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Unerfüllter Kinderwunsch: Ursachen

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Viele Ursachen, warum eine gemeinsame Schwangerschaft ausbleibt, können durch Überprüfung der grundlegenden physiologischen Faktoren rasch aufgedeckt werden.

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Die Ursache für einen unerfüllten Kinderwunsch kann gleichermaßen beim Mann sowie bei der Frau liegen. In seltenen Fällen lässt sich bei Paaren auch medizinisch keine Erklärung dafür finden, warum der Kinderwunsch unerfüllt bleibt. Gerade weil dieser die Psyche der Betroffenen häufig stark belastet oder gar die Partnerschaft auf eine harte Probe stellen kann, ist eine rechtzeitige und umfassende Abklärung der Ursache empfehlenswert. Im Kinderwunsch Centrum München wollen wir uns für jede bzw. jeden unserer PatientInnen die Zeit nehmen, ausführlich die Ursachen abzuklären und einen individuellen Behandlungsplan festzulegen.

Unerfüllter Kinderwunsch: Ursachen

Unregelmäßiger Zyklus
Spermienproduktion
Eileiter und Gebärmutterhals
Probleme bei der Gebärmutter Einnistung
Endometriose – Gebärmutterschleimhaut außerhalb der Gebärmutter

Mögliche Ursachen von unerfülltem Kinderwunsch: Überblick

Unregelmäßiger Zyklus

Zyklusstörungen spielen eine zentrale Rolle im Rahmen der Ursachen für unerfüllten Kinderwunsch. So ist ein unregelmäßiger Zyklus oder gar ein Ausbleiben der Regelblutung ein bedeutender Hinweis hinsichtlich einer Störung der Eibläschenreifung im Eierstock oder des Eisprungs. Auch eine damit einhergehende Beeinträchtigung der Gelbkörperbildung ist denkbar. Liegen keine weiteren fruchtbarkeitsmindernden Faktoren vor, ist es häufig bereits durch eine Zyklusoptimierung möglich, auf natürliche Weise schwanger zu werden und den Kinderwunsch zu erfüllen. Mehr über einen unregelmäßigen Zyklus und eine vorliegende Eizellreifungsstörung erfahren Sie auf unserer Seite Unregelmäßiger Zyklus.

Spermienproduktion

Unfruchtbarkeit bei Männern ist meist bedeutungsgleich mit einer verminderten Spermienproduktion oder -qualität. Es kann sowohl die Anzahl an Spermien, die Beweglichkeit oder die Menge an missgebildeten Spermien beeinträchtigt sein. Liegt der Verdacht auf eine verminderte Spermienproduktion als unerfüllter-Kinderwunsch-Ursache vor, kann mittels eines Spermiogramms Vitalität, Beweglichkeit, Menge sowie das Aussehen der Spermien bestimmt werden, um so eine Aussage über die Spermienqualität treffen zu können. Mehr über eine verminderte Spermienqualität erfahren Sie auf unserer Seite Spermienproduktion.

Eileiter und Gebärmutterhals

Hormonelle sowie organische Störungen an den Eileitern werden häufig im Rahmen von Fruchtbarkeitsproblemen identifiziert. Gerade da sich Störungen an den Eileitern sowie am Gebärmutterhals meist nicht in anderen, sichtbaren Symptomen äußern, werden diese oftmals erst im Rahmen einer umfassenden Ursachenforschung für einen unerfüllten Kinderwunsch aufgedeckt. Mehr über diese häufige Fruchtbarkeitsstörung erfahren Sie auf unserer Seite Eileiter und Gebärmutterhals.

Probleme bei der Gebärmuttereinnistung

Die Gebärmuttereinnistung ist ein komplexer Vorgang, der ideale Voraussetzungen erfordert, um erfolgreich zu funktionieren. So muss die Einnistung zum idealen Zeitpunkt sowie im idealen Zustand der Gebärmutterschleimhaut stattfinden. Entsprechend gibt es eine Reihe an Faktoren, die den Einnistungsprozess stören oder gar eine Einnistung in die Gebärmutter verhindern können. Mehr über die Probleme im Rahmen einer Gebärmuttereinnistung erfahren Sie auf unserer Seite Gebärmuttereinnistung.

Endometriose 

Von einer Endometriose sind etwa 1 – 3 % aller Frauen im fortpflanzungsfähigen Alter in Deutschland betroffen. Damit zählt sie zu den häufigsten Unterleibserkrankungen bei Frauen. Bei der Endometriose siedelt sich Gewebe (Endometrioseherde) außerhalb der Gebärmutter an. Häufig geht die chronische Erkrankung mit starken Schmerzen und einer verminderten Fruchtbarkeit einher. Mehr über die chronische Erkrankung erfahren Sie auf unserer Seite Endometriose.

