العقم وعلاجه - ١ - أطفال تحت الطلب ومنع الحمل

Section Four

Infertility and its treatment

The causes of infertility are many, and the treatment methods are complex, but... infertility is rarely difficult to treat.

introduction

If there is a belief that says that “modern life, with its preoccupations and prospects, and the expenses it requires, has made people neglect having children,” then the belief does not apply to sterile couples who are eager to have at least one child, and do not leave a doctor’s office without... To go to another doctor in search of a way to treat their infertility.
The vast majority of healthy wives and husbands usually have no difficulty in having children, and for the very few of them, natural infertility prevents them from enjoying parenthood. Between this group and that, there are hungry wives and husbands who, if they had known how to overcome some of the difficulties that stand in the way of their fertility, would have been able to enjoy this blessing.

If a reasonable period of time has passed since the marriage without the wife becoming pregnant, the spouses begin to suspect that there is an obstacle preventing her from having children. When should spouses feel the presence of such an obstacle and strive to overcome it? ..
The first pregnancy usually occurs during the first year of marriage. If the couple avoids artificial contraindications after that, a second pregnancy may occur
During the twelve months following the first pregnancy. If two years have passed since the marriage and the wife has not become pregnant, the spouses must seek the advice of a specialist doctor.
There are several reasons that prevent pregnancy, some of which are due to the husband, and some of which are due to the husband. To the wife, including what belongs to both spouses. For these reasons, the medical examination should not be limited to one of the spouses, but should extend it to the other partner.

Until recently, the prevailing belief was that the wife was responsible for not having children. Old laws, and some modern laws, gave the husband the right to divorce his wife if she did not give him children. The image of the man did not emerge when discussing responsibility, except for his appearance in the image of the victim of a barren woman (husband)!

He's a man. How can he be responsible for that?
There are three general reasons that prevent fertilization:
1- Poor fertility of the husband.
2 - The failure of live sperm to reach the female fertilization tract due to the presence of an obstacle.
3 - Not having marital relations on one of the days of the menstrual cycle when the female is ready for fertilization.

The weak fertility of a man must not, of course, be viewed incorrectly from the perspective of manhood or the ability to exercise marital rights, as a man may enjoy great sexual power and yet be sterile.

Between the normal fertile man and the man who is weak in his fertility, there is a relatively large number of people who have a sufficient number of cells capable of fertilization. But fertilization does not take place unless these people have a sufficient number of sperm on the day the wife is ready for fertilization.
Couples wishing to have children should be aware of certain facts about sperm production.
The effect of excessive exercise on the quantity of these sperm.
Sperm cells are generated automatically at a fixed rate and are collected in a specific place in the body, as we mentioned in the first pages of this book. A fertile man usually has the maximum amount of live sperm during the three-day period in which he does not have sexual intercourse.
As for usually sterile men, they vary greatly in terms of the amounts of sperm they are able to collect within five days of sexual cessation. Some of these men are never able to collect the sufficient number of sperm needed. On the other hand, many infertile men are usually able to collect a sufficient number of sperm during the period of sexual abstinence, which lasts for five days.

This leads us to an important conclusion, which is that an infertile man usually has to avoid sexual intercourse throughout the five days that precede the day of his wife’s fertilization.
A woman is only fertile once during one menstrual period.
The duration of her fertilization period is not known precisely, but it is believed that it does not last more than twenty-four hours.
The meeting must take place at this particular time in order for the pregnancy to occur in that month.
The doctor has the knowledge that helps him determine the woman’s fertile period.
The importance of knowing a woman’s fertilization during the menstrual cycle, as well as the need for a day on the part of the husband to abstain from sex for the five days preceding the day of the wife’s fertilization, can be clarified by the experiment conducted on a young couple who were treated for thirteen months without reaching the desired result.

The doctor looked at the dates of the last six menstrual cycles and was able to determine the average length of the wife’s menstrual cycle, and calculate the closest days to the date of fertilization. Then he advised the couple to have sex on that day after the husband abstained for five days.

Pregnancy occurred in the second month of implementing this plan. The wife said that the doctor who had previously supervised her treatment the first time did not recommend the husband to take a five-day break, nor did he specify a specific day for communication.

The largest number of sperm cells must settle in the vagina on the day of the wife’s fertilization, and to ensure this goal is achieved, marital intercourse should take place twice on that day.
The first time leads to placing the largest possible number of sperm - which the husband had saved during the five-day abstinence period - into the vagina. The second time leads to the production of a quarter of the number of these sperms the previous time. The second call must take place within a few hours after the first call.