A question many children ask their parents and if the parents dont want to tell them they havent stories in many countries of the world this stock still really risk the babys own friends girls come out of the road and boys out of a couch but what if the stork the roses and the cabbage fail you can go to the Fertility Center him to listen to dr. So i have a couple as unprotected sex after one or 2 years in former times and false not easy to get pregnant but now see modern reproductive medicine is able to help certain to get a trigger and maybe one or 2. Most of the couples. Who want to have babies are the lucky side of life they just get pregnant that others try and try and try and they fail and if they dont get pregnant after you hear it up to say this is infertility. There can be many reasons why a woman fails to get pregnant one 3rd of cases are attributed to fertility issues with the female partner one 3rd to problems with the male partner and one 3rd to a combination of problems in both couples are generally considered in need of fertility treatment if theyve been trying and failing to conceive for at least a year. In 2015 nearly 21000 babies born in germany for example resulted from assisted reproduction that was 1000 more than in the Previous Year worldwide millions of babies are conceived with the help of fertility treatment and the numbers climbing steadily so is infertility on the rise. Sperm counts in western industrialized nations have plunged by over 50 percent in the last 40 years stress and unHealthy Lifestyles have been shown to adversely affect fertility professor cuts i mean hunger has observed a rise in the number of people seeking fertility treatment. Also smoking and obesity have a major impact on fertility and both women and men the good thing is that you can discuss these issues with a couple and encourage them to make changes in time as to what if its yes. But the main reason why couples fail to conceive is that womens fertility declines with age. The number of eggs in their ovaries decreases steadily. Girls enter puberty with around half a 1000000 eggs. They lose around a 1000 eggs each month. When a woman is in her early thirties the statistical likelihood of her becoming pregnant is 30 percent precise. In the style full by the time a woman is 40 the likelihood shell conceive has decreased and by 44. 00 she has just a 3 to 4 percent chance of conceiving power month on this Financial Plan or on the reason for this to put it frankly is that her eggs are older and theyve declined in quality so a pregnancy becomes less likely and obvious nice to move to a national shift. Women seeking fertility treatment are 35 and a half years old on average. With women delaying childbearing in some parts of the world are couples who want children more likely to end up childless. And in the books just you cant necessarily joel that conclusion is we dont know how many childless couples wanted children and how many chose not to have them working and heres. What we do know is that a growing number of couples are seeking fertility treatment and that the options are becoming increasingly sophisticated the probability of conceiving after one round of treatment is now 20 percent the more rounds you have the higher your chances are of conceiving but success is by no means guaranteed. And you doctor can head off a Teacher Center in the loop which is one of the hardest facilities and just here in germany thanks for having me today and when should a couple decide to come see so 1st say should have unprotected sex and if it more than one year of unprotected sex then they should go to a doctor either going to colleges or here to reproductive unit and if they visit you and. First have to find out the reason for being steroids we call it steroids and that is depending on either male factors or female factors and in female factors they may need a harbor to disturbances that there is an every man school cycle or the wife has a problem with her fellow peon tubes as a result of pelvic infection or it is a male problem that is promoted 3 of the number of as low and that might be the reason of a male infertility you definitely look at both the female and male yes of you have to look at both because its half and half between male and female that the reason is hard when male and hard and female best use you can mean something about it used quality which increased over the last decade this is true thats true but on the other hand we know that the probability to get pregnant is nearly the same whether its now or its a decade or 2 decades ago so there is a problem but it has no influence on the question whether the wife is a should get pregnant moment but one problem could be a shop of college here in industrial countries couples decide to imagine an older age for instance over the age of 50. Here that has an influence so the normal fecundity gets. Own after the age of 30 in the by. But definitely between 30 and 3538 thats not a huge problem after 40 years of age thats a problem because its a problem of the quality of the x. The quality of the x. s the minish ing after the dramatically after the age of 38 years and the introductory age of survive is very important on the other hand the main influence is not