Unfulfilled Desire To Have Children - Causes

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Unfulfilled Desire To Have Children - Causes
Unfulfilled Desire To Have Children - Causes

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Video: Women Who Choose Not To Have A Child Must be Awarded – Sadhguru 2023, January

Causes of the unfulfilled desire to have children

Reasons for unwanted childlessness can lie with the man, the woman and / or both. It therefore makes sense that both partners are included in a clarification. In addition, cohesion strengthens each other. Lifestyle factors and environmental conditions can also have a detrimental effect on fertility. For example, abuse of alcohol, nicotine or drugs, overweight or underweight. In addition, the role of the psyche should not be underestimated. Reproductive medicine procedures, too, are often associated with challenges for the psyche. In Austria, psychological counseling is stipulated by law during fertility treatment using artificial insemination…


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  • Causes in women
  • Causes in men
  • Causes in both partners
  • The role of the psyche

Causes in women

There are very different reasons why women do not get pregnant despite a longer period of unprotected sexual intercourse. Common ones include:

  • Yellow body weakness (luteal phase insufficiency ): Too little yellow body hormone is produced. This is important both for the implantation of the embryo and for the further course of pregnancy.

  • Disturbances in the function of the fallopian tubes (tubes): e.g. a blockage due to an infection with chlamydia (type of bacteria).

  • Endometriosis: The lining of the uterus also occurs outside the uterine cavity (endometrium).

  • Malfunction of the pituitary gland (pituitary gland): These can lead to the absence of ovulation or menstruation.

  • POF syndrome (premature ovarian failure): This is an exhaustion of the ovaries, which is associated with premature symptoms of menopause.

  • Hyperprolactinemia: Too much of the hormone prolactin inhibits egg cell maturation through a feedback mechanism in the brain.

  • Hyperandrogenemia: the increased presence of male hormones affects the female cycle.

  • PCOS (Polycystic Ovary Syndrome): This disease causes many small cysts called follicles to form. However, these do not mature, but rather wither, and male hormones appear in the woman's body.

Fibroids and polyps can also affect fertility.

Causes in men

The most common reason for fertility disorders in men is a lack of healthy and normally motile sperm. These need a certain degree of mobility in order to be able to fertilize the egg.

The following causes, among others, can lead to a reduction in fertile sperm cells:

  • Varicose veins of the testicles: The reduced blood flow can cause the testicles to warm up, which affects the quality of the semen.

  • Mumps infection: Inflammation of the testicles during this condition has potential family planning implications. Inflammation of the testicles, epididymis, prostate or urethra for other reasons can also impair fertility.

  • Disorders in the hormonal balance (e.g. too little testosterone)

  • Mechanical disability (e.g. a blocked vas deferens)

With erectile dysfunction, it is not possible to achieve or maintain a sufficient erection (rigidity) of the penis. However, this is necessary for fertilization in a natural way.

Causes in both partners

There are causes of involuntary childlessness that can apply to both sexes:

  • Mental stress (e.g. severe stress)

  • Chemotherapy or radiation therapy or operations: Depending on the specific treatment, precise medical information about the consequences for a future desire for children is necessary.

  • General metabolic diseases (e.g. an underactive thyroid or diabetes)

  • Genetic causes (e.g. Turner syndrome in women and Klinefelter syndrome in men)

  • Injuries or malformations of the genital organs (e.g. the uterus or an underdevelopment of the testicles)

Lifestyle factors and environmental conditions can also have a detrimental effect on fertility. For example, abuse of alcohol, nicotine or drugs, overweight or underweight, working with toxic substances (e.g. lead) etc.

A special case are immunological reasons for infertility: It has been discussed for several decades whether an excessive maternal immune reaction could be responsible for certain unsuccessful pregnancies.

The role of the psyche

Mental causes for the long wait for the dream baby should not be underestimated. So it is quite possible that, for example, strong, long-term stress can affect the fertility of both partners. In principle, stress is a natural process of the body and soul. However, if it gets out of hand, hormone production goes into a spin. You can find out more about this under Stress & Relaxation. This hormone imbalance also affects ovulation or the nesting of the egg in the uterus or the maturation of the sperm cells.

Psychological support

The daily conflict behavior in the partnership also plays a major role. Long-lasting disputes often put a strain on the relationship and thus the sex life. Or an unfulfilled desire to have children affects the mind and puts the couple's harmony to a hard test. Psychological or psychotherapeutic help can offer support if the two of you don't know what to do next. Learning about relaxation and communication methods or general stress management provides support for difficult times. Contact points for help in mentally stressful situations can be found under When the psyche needs help.

Therapies or procedures in reproductive medicine that are intended to lead to the desire to have children are also often associated with challenges for the psyche. In Austria, the law provides for psychological counseling during fertility treatment using artificial insemination. You can find more information on the subject of the psyche and the desire to have children in the brochure of the BZgA (Federal Center for Health Education): “Why us?” When involuntary childlessness is a burden on the soul.

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