Haben Sie einen erfolglosen Kinderwunsch, finden Sie im Kinderwunsch Centrum München einen vertrauensvollen Partner an Ihrer Seite. Wir klären die Ursache für Ihren unerfüllten Kinderwunsch umfänglich ab, begleiten Sie mit einem breiten Spektrum an Leistungen sowie Behandlungsmethoden auf Ihrem Weg zum Start einer eigenen Familie.

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Weiterführende Links

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– ICSI-Behandlung

– Kryokonservierung von Embryonen

– spezielle Laborverfahren

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ICSI Behandlung

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Diese Methode wird dann angewandt, wenn der Spermiogrammbefund deutlich eingeschränkt ist. Aufgrund zu weniger, eingeschränkt beweglicher oder vermehrt unregelmäßig geformter Samenzellen ist das selbstständige Eindringen eines Spermiums in die Eizelle oft nicht möglich, d. h. eine spontane Befruchtung der Eizelle sehr unwahrscheinlich oder gar ausgeschlossen.

Alle Schritte bis zur Eizellentnahme verlaufen genauso wie bei der konventionellen IVF Behanldung. Dann, nach der Entnahme (Punktion) der Eizellen, erfolgen im Labor unter dem Mikroskop die technisch sehr aufwendigen Schritte der ICSI.

Die entnommenen Eizellen müssen zunächst von den um sie herum gelegenen Zellen (Granulosa) gereinigt („geputzt“) werden. Erst wenn diese Granulosazellen von der Eizelle entfernt worden sind, kann die Eizelle (besonders bezüglich ihres Reifegrades) begutachtet werden und ist jetzt, wenn sie reif ist, für die Injektion des Spermiums vorbereitet.

Die Eizelle muss mit einer speziellen Haltepipette fixiert werden. Erst dann kann ein einzelnes Spermium, das in eine noch wesentlich dünnere Injektionspipette aufgezogen wurde, direkt in die Eizelle überführt (injiziert = eingespritzt) werden. ICSI wird auch Mikroinjektion genannt, weil es unter dem Mikroskop durchgeführt wird. Das natürliche Eindringen eines Spermiums in die Eizelle wird also hier mechanisch nachgeahmt. Abgesehen von der Auswahl des Spermiums und seiner Übertragung in die Eizelle bleibt alles weitere genauso der Natur überlassen wie sonst auch.

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Weiterführende Links

[/ffb_param][/ffb_heading_5][ffb_paragraph_5 unique_id=“3tvjutj2″ data=“%7B%22o%22%3A%7B%22gen%22%3A%7B%22ffsys-disabled%22%3A%220%22%2C%22ffsys-info%22%3A%22%7B%7D%22%2C%22text-is-richtext%22%3A%221%22%2C%22align%22%3A%22text-center%22%2C%22align-sm%22%3A%22text-sm-center%22%2C%22align-md%22%3A%22text-md-center%22%2C%22align-lg%22%3A%22text-lg-center%22%7D%2C%22b-m%22%3A%7B%22mg-md%22%3A%7B%22b%22%3A%2230%22%7D%2C%22mg-lg%22%3A%7B%22b%22%3A%2230%22%7D%7D%2C%22clrs%22%3A%7B%22link-custom-color%22%3A%22%5B25%5D%22%2C%22link-hover-custom-color%22%3A%22%5B41%5D%22%2C%22text-decoration%22%3A%22none%22%7D%7D%7D“][ffb_param route=“o gen text“]

– IVF-Behandlung

– Insemination

– Operative Maßnahmen

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text“]Dies könnte Sie auch interessieren:[/ffb_param][/ffb_section-heading_2][/ffb_column_1][ffb_column_1 unique_id=“3nui15fs“ 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Bei einer Insemination werden zum Zeitpunkt des Eisprungs Spermien direkt in die Gebärmutterhöhle übertragen. Dadurch werden Spermienverluste auf dem Weg durch die Fortpflanzungsorgane der Frau verhindert und das Zusammentreffen von Spermien und Eizelle zeitlich optimiert.

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Eine künstliche Befruchtung mit Vereinigung von Eizellen und Spermien außerhalb des weiblichen Körpers kommt zum Einsatz, wenn einfachere Therapieansätze wenig Aussicht auf Erfolg bieten. Moderne Therapieprotokolle erlauben eine individualisierte Behandlung.

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