that important but after the age of 50 you have also a lower quality of looking at Treatment Options i mean i think that it depends on the costs of the infertility but what kind of options do you offer ok if theres an all male disturbance in the women the treatment is very easy. You have to get for some tablets or injections to produce eggs and then if she has an ovulation she then this problem is solved on the other hand if there are moderate problem with the sperms you could combine this one was an Artificial Insemination so drugs for ovulation and other official insemination so its a quite easy treatment. Lets take a closer look at Artificial Insemination in investments countries about 2 to 5 percent of the couple need some help. Many couples hoping to have children face a battle against time such as 34 year old even villa and her husband. We tried and failed for a long time so we went to see the doctor and i went to a gynecologist and my husband went to a neurologist the doctors advised us to go to a fertility clinic he bets can i watched him to gain how discussions in the. Us. It was quite overwhelming at 1st it would already be known in mines but when events which are told to get really. It becomes an issue sure but it didnt mean that we had this opportunity. To look for. To take this egg cell that turns into an embryo out of an incubator and put it under a microscope to see whether fertilization had occurred so if its was a it what was the fertilized egg ovum was examined once a day. To get us all we could say and removing the cells from the warm environment of the incubator 37 degrees celsius removing them from ideal conditions and exposing them to the risk of cooling and to light as well as fluctuations in the ph levels and now none of thats necessary. And new technology is helping to improve the success rate of assisted reproduction treatment among the latest and the most advanced methods now available is the socalled time lapse incubating. When you open it shares a gap to the built in camera travels a lot of measures and assesses the cells well creating live time lapse footage its a very small area thats intentional in order to create very stable cell culture conditions for getting the for the opium tubes where the egg cells would usually develop are close to no lead can enter and there are no temperature fluctuations. That allows a more natural and unhindered development in the extremely sensitive early phase as well as careful monitoring by the doctor. It is easy for terrorists to live in those one big advantages that the incubator can function without interruption without being open to the 2nd pleased we can see how the Cell Division inside is developing. We know far better resolution of every Single Movement so theres much more information about the quality of the Cells Development which is a huge advantage. Because even. Within 5 days the fertilized eggs are implanted into the mothers uterus evangelist treatment was successful now shes pregnant. Just because the story of the baby is completely healthy everythings great each time the doctors told us how well the baby was developing and everything was normal so it couldnt have been any better just great. Kappos like of the time that theyd significantly improve the chances of becoming pregnant. About 40 years ago the 1st test tube baby was born her name is now and there are different kinds of Artificial Insemination so what kinds of how they to choose from so we look either on in vitro fertilization test tube baby or we combine it with the exit method when you inject one sperm into the egg so normally it takes the in vitro fertilization that means you have the major x. And then you put around the x. About 200000 sperm and you hope that one goes into the egg and fertilized egg on the other hand the exit procedure then you take one sperm inject this one directly into the eggs and then you hope you have a fertilization as well so the 1st one the in vitro fertilization is more natural of compare with the extreme method it what about the result is the. Better because you inject it directly into the you have a little a little higher number of fertilization but that what is important at the end the baby take home or it is just the same its more in favor of the more natural procedure of the i. V. You have sold the baby take over it is a little bit better and i we have a procedure so its always a good idea to stay with nature but you have to give the woman home or the preparation for the insemination why is that so normally you have only one egg during a man sort of cycle but for successful in vitro fertilization you need 12. 00 to 15. 00. In eggs and you can make a calculation because half of the eggs as never able for a pregnancy or for a delivery so you need more and some of the eggs dont get fertilized so thats the aim to do had 12 to 15 eggs which are major and then you can use them for the in vitro fertilisation all for the masses and isnt it dangerous to beef those homes are the side effects yes you have to look to the side effects of the long term around the end of the short term run on the long term run we know that there is no high probability for getting cancer Breast Cancer in woman or uterus cancer Ovarian Cancer but in the short run you have problems that there is a possibility for and hyperstimulation that you have not only 12. 