A couple’s peace of mind might be stolen by issues with their reproductive system. Fertility treatment has a time limit, so couples shouldn’t put it off. For the best reproductive health, every man and woman should undergo the following examinations.
If you have actively tried to get pregnant by engaging in regular unprotected sexual activity for more than a year and have been unsuccessful, you should think about fertility testing. After six months of trying to get pregnant, women over the age of 35 should think about fertility testing.
Dr. Rashmi Sharma, Director, HOD IVF Dept-Origyn IVF Fertility and Chief Gynaecologist, discusses fertility testing for every couple hoping to conceive in an exclusive conversation with Zed News Digital.
Both couples must be tested because infertility affects men and women equally, according to the American Society for Reproductive Medicine.
Finding a fertility doctor and undergoing standard fertility tests are the initial steps in evaluating one’s fertility health, according to Dr. Reema.
List of Men’s and Women’s Fertility Exams
Once you visit your doctor, they will ask you following tests to evaluate both partners:
1. Medical Background:-
medical histories, such as any ongoing conditions or operations.
- Any long-term prescription use history, as well as caffeine, alcohol, smoking, and drug use; – Any potential exposure to poisons, chemicals, or radiation at work or home.
- Your sexual practices, such as how frequently you have sex, any past issues with your sex life, and any history of STDs.
- Your doctor will also want to know the partner’s whole gynecologic history.
- Previous pregnancies, if any, in the past?
- Inquire about your recent period frequency and regularity – Inquire about any changes in blood flow or the emergence of significant blood clots
- A history of the birth control methods you’ve employed
- Whether you’ve previously sought medical attention for reproductive problems and what remedies you received
2. Blood test:-
Blood tests will be performed in the following steps to determine the basic hormonal profile.
A lady should have some blood tests at a specific point in her menstrual cycle. Estradiol, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) levels are checked on cycle days two or three, or three days following the commencement of a woman’s menstruation.
Anti-Müllerian hormone (AMH) testing for ovarian reserve is one of the additional hormone blood tests that may be used. A woman can practice AMH at any point during her menstrual cycle. Prolactin and thyroid levels should also be tested because these are important hormones. If only the results of the semen analysis were abnormal, the male hormonal profile was performed.
3. Pelvic examination:-
In order to rule out any active vaginal infections that could cause infertility, a preliminary pelvic exam is performed.
4. Pelvic Ultrasound:-
In order to identify structural problems such uterine fibroids and ovarian cysts, a woman’s reproductive system can be examined non-invasively using an ultrasound. During an ultrasound exam, the antral follicle count, which is significant in assessing a woman’s ovarian reserve, is also assessed.
5. Semen analysis:-
Your doctor would urge the male partner to have a thorough semen analysis to ascertain the quantity, shape, and motility of the sperm after about 3–5 days of abstinence.
Additional Exams and Treatments for Female Patients:-
Hysterosalpinogram (HSG): The HSG is used to identify uterine anomalies and obstructions in the fallopian tubes.
Hysteroscopy: Your doctor might recommend a hysteroscopy if an issue with the HSG is discovered. In this operation, the uterus is reached by inserting a narrow, telescope-like tool through the cervix. It assists with uterine visualization.
Laparoscopy:
Following the results of the aforementioned tests, your doctor may decide to carry out a laparoscopy. In this, the abdomen is examined with a laparoscope to check for endometriosis, scarring, and other problems. This procedure is a little more intrusive than an HSG and requires general anesthesia.
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