Fertility treatment new advances in reproductive medicine. And heres your host dr custom hello and welcome to in good shape where do babies come from this is 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 babies all in france girls come out of a row and boys out of a cabbage but what if the stork the roses and the cabbage fail you can go to the Fertility Center here in berlin to doctor this. Sort of a couple as unprotected sex after one or 2 years in former times and force not to use it to get pregnant but now. See modern reproductive medicine is able to help. To get maybe one or 2. Most of the couples who want to have babies are in the lucky side of life they just get pregnant but others try and try and try and they fail and if they dont get pregnant after you hear the doctors 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. 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 i must say what if its yes. But the main reason why couples fail to conceive is that womens fertility declines where they. 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 precisely. In the fall 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 poll month out on this Financial Plan or in their 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 meet so i nationalise of. 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. That invokes 1st you cant necessarily joe that conclusion is we dont know how many childless couples wanted children and how many chose not to have them working and. 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 can head off until the center in the loop which is one of the hardest hitting interests here in germany thanks for having me today. Which a couple decide to 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 gynecologist or here to reproductive unit and if they visit you and question. First i have to find out the reason for being steroids because its still run and that is the pending on either male factors or female factors and in female factors they may need a harbor to live disturbances that there isnt any regular man school cycle or the wife has a problem with her fallopian tubes as a result of pelvic infection or it is a male problem that was promoted to of the number of the sperm as low and that might be the reason of a male infertility you definitely look at both not just the female to 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 do anything at all to be 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 roads a decade or 2 decades ago so there is a problem but it has no influence on the question whether the wife is should get pregnant moment one problem could be a shock to college here in just country couples decide to imagine an old range for instance over the age of 50. Here that has an influence so the normal folk on duty get. After the age of 30 in the by. But definitely between 303538 thats not a huge problem after 40 years of age thats a problem because of the 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 male influence is not that important but after the age of 50 you have also a lower quality of the sperm looking at Treatment Options i mean i think that it depends on the cause of the infertility but what kind of options do you offer ok if theres a nominal disturbance in the women its a treatment is very easy. You have to give her some tablets or injections to produce eggs and then if she hasnt ovulation she then these 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 Artificial Insemination so its a quite easy treatment. Lets take a closer look at Artificial Insemination in investors countries about 2 to 5 percent of the couple in some help. Many couples hoping to have children face a battle against time such as 34 year old even villa and her husband lived. 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 just the doctors advise us to go to a fertility clinic events can i want to talk again. And. It was quite overwhelming at 1st it had already been on our minds but when thats what youre told because it really becomes an issue but it didnt mean that we had this opportunity. To look for. We used 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 it. Was a view of what it was the fertilized egg ovum was examined once a day. You 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 its the human tissue new technology is helping to improve the success rate of assisted reproduction treatments. Among the latest and the most advanced methods now available is the socalled time lapse incubated. When you open a sears account the built in camera travels along a few measures and assesses the cells well creating the timelapse footage its a very small area system. Its intentional in order to create a very stable cell culture conditions. Where the exiles would usually develop are close to you know like a mentor 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 doctors. It is easy for tourists to mind the one big advantage is that the incubator can function without interruption without being open to. Second pleased we can see how the Cell Division inside is developing. We know a far better resolution of every Single Movement so theres much more information about the quality of the Cells Development which is a huge advantage. Thats headed fickle z. Within 5 days the fertilized eggs are implanted into the mothers uterus evangelist treatment was successful now shes pregnant. 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. For couples like is the time lapse incubates a method significantly improves the chances of becoming pregnant. About 40 years ago the 1st test tube baby was born her name is louise brown and there are different kinds of official insinuations so what kinds of how they to choose from so when they look either on in vitro fertilization test joe perry all we combine it with the x. Amounts of when you inject once and so normally it takes the invitro fertilization that means you have the major x. And then you put around the x. About 200000 sperm and you hope that one goes until the end. On the other hand the exit procedure then you take one spur inject this one directly into the x. And then you hope you have a fertilization as well so the 1st monday in vitro fertilization is more natural compared with the extreme method and what about the result is the. Better because you inject it directly into the back you have a little a little higher number of his asian but the body is important at the end the baby take home or it is just the same its more in favor of the even 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 you have to give the woman home or as a preparation for the examination why is that so normally you have only one egg during a man through a cycle but for successful in vitro fertilization you need 12 to 15 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 have 12 to 15 eggs which are