00 to 15. 00 x. But maybe 30 and then the ovaries are enlarged and some of the out that much smaller than that the woman has to go into the hospital to give you some update on the success rate of the invitro fertilisation souls of 1st success rate is that you have after the embryo transfer you have a pregnancy the pregnancy rate can be expected of about 30 percent. But that is not the most important for the women most important is a baby take home braid and the baby to cooperate per 10 days between 20 and 25 percent so if you counsel the couple you have to tell them ok we have to take into account 2 or 3 attempts and then the probability for having a baby is higher than the probability for not having a baby and when you take a look at the babies i mean there are some reports that suggest that there are higher rate of organ failure is a heart problems so too are things this is true because we have to be a very that we do a lot of artificial things we give a lot of hormones for the majority of the eggs and then in the incomplete of the the eggs and the sperms and the embryos are between 2 and for. Days and the possibility for developing are not just the same as in the women the philippine troops normally it takes place in the fallopian tube and that we have to be there may be there is some harm on the embryo and on the end we are never on the safe side when we do artificial things so we have to counsel the patient and we can do it only if the patient are agreeing all the procedure well we just focused on Artificial Insemination but lets take a look at natural for to the station so we could view a christian some. From us and he asked if there is certain positions that increases woman chance of getting pregnant no you should just have sex and the position is not important and its not also important that you stay in bed because we know after 10 minutes these problems are not in the vagina only not in the order of the hour in the fallopian tubes you can do what you want just have sex so theres no headstone necessary no. 100 words to know does abstinence improve sperm quality its the opposite because normally human beings have sex all 2 or 3 days so if you wait too long then you get not better spreads you get worse so not waiting for a long time just have sex its really good news things of this very interesting talk so if you want to get pregnant you have to become active and if you want to have your questions answered get active to. Be in good shape your Weekly Health challenge d. W. That covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we just does these topics in depth with specialists and a few opportunities to post your questions so get in touch. If you want to write us do it right now because postponing. Things means that they often dont get done i myself im a master in procrastinating but this way out of it lets take a look at the next report i will watch this report maybe later. A quick burst of activity but you run out of steam almost immediately. If you see exercising as a chore you might want to try finding a sport thats. Hard and as a sports psychologist at the university of put some he loves running and he advises people to find a form of exercise that suits them and it was also obvious you need to try things out perhaps there is a sport you used to enjoy what you like doing most and then just go and do it before you can. Try mixing it up the main thing is to enjoy working out. Lots of people say they would exercise but they just dont have the time. Kind of tight so hard saying you dont have time is not an excuse everyone is busy you have to find a way of fitting exercise into your schedule however busy you are the small time. To put it in your calendar thats what you do with the work appointment make it nonnegotiable just put it in the calendar and stick to it. Schedule your exercise. And make sure youre well prepared. Pack what you need in your sports back well in advance. And the realistic people need to exercising tend to set themselves over Ambitious Goals they have no chance of reaching. The bias that its really important not to overtax yourself and do a bit less than what you think feels right and only keep it up as long as it feels comfortable. And dont forget to reward yourself that way youll stay motivated. Sometimes our brain is pretty straightforward have a reward means the brain says well done do it again treat yourself. And sooner or later that feeling of achievement after a good workout will be reward enough. You know what i like to put into my phone all the things i eat because i want to stick to a healthy diet but sometimes pursuing a healthy diet can be compulsive if you get upset by it but can a healthy diet be an illness that i didnt want to lose weight i wanted to put on weight but i was also afraid. And i eat really healthy fruit and vegetables hardly any fat sonakshi counterfeiter who they all canned food was a no no i would never eat canned tomatoes say because they have additives in and over to the neighborhoods and homes and a healthy diet has never been more fashionable but paradoxically sometimes it can make people on healthy mindful eating can become an obsession so fear is 19 and suffers from orthorexia no vosa and excessive preoccupation with eating whats perceived as healthy food shes been in treatment for 6 months shes learning to understand the condition. At the beginning i thought you were eating healthily and youre also exercising so a Healthy Lifestyle but at some point i realized i was losing weight even though i didnt want to but i was also worried about putting it back on and thats when it started to become compulsive and that kind of. People with orthorexia are less worried about the amount of food theyre eating and more preoccupied with what theyre eating they have a fixation with what they believe to be healthy and unhealthy food. A study involving nearly 1400. 