What is Infertility Assessment?
Infertility assessments include various examinations as well as tests to find out the underlying reasons behind infertility. You and your partner must take infertility assessment tests to find out if there are any serious infertility issues. In most cases, infertility is easy to treat if you or your partner do not have any serious conditions.
Everything You Need to Know About Infertility Assessment
Infertility Assessment for Male | Infertility Assessment for Female
Infertility Assessment for Male
Infertility is a serious condition, and both men and women can suffer from it. Low sperm count, poor sperm quality as well as pre-existing medical conditions are some of the reasons behind infertility. Various assessments are there that help in detecting the reason behind failed pregnancies. Your partner must opt for these tests if both of you are facing issues in your sexual life.
1. Medical history
Medical history is one of the most important reasons behind male infertility. Doctors will ask about your partner’s sexual habits. For example, knowledge about the correct timing of intercourse, usage of lubricants, etc.
Apart from that, childhood history like precocious puberty, STDs, urinary tract infections, etc. If your partner has diabetes or pulmonary infections, then he must talk about it with the doctor.
2. Physical examination
Physical examination is one of the primary steps of infertility tests in men. It is performed inside a warm room by examiners. Mainly the dartos muscles are contracted using cold examining hands. Apart from that, a scrotal test is also performed.
Examiners instruct the patient to disrobe by stretching his arms. The examiner observes the general body habitus. Men who are not properly masculinized do not have proportionate long extremities. This happens due to a deficiency in androgen stimulation.
3. Sperm and Semen Analysis
Sperm analysis plays a significant role when it comes to analyzing infertility issues in men. This test helps in showing the number of sperms released along with their movement and shape. Every time a man ejaculates during sexual activity, ejaculation helps in fertilizing the egg. In case you are having problems with getting pregnant, the primary test, which the doctors suggest is sperm analysis or semen analysis.
4. Genetic testing
Genetic testing analyses the DNA is also known as the chemical database, which mostly carries instructions regarding body functioning. This test helps in determining if the gene changes created any health disorders, especially infertility. Genetic testing helps the doctor to take the right decision regarding the treatment procedures as well as infertility investigations that will help your partner.
5. Hormone Evaluation
Hormone evaluation helps in detecting the presence of certain male hormones in the blood that are responsible for fertility. Hormonal evaluation, tests of infertility are important in males that help in analyzing low-sperm density.
For example, pituitary adenoma leads to low gonadotropins and hormonal tests help in evaluating such conditions. Apart from that, testosterone deficiency is related to impaired spermatogenesis. Hormone evaluation helps in analyzing hormones like androgen and testosterone.
6. Chlamydia test
A chlamydia test is one of the essential tests that helps in finding out whether your partner has any STDs. Chlamydia is a dangerous disease that can permanently damage your reproductive system. As a result, you might not get pregnant ever. Due to this reason, the management of infertility is important to take the Chlamydia test to find out if your partner has any STDs.
Treatment Options For Infertility
Couples at a certain point in time have the desire to conceive. Many studies have found that almost 85% of the couples successfully conceive within one year of trying.
In Vitro Fertilization, or IVF is a kind of fertilization where the eggs combine with sperm for fertilization outside the body.
Azoospermia is a condition in men where the sperm count in their ejaculation is non-existent.
Follicular study or follicular monitoring is the process through which the doctor watches the growth of this follicle from the beginning of the menstrual cycle to the time it is ready to release an egg.
Ovulation induction is mainly a to-the-point treatment where hormonal pills are used for resuming ovulation.
Intracytoplasmic Sperm Injection, which is also commonly known as ICSI is one of the common and most successful treatments for male fertility.
Intracytoplasmic Sperm Injection is also known as IMSI is another procedure used during the time of IVF.
Stem Cell In IVF
In the whole world, around 8% to 12% of couples tend to get affected by the curse of infertility.
IUI, medically known as Intrauterine Insemination, is a simple form of fertility treatment.
Preimplantation Genetic Screening is a test that carefully examines the chromosomal material of an IVF or in-vitro fertilized egg before the process of implantation can begin.
Computer-Assisted Sperm Analysis or refers to a system where a complex electronic imaging system is used to visualize the sperm, while advanced software programs help measure the numerous individual parameters of said sperm.
