- Spermiogram: examination of childlessness
Many couples only begin to have children after several years of being together. But often it is not as easy as planned to put this wish into reality. The examination of the sperm is an important piece of the puzzle in the search for the cause. If the desire to have children becomes stronger and nothing happens anyway, the initial looseness quickly gives way to compulsion and emotional tensions - the desire for sex becomes frustration, the fun becomes an obligation. For many women, an odyssey of investigations and therapies begins - everything is tried to get pregnant. But sometimes the man is forgotten. And that, although an examination of the sperm is quite simple and often reveals the cause.
Childlessness - first desired, later unintentionally
It is estimated that in Germany there are up to 1.5 million couples with unfulfilled desire for children. Older couples are particularly affected - over the age of 30, the risk of infertility and the likelihood of losing the child during pregnancy increases with women and men. If a younger couple has a 20-30% chance of becoming pregnant without contraception, it is only 18% of women between the ages of 25 and 33 and then continues to decline rapidly. The share of unintentionally childless couples in the age group of 35- to 39-year-olds is currently around 15% in the old and - with increasing tendency - 5% in the new federal states.
Reasons for unwanted childlessness are about equally common in men and women: in 40% of the cases, the cause is the male or the female, in about 20% both show obstacles to pregnancy at the same time.
Causes of sterility
If a couple does not have a pregnancy after having had sexual intercourse for a maximum of two years, they are referred to as infertility or sterility. The reasons are manifold and include the lifestyle and age (especially the woman) acute and chronic diseases and malformations in men or women. Mental causes can exacerbate the situation, but are rarely the sole cause.
- at women Inflammations of the fallopian tubes or other organs of the abdomen - often caused by chlamydia - often lead to adhesions and occlusions and thus to infertility. Other common causes include hormonal imbalances and endometriosis, ie accumulation of uterine lining outside the uterus.
- Also at men are inflammations z. As deriving spermatic ducts or their closure after mumps, a venereal disease or injury possible culprits that can lead to transport disorders of sperm cells. Varicose veins of the testes can lead to its overheating and thus to changes in the sperm cells. Other causes include hormonal imbalances and potency disorders. Also discussed are environmental influences that are supposed to cause changes in spermatozoa; especially smoking, too much alcohol and stress are blamed.