

• Genetic factors: hereditary diseases can impair sperm production or function.
• Testicular problems: Inflammation, injuries or operations in the testicle area can reduce sperm quality.
• Hormonal disorders: An imbalance of sex hormones can affect sperm production.
• Lifestyle and environment: Smoking, alcohol, drugs and environmental toxins can have a negative impact on sperm quality.

The following factors can affect fertility in women:

• Egg maturation and ovulation: problems with the ovaries or hormonal imbalances can prevent eggs from maturing and ovulating.
• Anatomical abnormalities: Constrictions or adhesions in the fallopian tubes can block the egg's path.
• Hormonal imbalances: disorders in the production of the corpus luteum hormone can affect the menstrual cycle.

For men:

• Spermiogram: analysis of the ejaculate to assess sperm count, motility and morphology.
• Ultrasound examinations: Checking the prostate, testicles and seminal vesicles.
• Hormone analyses: Determination of male hormone levels.

For women:

• Hormone analyses: determination of female hormone levels.
• Ultrasound examinations: Checking the ovaries and fallopian tubes.
• Fallopian tube patency tests: Checking the patency of the fallopian tubes.

Drug therapy: Medication to regulate hormone levels can improve fertility. These include hormone preparations that stimulate ovulation or balance hormone levels.

Spermiogram: A precise analysis of the ejaculate helps to determine the right treatment. This analysis provides important information about sperm quality and quantity.

Surgical interventions: Surgical measures can remove physical blockages and restore fertility. Examples include the removal of varicocele or the restoration of fallopian tube patency.

Assisted reproductive techniques (ART): Procedures such as in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) offer solutions for couples for whom other methods have been unsuccessful. These techniques allow for fertilization outside the body and the implantation of the embryo into the uterus.

Psychological support: Counseling and therapy can help manage the emotional stress and strengthen the relationship. Psychological support is important to reduce the pressure and anxiety associated with an unfulfilled desire to have children.

Fertility consultation After diagnosis, a detailed consultation is crucial to discuss the best treatment options. This consultation is usually offered as a private medical service and includes a detailed discussion of the results and possible next steps.

• A healthy lifestyle: A balanced diet, regular exercise and refraining from smoking and excessive alcohol consumption can have a positive impact on fertility.
• Stress management: Reducing stress through techniques such as meditation or yoga can support fertility.
• Regular check-ups: Early detection and treatment of health problems can preserve fertility.