00 test subjects at the university of dissolute showed that 3 percent had symptoms of orthorexia bianca shrine and has also observed a rise in the disorder. People are looking for the healthiest diet possible and that can make them increasingly restrictive when it comes to what they eat. And they no longer see food as sustenance it becomes their main focus in life and thats what orthorexia is basically. Fear 1st arrived in the clinic she weighed just 36 kilos when someone is orthorexia their entire day tends to revolve around what they eat they set themselves strict rules about what theyre allowed to eat and follow them rigidly. Thats what happened to sophia too and one key factor played a major role. Is to madonna feeding me i believe that the media was to blame these days youll always hearing about the dangers of sugar is how the whole world is eating fancy much sugar and too much fat so. That was what started my anxiety because. Tips on Healthy Eating are all over social media a british study revealed that regular instagram users are more likely to think about the issue of eating and exhibit symptoms of orthorexia. Is an exit on nutrition is a major topic in society and the media id say that coverage of issues related to how we eat certainly plays a role in orthorexia such as factory farming or a salmonella outbreak. Some viruses that are transmitted through food that have this im fuels. Anxiety about diseases can feed the fixation on Healthy Eating here in the clinic the young women are really learning how to eat normally it doesnt happen overnight. In the store so why has there been no a sugar and that says thats a problem for me just because hes in fruit mean theres already sugar in it sounded so kind of down but he may not see this in the amount of sugar isnt all that much. Try getting used to the idea that small amounts of added sugar are just fine. On the off. Young women are particularly at risk of developing a disproportionate fear of unhealthy food. But so are people who work in areas related to nutrition such as fitness trainers and dietitians doctors keep a close eye on the patients various rules are designed to help them develop a healthy relationship to food. They have half an hour to eat so they can get used to normal quantities normal meals and normal meal rhythms and thats why we have this half hour rule then they can leave the table. They get 6 meals a day all the food is fresh and flavorful even so for many of the young women here checking in to a lot of determination its hard for them to relinquish control over what theyre eating. The goal is for them to eat more or less normally and whats also important simply to enjoy eating again and to be able to take pleasure in food and. Sophia has set herself a personal goal. First of all when mrs overall started spending an Outpatient Clinic and i would not like to get an apartment with roommates who are roughly my. Age and go back to the Job Training Program i was doing before id just like to return to normal life thats my goal. A normal life that doesnt involve worrying incessantly about food. Thats it for today see you next week and im till then lets all try to stay in good shape. Learning. Merged reality wait a 2nd we want the whole picture our facts instead of make ideas shift deliver us. From other reality to cryptocurrency to your topics for live in an ever changing Digital World lets start with to devise a simple shift. To the 15 minutes down to w. Actually written meters just shows numbers but rest of shows. Do so for our. Cause. Of the smart way to get when youre going. 30 and w. Each step tells my story. Of the people who plan to me build. Models to me. I am not too dumb to come. On the same album i made. In the centuries they built me they created something true emotions onto mops as i must just. True and. I have monta my citys gains for centuries the company my country. Until the day i mean. Nothing done differently. Johnson april 8th. Place. This is the news line from berlin italy sets a grim record in its struggle against the corona virus almost 1000 people have died there in the past 24 hours from covert 19 thats the highest daily death toll in any country since the outbreak was detected in belief in february also coming up u. S. President donald trump signs the biggest stimulus package in modern history some 2 trillion dollars will be rushed the 2 states and businesses struggling amid the crisis the legislation also provide
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