Primary infertility refers to a couple who has never achieved to end a pregnancy with a living newborn. At present, infertility and sterility are ofter considered synonyms, although they don’t mean exactly the same: an infertile couple is able to achieve a pregnancy, whereas with sterility we don’t have a positive pregnancy test, there are problems for the sperm to get to the egg, to fertilize it and then for the embryo to implant in the uterus.
Infertile couples can achieve a pregnancy, the analysis of beta hCG hormone is positive and it increases exponentially the way it should. Still, at a certain moment, the embryo’s development paralyzes, leading to a miscarriage.
When we talk about primary infertility is because the couple hasn’t had babies before – we refer to sons and daughters of both the members of the couple. The reproductive capacity has to be conceived like the sum of the reproductive potential of the man plus the reproductive potential of the woman: a person can have difficulties with a partner and not with another one. Although there’s no evident fertility problem for neither side, the simple combination of both reproductive potentials is not enough to achieve that the pregnancy goes on to term.
A miscarriage is an extremely traumatic situation for the couple, especially if they are at their first pregnancy: it is a difficult time. We shouldn’t confuse a gestational loss with having primary infertility: unfortunately, it isn’t uncommon that young couples with no abnormalities in their fertility have a miscarriage.
To talk about primary infertility it is necessary to diagnose it: for this, you should go to a fertility centre to check both members’ fertility. Gynecologists who look after the woman, if they have the suspect that there can be an infertility problem, usually refer the couple to an assisted reproduction clinic; this also happens when the woman is older than 35, since female fertility decreases with age and there’s not enough time to see if the situation has a normal evolution in time.
Tests and analysis will be made to verify the state of man and woman; with these results, specialists can suggest the best treatment to achieve a full term pregnancy, with living baby at home.
Infertility is especially complicated because the fact that you can’t have a baby should be added to the disappointment of facing a loss. Having to tell the news to others can mean increasing the couple’s pain and stress: miscarriages normally happen during the first quarter of pregnancy, for this reason it is recommendable that infertile couples don’t tell the news of the pregnancy until they reach the third month.
Despite the recommendations, it is important that couples do what they think is right for them: everyone faces illusions and deceptions in a different way. Feeling excited is inevitable when you achieve a pregnancy, and this is how it should be. You must be positive, think that this time it will be possible: the state of mind is crucial during the pregnancy and, even if it can be more complicated sometimes, you must struggle until you reach your aim: setting up a family.