A question many children ask their parents and if the parents the want to tell them they invent stories in many countries of the world stock still really risk the babys own friends girls come out of a romance and boys out of a cabbage but what if the stork the roses and the cabbage fail you can go to the Fertility Center here in berlin to doctor this. Sort of a couple as an unprotected sex after one or 2 years in former times it was not easy to get pregnant but now the modern reproductive medicine is able to help. To get to maybe one a true. Most of the couples who want. Babies are the lucky side of life they just get pregnant but others try and try and try and they fail and if they dont get pregnant after you hear it up to say this is infertility. There can be many reasons why a woman fails to get pregnant one 3rd of cases are attributed to fertility issues with the female partner one 3rd to problems with the male partner and one 3rd to a combination of problems in both couples are generally considered in need of fertility treatment if theyve been trying and failing to conceive for at least a year. In 2015 nearly 21000 babies born in germany for example resulted from assisted reproduction that was 1000 more than in the Previous Year worldwide millions of babies are conceived with the help of fertility treatment and the numbers climbing steadily so is infertility on the rise. Sperm counts in western industrialized nations have plunged by over 50 percent in the last 40 years stress and unHealthy Lifestyles have been shown to adversely affect fertility professor cuts i mean hunger has observed a rise in the number of people seeking fertility treatment. Also smoking and obesity have a major impact on fertility in both women and men. The good thing is that you can discuss these issues with a couple and encourage them to make changes honestly what if its yes. But the main reason why couples fail to conceive is that womens fertility declines with age. The number of eggs in their ovaries decreases steadily. Girls enter puberty with around half a 1000000 eggs. They lose around a 1000 eggs each month. When a woman is in her early thirties the statistical likelihood of her becoming pregnant is 30 percent precise. And the style full by the time a woman is 40 the likelihood still conceive has decreased and by 44. 00 she has just a 3 to 4 percent chance of conceiving per month and is this fantasy of a high. On their reason for this to put it frankly is that her eggs are older and theyve declined in quality so a pregnancy becomes less likely and dagostini students were nationalists of. Women seeking fertility treatment are 35 and a half years old on average. With women delaying childbearing in some parts of the world are couples who want children more likely to end up childless. That invokes just as you cant necessarily that conclusion is we dont know how many childless couples wanted children and how many chose not to have them working and. What we do know is that a growing number of couples are seeking fertility treatment and that the options are becoming increasingly sophisticated the probability of conceiving after one round of treatment is nown 20 percent the more rounds you have the higher your chances are of conceiving but success is by no means guaranteed. And you can head off to teach center in the loop which is one of the hottest interest interest here in germany thanks for having me today. With a couple decides to come see so 1st say should have unprotected sex and if it more than one year of unprotected sex then they should go to a doctor either gynecologist or here to reproductive unit and if they visit you and i shoot. First i have to find out the reason for being steroids recorded steroids and that is depending on either male factors or female factors and in female factors it mainly hobble disturbances that there is an Element School cycle or the wife has a problem with her fallopian tubes as a result of pelvic infection or it is a male problem that was promoted 3 of the number of the sperm as low and that might be the reason of a male infertility you definitely look at books not just the female to male yes of you have to look at both because its half and half between male and female that the reason a sovereign male and having female left years you read anything at all to be juiced sperm quality which increased over the last decade this is true thats true but on the other hand we know that the probability to get pregnant is nearly the same whether its now or roads a decade or 2 decades ago so there is a problem but it has no influence on the question whether the wife is should get pregnant moment but one problem could be a shot of college or industrial countries couples decide to imagine an older age for instance over the age of 50. Here that has an influence so the normal fecundity gets. After the age of 30 in the vive. But definitely between 303538 thats not a huge problem after 40 years of age thats a problem because of the problem of the quality of the x. The quality of the x. s the minish ing after the dramatically after the age of 38 years and the introductory age of survive is very important on the other hand the male influence is not that important but after the age of 50 you have also a lower quality of the sperm looking at Treatment Options i mean i think that it depends on the costs of the infertility but what kind of options to you offer ok if theres a nominal disturbance in the women the treatment is very easy. You have to get for some tablets or injections to produce eggs and then if she has an ovulation she then these this problem is solved on the other hand if there are moderate problem with the sperms you could combine this one was an Artificial Insemination so drugs for ovulation and other official insemination so its a quite easy treatment. Lets take a closer look at Artificial Insemination in industrialized countries about 2 to 5 percent of the couple need some help. Many couples hoping to have children face a battle against time such as 34 year old even virga and her husband lived. We tried and failed for a long time so we went to see the doctor and i went to a gynecologist and my husband went to iraq just as the doctors advise us to go to a fertility clinic you ask and i watched and talked