Бедеулік дегеніміз - контрацептивтерді қолданбай жұптың 2 жыл жыныстық қатынаспен айналысқанына қарамастан жүкті болу қабілетсіздігі.Фертильді жастағы қыздардың 80% жуығы бала көтеруге қабілетті.Алайда әр 8 жұп бедеулікпен ауырады.
Себептері.
Бедеуліктің болуы еркектерде де әйелдерде де көп кездеседі.Ең көп тараған себептері-овуляцияның және сперматозоидтардың өндірілу қабілетінің бұзылысы,фаллопивиевтік түтіктің, жатырдың және простатаның қабынуы,жыныстық қатынастың ретсіздігі.Кейбір кездерде бедеуліктің себебі анықталмайды.
Аударған: Мелис Айбек
All living things reproduce. Reproduction — the process by which organisms make more organisms like themselves — is one of the things that sets living things apart from nonliving things. But even though the reproductive system is essential to keeping a species alive, unlike other body systems it's not essential to keeping an individual alive.
In the human reproductive process, two kinds of sex cells, or gametes, are involved. The male gamete, or sperm, and the female gamete, the egg or ovum, meet in the female's reproductive system to create a baby. Both the male and female reproductive systems are essential for reproduction.
Humans pass certain characteristics of themselves to the next generation through their genes, the special carriers of human traits. The genes parents pass along to their offspring are what make kids similar to others in their family, but they're also what make each child unique. These genes come from the father's sperm and the mother's egg, which are produced by the male and female reproductive systems.
Understanding the male reproductive system, what it does, and the problems that can affect it can help you better understand your son's reproductive health.
About the Male Reproductive System
Most species have two sexes: male and female. Each sex has its own unique reproductive system. They are different in shape and structure, but both are specifically designed to produce, nourish, and transport either the egg or sperm.
Unlike the female, whose sex organs are located entirely within the pelvis, the male has reproductive organs, or genitals, that are both inside and outside the pelvis. The male genitals include:
· the testicles
· the duct system, which is made up of the epididymis and the vas deferens
· the accessory glands, which include the seminal vesicles and prostate gland
· the penis
In a guy who has reached sexual maturity, the two testicles (or testes) produce and store millions of tiny sperm cells. The testicles are oval-shaped and grow to be about 2 inches (5 centimeters) in length and 1 inch (3 centimeters) in diameter. The testicles are also part of the endocrine system because they produce hormones, including testosterone. Testosterone is a major part of puberty in boys, and as a guy makes his way through puberty, his testicles produce more and more of it. Testosterone is the hormone that causes boys to develop deeper voices, bigger muscles, and body and facial hair, and it also stimulates the production of sperm.
Alongside the testicles are the epididymis and the vas deferens, which make up the duct system of the male reproductive organs. The vas deferens is a muscular tube that passes upward alongside the testicles and transports the sperm-containing fluid called semen. The epididymis is a set of coiled tubes (one for each testicle) that connects to the vas deferens.
The epididymis and the testicles hang in a pouch-like structure outside the pelvis called the scrotum. This bag of skin helps to regulate the temperature of testicles, which need to be kept cooler than body temperature to produce sperm. The scrotum changes size to maintain the right temperature. When the body is cold, the scrotum shrinks and becomes tighter to hold in body heat. When it's warm, the scrotum becomes larger and more floppy to get rid of extra heat. This happens without a guy ever having to think about it. The brain and the nervous system give the scrotum the cue to change size.
The accessory glands, including the seminal vesicles and the prostate gland, provide fluids that lubricate the duct system and nourish the sperm. The seminal vesicles are sac-like structures attached to the vas deferens to the side of the bladder. The prostate gland, which produces some of the parts of semen, surrounds the ejaculatory ducts at the base of the urethra, just below the bladder. The urethra is the channel that carries the semen to the outside of the body through the penis. The urethra is also part of the urinary system because it is also the channel through which urine passes as it leaves the bladder and exits the body.
The penis is actually made up of two parts: the shaft and the glans. The shaft is the main part of the penis and the glans is the tip (sometimes called the head). At the end of the glans is a small slit or opening, which is where semen and urine exit the body through the urethra. The inside of the penis is made of a spongy tissue that can expand and contract.
All boys are born with a foreskin, a fold of skin at the end of the penis covering the glans. Some boys are circumcised, which means that a doctor or clergy member cuts away the foreskin. Circumcisionis usually done during a baby boy's first few days of life. Although circumcision is not medically necessary, parents who choose to have their sons circumcised often do so based on religious beliefs, concerns about hygiene, or cultural or social reasons. Boys who have circumcised penises and those who don't are no different: All penises work and feel the same, regardless of whether the foreskin has been removed.
What the Male Reproductive System Does
The male sex organs work together to produce and release semen into the reproductive system of the female during sexual intercourse. The male reproductive system also produces sex hormones, which help a boy develop into a sexually mature man during puberty.
