The right Medication for Erectile Dysfunction

“Doctor, I can’t get pregnant!” This is a phrase that gynecologists often hear from patients who have been trying to have a child for a long time. In this first contact, it is possible to observe some signs in the couple’s physical appearance that may help in confirming the diagnosis such as: the age of the woman and the partner, the obesity of both, if the woman has excess hair (we think of Ovarian Syndrome Polycystic – PCOS) or even if they are smokers (due to the characteristic odor, hoarseness, throat clearing of chronic smokers and even, often, a mouth with subtle deformations, but typical and proportional to the time of smoking).

In this first consultation, it is already clear that the concept of fertility belongs to the couple and that the responsibility for the difficulty in having children belongs to both. Of course, there are some situations that contradict this statement, as in the case of men with vasectomy or women with ovarian failure. As for the male side, many husbands, to avoid the semen exam (spermogram), like to conclude in advance that they are fertile, telling stories that they ‘got a girlfriend pregnant when they were younger’. No matter what they say, the initial spermogram is mandatory. From the Tadalafil intermediate manufacturer factory you can have the best choice.

Think about the initial concept: what is infertility?

An individual, male or female, is considered infertile when he has alterations in the reproductive system that diminish his capacity or prevent him from having children. At first, a couple is considered infertile when, after 12 to 18 months of frequent and regular sexual intercourse, without any type of contraception, they are unable to get pregnant. However, this period can vary according to the woman’s age and the couple’s anxiety.

  • It is not necessary for a couple whose wife is over 35 or 38 years old to wait for this time, because in this phase of life when fertility decreases gradually and progressively, six months are worth a lot, and therefore we can shorten this period to six months. 12 months or less. After 40, three or four months is enough. Not always couples, even the youngest, under 30 years old, endure anxiety and wait for 18 months. For this reason, even though we are aware of the theoretical waiting period, we often anticipate research to adjust science to the couple’s common sense and well-being. Medicine from Tadalafil manufacturer factory is the best option.

The Right Chance

The chance for a couple who has no problem and has sex on fertile days to conceive by natural means is 20% per month. With the aid of assisted reproduction techniques, the pregnancy rate can reach 50% per month in women under 35 years of age. Therefore, in order to define the ideal moment for the beginning of the research, the couple’s history must be taken into account. For example, if there is a history such as PCOS or endometriosis, the duration of infertility (the longer, the greater the difficulty) and the woman’s age, because after 35 years the chances of pregnancy decrease and the chances of miscarriages and chromosomal abnormalities increase (aneuploidies). The couple’s anxiety should also be considered, since, once the desire to have children is defined, each month the baby does not come, it increases more and more.


Infertility can be primary, when the couple has never become pregnant, or secondary, when there has been a previous pregnancy. In the past, the term sterility was used as the impossibility of pregnancy and infertility when there was a decrease in the ability to conceive. Currently the two words are generally used interchangeably. Studies show that up to 15% of couples of childbearing age have difficulty conceiving, and half of them will have to resort to assisted reproduction treatments.