again. And. It was quite overwhelming at 1st it had already been on our minds but when you thats what youre told because it really becomes an issue but didnt mean that we had this opportunity. To look for. We used to take this egg cell that turns into an embryo out of an incubator and put it under a microscope to see whether fertilization had occurred so. It was a view of what it was the fertilized egg ovum was examined once a day. You could say and she just removing the cells from the warm environment of the incubator 37 degrees celsius removing them from ideal conditions and exposing them to the risk of cooling and to light as well as fluctuations in the ph levels and now none of thats necessary its been intuition new technology is helping to improve the success rate of assisted reproduction treatments. Among the latest and the most advanced methods now available is the socalled time lapse incubating. When you open a shares or gap the built in camera travels along a few measures and assesses the cells well creating live time lapse footage its a very small area system. Its intentional in order to create very stable cell culture conditions. Where the exiles would usually develop are close to no like can enter and there are no champs which are fluctuations. That allows a more natural and unhindered development in the extremely sensitive early phase as well as careful monitoring by the doctors. It is easy for terrorists to mind those one big advantages that the incubator can function without interruption without being open to the 2nd pleased we can see how the Cell Division inside is developing. We know of far better resolution of every Single Movement so theres much more information about the quality of the Cells Development which is a huge advantage. That said if you can see. Within 5 days the fertilized eggs are implanted into the mothers uterus evangelist treatment was successful now shes pregnant. All. The story of the baby is completely healthy everythings great each time the doctors told us how well the baby was developing and everything was normal so it couldnt have been any better just great. If a couple of the time that incubates a method significantly improves the chances of becoming pregnant. At all 40 years ago the 1st test tube baby was born her name is down and there are different kinds of deficiency nations so what kinds of how they to choose from so we look either on in vitro fertilization test joe perry or we combine it with the eczema so when you inject one spot and so normally it takes the in vitro fertilization that means you have the major x. And then you put around the x. About 200000 sperm and you hope that one goes until the end. On the other hand the exit procedure then you take one sperm inject this one directly into the x. And then you hope you have a fertilization as well so the 1st one the in vitro fertilization is more natural compared with the extreme methods it what about the result is the. Better because you inject it directly into the you have a little a little higher number of asian but the body is important at the end of the baby take home or it is just the same its more in favor of even more natural procedure all the other you have sold the baby take over it is a little bit better and i we have a procedure so its always a good idea to stay with nature you have to give the woman home or as the preparation for the simulation why is that so normally you have only one egg during a mental cycle but for successful in vitro fertilization you need 12. 00 to 15. 00 eggs and you can make a calculation because half of the eggs as never able for a pregnancy or for a delivery so you need more and some of the eggs dont get fertilized so thats the aim to have 12 to 15 eggs which are major and then you can use them for the in vitro fertilization all for the masses and isnt it dangerous to give those homes are they decide if its yes you have to look to the side effects of the long term around in the short term run on the long term and we know that there is no high probability for getting cancer Breast Cancer in woman or utils cancer or Ovarian Cancer but in the short run you have problems that there is a possibility for an hyperstimulation that you have not only 12. 00 to 15. 00 x. But maybe 30 and then the ovaries are enlarged and some of the out that much smaller than that the woman has to go into the hospital can you give me some update on the success rates of the in the 2. The disease souls of 1st success rate is that you have after the embryo transfer you have a pregnancy the pregnancy rate can be expected of about 30 percent. But that is not the most important for the women most important is a baby take home rate and the baby to cooperate per 10 days between 20 and 25 percent so if you counsel the couple you have to tell them ok we have to take into account 2 or 3 attempts and then the probability of 4 having a baby is higher than the probability for not having a baby and when we take a look at the baby lisa i mean there are some reports that suggest that there are higher rate of organ failure as the heart problems is true are things this is true because we have to be aware that we do a lot of artificial things we give a lot of hormones for the majority of the eggs and then in the incomplete of the the eggs and the sperms and the embryos are between 2 and 5 days and the possibility for developing are not just the same as in the women the fallopian tubes normally it takes place in the fallopian tube and that we have to be there maybe that is some harm on the embryo and on the end we are never on the safe side it when we do artificial things so we have to counsel the patient and we could do it only if the patient agree on the procedure well we just focused on Artificial Insemination lets take a look at natural for todays edition so we could viewer question some c. D. s from us and he asked if there is certain positions that increases the chance of getting pregnant no you should just have sex and the position is not important and its not also important that you stay in bed because we know after 10 minutes these problems are not in the vagina only not in the order of the hour in the fallopian tubes you can do what you want just have sex so theres no heads. Thats it no. Wonder i want to know does