When a baby boy is born, he has all the parts of his reproductive system in place, but it isn't until puberty that he is able to reproduce. When puberty begins, usually between the ages of 9 and 15, the pituitary gland — which is located near the brain — secretes hormones that stimulate the testicles to produce testosterone. The production of testosterone brings about many physical changes. Although the timing of these changes is different for every guy, the stages of puberty generally follow a set sequence:
· During the first stage of male puberty, the scrotum and testes grow larger.
· Next, the penis becomes longer and the seminal vesicles and prostate gland grow.
· Hair begins to grow in the pubic area and later on the face and underarms. During this time, a boy's voice also deepens.
· Boys also have a growth spurt during puberty as they reach their adult height and weight.
Sperm
A male who has reached puberty will produce millions of sperm cells every day. Each sperm is extremely small: only 1/600 of an inch (0.05 millimeters long). Sperm develop in the testicles within a system of tiny tubes called the seminiferous tubules. At birth, these tubules contain simple round cells, but during puberty, testosterone and other hormones cause these cells to transform into sperm cells. The cells divide and change until they have a head and short tail, like tadpoles. The head contains genetic material (genes). The sperm use their tails to push themselves into the epididymis, where they complete their development. It takes sperm about 4 to 6 weeks to travel through the epididymis.
The sperm then move to the vas deferens, or sperm duct. The seminal vesicles and prostate gland produce a whitish fluid called seminal fluid, which mixes with sperm to form semen when a male is sexually stimulated. The penis, which usually hangs limp, becomes hard when a male is sexually excited. Tissues in the penis fill with blood and it becomes stiff and erect (an erection). The rigidity of the erect penis makes it easier to insert into the female's vagina during sexual intercourse. When the erect penis is stimulated, muscles around the reproductive organs contract and force the semen through the duct system and urethra. Semen is pushed out of the male's body through his urethra — this process is called ejaculation. Each time a guy ejaculates, it can contain up to 500 million sperm.
When the male ejaculates during intercourse, semen is deposited into the female's vagina. From the vagina, the sperm make their way up through the cervix and move through the uterus with help from uterine contractions. If a mature egg is in one of the female's fallopian tubes, a single sperm may penetrate it, and fertilization, or conception, occurs.
This fertilized egg is now called a zygote and contains 46 chromosomes — half from the egg and half from the sperm. The genetic material from the male and female has combined so that a new individual can be created. The zygote divides again and again as it grows in the female's uterus, maturing over the course of the pregnancy into an embryo, a fetus, and finally a newborn baby.
Things That Can Go Wrong With the Male Reproductive System
Boys may sometimes experience reproductive system problems, including:
Disorders of the Scrotum, Testicles, or Epididymis Conditions affecting the scrotal contents may involve the testicles, epididymis, or the scrotum itself.
· Testicular trauma. Even a mild injury to the testicles can cause severe pain, bruising, or swelling. Most testicular injuries happen when the testicles are struck, hit, kicked, or crushed, usually during sports or other trauma. Testicular torsion, when one of the testicles twists around, cutting off its blood supply, is also a medical emergency that, thankfully, is not common. Surgery is needed to untwist the cord and save the testicle.
· Varicocele. This is a varicose vein (an abnormally swollen vein) in the network of veins that run from the testicles. Varicoceles often develop while a boy is going through puberty. A varicocele is usually not harmful, but can damage the testicle or decrease sperm production. Take your son to see his doctor if he is concerned about changes in his testicles.
· Testicular cancer. This is one of the most common cancers in men younger than 40. It occurs when cells in the testicle divide abnormally and form a tumor. Testicular cancer can spread to other parts of the body, but if it's detected early, the cure rate is excellent. Teen boys should be encouraged to learn to perform testicular self-examinations.
· Epididymitis is inflammation of the epididymis, the coiled tubes that connect the testes with the vas deferens. It is usually caused by an infection, such as the sexually transmitted disease chlamydia, and results in pain and swelling next to one of the testicles.
· Hydrocele. A hydrocele is when fluid collects in the membranes surrounding the testes. Hydroceles may cause swelling in the scrotum around the testicle but are usually painless. In some cases, surgery may be needed to correct the condition.
· Inguinalhernia. When a portion of the intestines pushes through an abnormal opening or weakening of the abdominal wall and into the groin or scrotum, it is known as an inguinal hernia. The hernia may look like a bulge or swelling in the groin area. It is treated with surgery.
Disorders of the Penis
Disorders affecting the penis include:
· Inflammation of the penis. Symptoms of penile inflammation include redness, itching, swelling, and pain. Balanitis is when the glans (the head of the penis) becomes inflamed. Posthitis is foreskin inflammation, usually due to a yeast or bacterial infection.