major and then you can use them for the in vitro fertilization of all the eggs 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 rhonda in the short term run on the long term run we know that there is no high probability for getting cancer Breast Cancer in women or utils cancer or Ovarian Cancer but in the short run you have problems that there is a possibility for of 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 teacher. The disease 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 as a baby to cooperate and the baby to cooperate is between 20 and 25 percent so if you counsel the couple you have to tell them ok we have to take it to 2 or 3 attempts and then the probability of 4 having a baby is higher than the probability for not having a baby and when you take a look at the baby lisa i mean there are some reports that suggest that there are higher rates of organ failure as a heart problems so its true are things that is true because we have to be aware that we do a lot of artificial things we give a lot of hormones for the majority of the eggs and then in the incubate of the the eggs and the sperms and the embryos are between 2 and 5 days and the possibility for developing are not just the same as in the women the fallopian tubes normally it takes place in the fallopian tube and that we have to be there maybe that 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 agree on the procedure well we just focused on Artificial Insemination lets take a look at natural for todays age and so we could view a christian some. From us and he asks if there is certain positions that increases the 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 words of the are in the fallopian tubes you can do what you want just have sex so theres no heads. Necessary. To know abstinence improves sperm quality its the opposite because normally when being served for sex all 2 or 3 days so if you wait too long you get not better spreads are get worse so not waiting for a long time just of sex is really good news thanks for 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 show on d w that covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we just because these topics in depth with specialists and a few opportunities to pose 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 am myself 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. Tired and as a sports psychologist at the university of parts 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 this is a sport you used to enjoy what you like doing most then just go and do it. 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 how saying you dont have time is not an excuse everyone is busy you have to find a way of fitting exercise into your schedule how ever 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 bag well in advance. And be realistic people need to exercising tend to set themselves over Ambitious Goals they have no chance of reaching. The bias 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 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 rewarded not. 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 the healthy diet be an illness and i didnt want to lose weight i wanted to put on weight but i was also afraid. And i eat really healthy food and vegetables hardly any fat sonakshi counterfeiter. Canned food was a no no i would never eat canned tomatoes say because they have additives and none of which i need my holders of tons and a healthy diet has never been more fashionable but paradoxically sometimes it can make people unhealthy 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 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 bristol showed that 3 percent had symptoms of orthorexia biancas 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. When sophie i 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. On Healthy Eating are all over social media a bridge study revealed that regular instagram users are more likely to think about the issue of eating and exhibit symptoms of orthorexia and is in a new tradition 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 thats had this im fuels. Anxiety about diseases can feed the fixation on Healthy Eating here in the clinic the young women are relearning how to eat normally it doesnt happen overnight. In the store so why is there the militia grin that says thats a problem for me. Because hes an fruit mean theres already sugar and it sounded so calm down by the man i said this is the amount of sugar isnt all that much. Try getting used to the idea that small amounts of added sugar are just fine as atmananda often. 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 tucking in takes 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. As. Sophia has set herself a personal goal. When mrs overall started attending 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 and i 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 told then lets all try to stay in good shape. The body. Climate change. The state of the me. Environmental pressure. Give globalization perfect biodiversity Species Conservation exploitation equality. Human rights displacement. The Global Impact of local action. Global 3000. And 30 minutes on d w. It was the worst industrial disaster of all time. The poison gas leak in the ballpark in the. 35 years on people are still suffering the consequences the state cant cope and any help for the victims is coming from a network of dedicated medics of lawyers and activists the poisoned legacy. 60 minutes on w. Fake hair and real story. Where i come from a lot of women like me who have fake hair sometimes a hairstyle takes up to 2 a day. Its a lot of time that needs to be filmed so people at the salon talk about whats happening in their lives. I became a journalist to be a storyteller and i always want to find those real authentic stories from everyday people who have something to share. With others i must find at the salon i know a good quality here when i see it and the good story when i hear it. My name is Elizabeth Shaw and i work at. Frankfurt to help watch International Gateway to the best connections else in road and rail. Located in the hut a few of you are connected to the whole world. Experience outstanding shopping and dining offers and try our services. Biala gassed at Frankfurt Airport city managed by from bought. This is the double the news live from virgin the United States is extending coronavirus restrictions and told the end of april President Donald Trump says the country will be on the road to recovery by june a top u. S. Infectious diseases its 1st borns a coronavirus could a fake movie its for you the latest from washington also coming up. A groups are calling for the evacuation of Vulnerable People from graces over crowded refugee camps in the morea camp a place boston there are fears that they could run