abstinence improve sperm quality its the opposite because normally when being served for sex all 2 or 3 days so if you wait too long you get looked at as president worse so not waiting for a long time just have sex is really good news thanks for this very interesting talk so if you want to get pregnant you have to become active and if you want to have your questions answered get active 2. In good shape your Weekly Health show on d w that covers many aspects of health care we look at whats new in medical treatment nutrition fitness and beauty we just these topics in depth with specialists and a few opportunities to pose your questions so get in touch. If you want to write us do it right now because postponing things means that they often dont get done i am myself a master in procrastinating but this way out of it lets take a look at the next report i will watch this report maybe later. A quick burst of activity but you run out of steam almost immediately. If you see exercising as a chore you might want to try finding a sport that. Was planned as a sports psychologist at the university apart from he loves running and he advises people to find a form of exercise that suits them and it was also obvious need to try things out perhaps there is a sport you used to enjoy what you like doing most then just go and do it. Try mixing it up the main thing is to enjoy working out. Lots of people say they would exercise but they just dont have the time. Kind of tight so how saying you dont have time is not an excuse everyone is busy you have to find a way of fitting exercise into your schedule how ever busy you are the small time off. To put it in your calendar thats what you do with the work appointment make it nonnegotiable just put it in the calendar and stick to it. Schedule your exercise. And make sure youre well prepared. Pack what you need in your sports bag well in advance. And the realistic people need to exercising tend to set themselves over and theres just goals they have no chance of reaching. The bias that its really important not to overtax yourself and do a bit less than what you think feels right and only keep it up as long as it feels comfortable. And dont forget to reward yourself ringback that way youll stay motivated. Sometimes our brain is pretty straightforward a reward means the brain says well done do it again treat yourself. And sooner or later that feeling of achievement after a good workout will be rewarded not. You know what i like to put into my phone all the things i eat because i want to stick to a healthy diet but sometimes pursuing a healthy diet can be compulsive if you get upset by it but can a healthy diet be an illness that i didnt want to lose weight i wanted to put on weight but i was also afraid. And i eat really healthy fruit and vegetables hardly any fat counterfeiter. Canned food was a no no i would never eat canned tomatoes say because they have additives in an. Actual human and healthy diet has never been more fashionable but paradoxically sometimes it can make people unhealthy mindful eating can become an obsession so fear is 19 and suffers from orthorexia no vosa and excessive preoccupation with eating whats perceived as healthy food shes been in treatment for 6 months shes learning to understand the condition. At the beginning i thought you were eating healthily and you also exercising so a Healthy Lifestyle but at some point i realized i was losing weight even though i didnt want to but i was also worried about putting it back on and thats when it started to become compulsive and conquerors. People with orthorexia are less worried about the amount of food theyre eating and more preoccupied with what theyre eating they have a fixation with what they believe to be healthy and unhealthy food. A study involving nearly 1400. 00 test subjects at the university of dissolute showed that 3 percent had symptoms of orthorexia biancas shrine and has also observed a rise in the disorder. People are looking for the healthiest diet possible and that can make them increasingly restrictive when it comes to what they eat. And they no longer see food as sustenance it becomes their main focus in life and thats what orthorexia is basically. Fear 1st arrived in the clinic she weighed just 36 kilos when someone is orthorexia their entirety tends to revolve around what they eat they set themselves strict rules about what theyre allowed to eat and follow them rigidly. Thats what happened to sophia too and one key factor played a major role. Instead of on the field and i believe that the media was to blame these days youre always hearing about the dangers of sugar how the whole world is eating fancy much sugar and too much fat so. That was what started my anxiety because. Tips on Healthy Eating are all over social media a bridge study revealed that regular instagram users are more likely to think about the issue of eating and exhibit symptoms of orthorexia and is an exit and iteration is a major topic in society and the media id say that coverage of issues related to how we eat certainly plays a role in orthorexia such as factory farming or a salmonella outbreak. Some viruses that are transmitted through food thats had. Skills. Anxiety about diseases can feed the fixation on Healthy Eating here in the clinic the young women are really learning how to eat normally it doesnt happen overnight. In the store so why is there bill a sugar and that just says thats a problem for me just a cut isnt fruit mean theres already sugar in it sounded so cut down by the man that said this is the amount of sugar isnt all that much. Try getting used to the idea that small amounts of added sugar are just fine so that what on the often. Young women are particularly at risk of developing a disproportionate fear of unhealthy food. But so are people who work in areas related to nutrition such as fitness trainers and dietitians doctors keep a close eye on their patients various rules are designed to help them develop a healthy relationship to food. They have half an hour to eat so they can get used to normal quantities normal meals a normal meal rhythms thats why we have this half hour rule then they can leave the table. They get 6 meals a day all the food is fresh and flavorful even so for many of the young women here tucking in takes a l