Detecting fertility problems

Detecting fertility problems

Finding fertility problems is the first step towards solving them. Infertility and the causes that lead to it can be detected by several specific tests. If you also want to get pregnant but have fertility problems, read on to find out what kind of tests you and your partner need to do to find out the causes of infertility.

We made an appointment with a specialist. What happens next?

You, your partner and your doctor are now a team working together to unravel the clues to your fertility issues. Female and male reproductive devices are very complex, but working with specialists is your problem.

can be solved.
As long as this problem is a common one for both you and your partner, you should go together at the first consultation. Bring copies of the medical records to avoid having to perform multiple analyzes. You will be asked about your sexual history and partner, first menstruation, the existence or absence of communicable diseases, loss of pregnancy or abortion, how often you have sexual contact, if you use lubricants and many other questions of this type. Your personal life will cease to be as such towards the doctor, so you will have to feel as comfortable with it.

What tests is it about?

After analyzing your medical history. and the partner, the doctor will want you to do both tests. You will need to allocate time for these, because they are very important.

For women

Blood tests: you will have to do more blood tests, for the doctor to analyze the production of hormones, such as TSH (stimulant thyroid hormone), FSH (follicle stimulating hormone), LH (luteinizing hormone), estrogen, prolactin and sometimes androgen and progesterone. .
The clomifene test: the results of this test will give the doctor more information about ovarian function than they would offer other hormonal tests. You will have a blood test on the third day of the cycle to test the level of follicle-stimulating hormone. Then you will start taking 5 days clomifene, a fertility drug, on the fifth day of the cycle. Then the doctor will calculate the FSH level on the tenth day of the cycle. The results will inform the doctor about the situation of the therapy, its development and how aggressive it can become.
Basic Body Temperature Chart (BBT): Your doctor may ask you about the basal body temperature to find out when you are ovulating. You will get your temperature every morning for a month and you will note in the BBT chart. When your body produces progesterone after ovulation, the temperature rises.
Endometrial biopsy: The doctor will perform this procedure to find out the quality of the uterine wall and thus to determine if ovulation occurs or not. It must be executed at a certain point in your cycle, it can be uncomfortable and it can be repeated if needed.
hysterosalpingogram: this radiological procedure will allow you to visualize the uterine tubes, to find out if they are open or not. It also allows you to visualize the uterine wall, to find out if it looks normal or has polyps, scars, or other abnormalities that can affect your fertility. The doctor will introduce a dye into the uterus and fallopian tubes and locate its motion through X-rays.
laparoscopy: this operation takes place under general anesthesia and allows the doctor to more closely visualize the pelvic organs to investigate the existence or absence of scars or signs of endometriosis.
The doctor will also perform a painful procedure to see if the follicles develop properly and if they anticipate ovulation and to identify problems inside your pelvis and ovaries, such as ovarian cysts.
Post-coital test: The doctor will use this procedure to observe the interaction between the cervical mucus and the partner's sperm. You will be required to have sexual contact on a certain day of your menstrual cycle, and then, after 24 hours, your doctor will collect a mucus monster for testing. He will evaluate the quality of the mucus and the vigor of the sperm movements. Sperm movement may indicate that the antibodies in your mucus impede sperm progress.
hysteroscopy: During this procedure, you will place a tube with a small film camera at the end through the cervix and uterus to observe the abnormalities that lead to infertility. This procedure will not allow the visualization of the uterine tubes, but it gives a perfect image on the uterus and sometimes the possibility to correct the problem at the time of the procedure.

For men

Seminal analysis: The partner will be asked for a semen sample, usually by masturbation and ejaculation in a glass. The doctor will examine the sperm under the microscope for the number, shape, appearance and movement of the sperm.
Post-coital test: Your doctor will perform this procedure to evaluate the interaction between your partner's sperm and your mucus. You will be required to have sexual contact on a certain day of your menstrual cycle. Then, after 24 hours, the doctor will take a sample of mucus for testing. It will examine the quality of the mucus and the vigor of the sperm movements. Sperm movement may indicate that the antibodies in your mucus impede sperm progress.

What are our chances of solving the problem?

In many cases, one of several factors causes fertility problems and some cases are harder to detect than others, so a clear diagnosis is not always possible. In 10-15% cases, no abnormalities result from the tests.
Doctors characterize such cases as patients with unexplained fertility problems. Fortunately, even unexplained cases can be treated.
Also read the Natural Treatments for Fertility.

Tags Fertility problems Infertility Causes infertility