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Infertility Test


Overview

Infertility is defined as not being able to get conceive after one year (or longer) of unprotected sex

Infertility may result from an issue with either you or your partner, or a combination of factors that interfere with pregnancy

Research suggests there has been a 45% couples faces infertility problem and 20-30% rise in the last five years in India

Causes of infertility in couple are present at birth and sometime they develop later in life. Both male and female can have abnormalities which lead to infertility.

Causes of male infertility:

  • Abnormal sperm production or function
  • Problems with the delivery of sperm
  • Overexposure to certain environmental factors: like pesticides, smoke, alcohol

Causes of female infertility

    • Ovulation disorders
    • Uterine or cervical abnormalities
    • Fallopian tube damage or blockage
    • Primary ovarian insufficiency
    • Pelvic adhesions
    • Other causes in women include
    • Cancer and its treatment

Tests for Female

Female patient may have physical examination including regular gynecological examination

    • Ovulation testing
    • Hysterosalpingography-evaluates the condition of your uterus and fallopian tubes and looks for blockages or other problems
    • Ovarian reserve testing
    • Other hormone testing
    • Imaging tests- like pelvic ultrasound
    • Based on the situation, following tests can be performed
    • Hysteroscopy
    • Laparoscopy
    • Genetic testing

Risk factor for the male and female are the same:

  • Aging
  • Tobacco use
  • Excess Alcohol use
  • Being over weight
  • Being underweight
  • Insufficient exercise

Tests for Male

Male fertility requires that the testicles produce enough healthy sperm, and that the sperm is ejaculated effectively into the woman's vagina and travels to the egg. Specific test for fertility may include

  • Semen Analysis
  • Hormone testing
  • Genetic testing
  • Testicular biopsy
  • Imaging-bone mineral density scan, transrectal or scrotal ultrasound
  • Other specialty testing to understand DNA abnormalities

Tests for Female

Female patient may have physical examination including regular gynecological examination

  • Ovulation testing
  • Hysterosalpingography-evaluates the condition of your uterus and fallopian tubes and looks for blockages or other problems
  • Ovarian reserve testing
  • Other hormone testing
  • Imaging tests- like pelvic ultrasound
  • Based on the situation, following tests can be performed
  • Hysteroscopy
  • Laparoscopy
  • Genetic testing
  • Infertility can be treated by lifestyle modification, medication, surgery, and In vitro fertilization treatment
  • Altering lifestyle factors: like reducing harmful environmental condition, Regular exercising
  • Medical and surgical therapies are usually managed by an urologist/gynecologist who specializes in infertility. A reproductive endocrinologist may offer intrauterine inseminations (IUIs) or in vitro fertilization (IVF) to help overcome male factor infertility

Infertility

i. How can someone know if she/he is infertile?+
ii. What all diagnostic tests are there for infertility?+
iii. What can be the possible reasons behind someone’s infertility?+

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