Infertility assessment for female
Most infertility specialists ask to take tests in case you are suffering from failed pregnancies. The test is useful in detecting whether you have any infertility issues. At times, even if you have proper menstrual cycles and a healthy weight, miscarriages happen. Due to this reason, it is best to take infertility tests, as it will help you to determine the underlying issues.
1. Medical history
Women having hormonal imbalances or pre-existing diseases can lead to infertility. Due to this reason, most infertility doctors ask to take infertility tests. These are useful in detecting problems like hypothyroidism, PCOD, and endometriosis, which are common reasons behind infertility.
2. Physical examination
Evaluating your thyroid gland, breast health, and pelvic examinations are useful in detecting any infertility issues. Physical examination is one of the common tests when it comes to how to check for infertility. The gynecological exam is essential as it mostly focuses on your reproductive health. You will get clues on the causes that lead to infertility.
3. Hormone blood tests
Before opting for the treatment for infertility, doctors recommend hormone blood tests since hormonal issues affect fertility issues. Blood tests are essential to detect free and total testosterone, follicle-stimulating hormone, prolactin, and other hormones. If you want to conceive, it is important to maintain the hormonal balance in your body.
4. Ovarian reserve test
An ovarian testing reserve is nothing but a test, done for analyzing the egg count. It mostly occurs in the form of the anti-Mullerian hormone. Ideally, the test helps in evaluating hormone levels. Most gynecologists suggest taking ovarian reserve testing on the third day of the cycle. FSH and estradiol are checked in this test since these play a significant role in pregnancy.
5. Chlamydia test
Just like males, females also have the chance of carrying STDs. Due to this reason, it is a good idea to take the Chlamydia test. It helps in screening as well as diagnosing various sexually transmitted diseases.
If you are positive, then your partner might face problems with their reproductive system. Most infertility investigations consider the Chlamydia test essential since it plays a significant role in infertility.
6. Ultrasound scan
Ultrasound scan helps in creating images of the soft tissues. Thus, it can be useful in finding out whether your reproductive organs are healthy enough for pregnancy. If you have PCOS, swollen ovaries, then an ultrasound scan can detect it.
Alternatively, whether your reproductive organs have any blockages or not can be detected with an ultrasound scan. You must go for an ultrasound scan within two to six days to check if you have infertility issues.
To determine whether your uterus is in the right shape, whether the fallopian tubes have any blockage can be detected with X-rays. In case, you have issues with conceiving, then the infertility specialists suggest taking an HSG test. Examiners place iodine-based dye near the cervix for taking X-rays.
It is a minimal-invasive surgery procedure where a laparoscope is inserted for examining the pelvic region. Pelvic anatomy plays a significant role when it comes to infertility issues. Due to this reason, gynaecologists opt for laparoscopy tests, if you face problems with getting pregnant. Laparoscopy helps in removing endometriotic lesions, blockages in the fallopian tube, and even repairs hydrosalpinx.
It is an essential part of infertility assessment in women. Sonohysterogram is mainly an extension of the pelvic ultrasound. Analyzing the uterine, it’s cavitary, as well as the tubal patency helps in finding out infertility issues.
Also known as, HSG, it is an X-ray test that helps in outlining the internal uterus shape. Apart from that, from this test, you will know whether your Fallopian tubes are blocked. Examiners insert a thin tube through the vagina as well as the cervix. Also, contrast material is injected into the uterus to analyze the underlying problems.
11. Tubal status
Tubal status helps in finding the blockages in the fallopian tubes. The blockages do not allow the sperm and the egg to meet. It is one of the most common reasons behind infertility in women. With the tubal status test, you can know whether your fallopian tubes are blocked.
12. Uterine cavity
Uterine abnormalities are one of the crucial parts of infertility. Hence, opting for the uterine cavity test helps in finding whether you have endometriosis and fibroids.
Hysteroscopy in infertility helps in detecting all the possible intrauterine changes that might affect the implantation or even the growth of the baby.
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Dr. Jay Mehta
IVF Specialist and a Fertility
Dr. Jay Mehta is the Scientific Director of Shree IVF Clinic. He is a very well known Fertility Specialist and is one of the few specialists in the country who is also an extremely sound Embryologist and Andrologist.