· Hypospadias. In this disorder, the urethra opens on the underside of the penis, not at the tip.
· Phimosis. This is a tightness of the foreskin of the penis and is common in newborns and young boys. It usually eases without treatment. If it interferes with urination, circumcision (removal of the foreskin) might be recommended.
· Paraphimosis. This may develop when the foreskin of a boy's uncircumcised penis is retracted (pulled down to expose the glans) and becomes trapped so it can't be returned to the unretracted position. As a result, blood flow to the head of the penis can be affected, and a boy may have pain and swelling. A doctor may use lubricant to make a small incision so the foreskin can be pulled forward. If that doesn't work, circumcision might be recommended.
· Ambiguous genitalia. This is when a child is born with genitals that aren't clearly male or female. In most boys born with this disorder, the penis may be very small or nonexistent, but testicular tissue is present. In a small number of cases, the child may have both testicular and ovarian tissue.
· Micropenis. This is a disorder in which the penis, although normally formed, is well below the average size, as determined by standard measurements.
If your son has symptoms of a problem with his reproductive system, talk with your doctor — many problems with the male reproductive system can be treated. The doctor is also a good resource for your son if he has questions about growth and sexual development.
Scarring from sexually transmitted infections, injury, or surgery
Smoking
Toxins in the environment
Vasectomy or failure of vasectomy reversal
Healthy couples under age 30 who have sex regularly will have a 25% to 30% per month chance of getting pregnant each month.
A woman is most fertile in her early 20s. The chance a woman can get pregnant drops greatly after age 35 (and especially after age 40). The age when fertility starts to decline varies from woman to woman.
Infertility problems and miscarriage rates increase significantly after 35 year of age. There are now options for early egg retrieval and storage for women in their 20's. This will help ensure a successful pregnancy if childbearing is delayed until after age 35. This is an expensive option, but for women who know they will need to delay childbearing, it may be worth considering.
Exams and Tests
Deciding when to get treated for infertility depends on your age. Health care providers often suggest that women under 30 try to get pregnant on their own for 1 year before getting tested.
Many experts recommend that women over 35 attempt conception for only 6 months. If a pregnancy does not occur within that time, they should talk to their provider.
Infertility testing involves a medical history and physical exam for both partners.
Blood and imaging tests are most often needed. In women, these may include:
Blood tests to check hormone levels, including progesterone and follicle stimulating hormone (FSH)
Home urine ovulation detection kits
Measurement of body temperature every morning to see if the ovaries are releasing eggs
Treatment depends on the cause of infertility. It may involve:
Education and counseling about the condition
Fertility treatments such as intrauterine insemination (IUI) and in vitro fertilization (IVF)
Medicines to treat infections and clotting disorders
Medicines that help the growth and release of eggs from the ovaries
Couples can increase the chances of becoming pregnant each month by having sex at least every 3 days before and during ovulation.
Ovulation occurs about 2 weeks before the next menstrual cycle (period) starts. Therefore, if a woman gets her period every 28 days the couple should have sex at least every 3 days between the 10th and 18th day after her period starts.
Having sex before ovulation occurs is especially helpful.
Sperm can live inside a woman's body for at least 3 days.
However, a woman's egg can only be fertilized by the sperm for a few hours after it is released.
Women who are under or overweight may increase their chances of becoming pregnant by getting to a healthier weight.
Support Groups
Many people find it helpful to take part in support groups for people with similar concerns. You can ask your provider to recommend local groups.
Outlook (Prognosis)
As many as 1 in 5 couples diagnosed with infertility eventually become pregnant without treatment.
More than half of couples with infertility become pregnant after treatment. This figure does not include advanced techniques such as in vitro fertilization (IVF).
When to Contact a Medical Professional
Call your provider if you are unable to get pregnant.
Prevention
Preventing sexually transmitted infections (STIs), such as gonorrhea and chlamydia, may reduce your risk of infertility.
Maintaining a healthy diet, weight, and lifestyle may increase your chance of getting pregnant and having a healthy pregnancy.
Итальянские ученые установили, что мужчины, подвергающиеся высокому уровню стресса (кратковременного и продолжительного), извергают меньшее количество спермы, которая к тому же характеризуется низкой концентрацией сперматозоидов. Также отмечалось, что сперматозоиды у таких мужчин отличатся меньшей мобильностью и нередко выглядят деформированными.
Исследователи из Стэндфордского университета сообщают, что бесплодие у мужчин может повысить вероятность возникновения 
Итальянские ученые установили, что мужчины, подвергающиеся высокому уровню стресса (кратковременного и продолжительного), извергают меньшее количество спермы, которая к тому же характеризуется низкой концентрацией сперматозоидов. Также отмечалось, что сперматозоиды у таких мужчин отличатся меньшей мобильностью и нередко выглядят деформированными.