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Women with endometriosis also suffer from infertility often - in fact, it often comes as part of a fertility treatment to diagnose endometriosis or polycystic ovarian syndrome (polycystic ovary syndrome), both of which may find it difficult to become pregnant explain. Also depression often occur as a concomitant disease of endometriosis and polycystic ovary syndrome. A recent study has investigated whether depression in women who were treated with antidepressants or may involve a depression in men with larger fertility problems.

Originally the title was called "Rare pregnant with depressive man," but the reversal to "Often pregnant with manic man" was just too tempting.

A mania comes from the ancient Greek μανία Mania, German, rage, anger, madness.

Although frankly, we advise you definitely on a manic man when trying to conceive. Because the clinical picture of manic man belongs ungzügeltes sex life and Unberherschbarkeit. The other properties are counterproductive to a normal family life.

is correct so:

Viele Kinder mit glücklichen Mann 🙂

Is there a connection between infertility and depression?

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This was examined by a gynecologist Prof. Evans and colleagues Hoeker a US fertility clinic in patients who participated in one of two studies. In a study drug treatments for polycystic ovary syndrome were examined (clomiphene citrate versus letrozole) in another similar drugs have been tested in unexplained infertility (gonadotropin versus clomiphene citrate versus letrozole). The participating pairs each filled out a questionnaire to the patient's health (PHQ-9). A result in this survey of more than 10 points was interpreted as a sign of a current depressive disorder. In addition, has been detected which drugs took the women to date. The central question of the study, if the couple got a baby, so if a live birth occurred. The frequency of pregnancies and miscarriages of pregnancy in the first trimester was determined to estimate a the influence of depression on fertility. The researchers analyzed the results, taking into account age, ethnicity, income, smoking status and treatment group (PCO patients or unexplained infertility), but also on how long the couple had been trying to have a child.

Number of pregnancies, abortions and live births in polycystic ovary syndrome or fertility treatment with and without concomitant disease depression

In analyzing the data from 1650 women and 1608 men were taken. It was found that current depression of women (if no antidepressants were taken) seemed to have no effect on fertility. Women with depression were so similar frequency pregnant (even slightly more common) or were babies as women without depression. However, a drug antidepressant treatment (data from 90 women) often resulted in miscarriage, as was the case in women without antidepressants. Even when depression of the men, there was rarely a pregnancy in this study.

Depressed women are not rare pregnant, depression Men are more pregnancies in the way

So that there is clear: depression woman alone should not prevent a pregnancy and live birth be. However, the study suggests that treating depression may well be a critical point - here, it is advisable to clearly address the infertility at the doctor who treats the depression. The choice of medication should of course meet this requirement. Even gynecologists give sure like their assessment to off. But how can a depression of the man be a hindrance when to have children? Again, the treatment of depression could be critical - even the man should therefore address this issue the treating physician. However, the study can not clearly determine whether the depression preceded the date infertility, or at least may be a consequence of infertility. In both cases, therefore, one should not forget the male partner of a couple with fertility - the man's depression are of course also best treated not only to get a common baby.

Credentials:
Evans Hoeker EA, Eisenberg E, Diamond MP, et al. Major depression, antidepressant use, and male and female fertility. Fertil Steril. 2018; 109 (5): 879-887. doi: 10.1016 / j.fertnstert.2018.01.029.

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