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Infertility
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 You are here : Home / Infertility / Diagnosis

Diagnosis

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A diagnosis of infertility is usually given when a couple, after a year of trying to conceive, does not become pregnant.

Another kind of infertility is secondary infertility. Secondary infertility is diagnosed when a couple who has successfully carried to term a pregnancy previously, but now, when trying again, is not able to get pregnant after a year of trying. Also, a couple who suffers from recurrent miscarriages (usually after three successive losses) is also given a diagnosis of infertility.


What causes infertility?

A diagnosis of infertility often comes in two stages, the first stage being the general infertility diagnosis, and the second stage being a diagnosis of the specific cause of the infertility. Infertility is almost a symptom itself. To treat infertility in the best possible way, finding the cause is helpful.

According to the American Society of Reproductive Medicine, one-third of infertility cases are caused by a problem on the woman's side, one-third are from the man's side, and the remaining third involve problems on both sides, or unexplained causes. In fact, in 20% of infertility cases, the cause for the infertility remains unknown.

Two of the most common causes of female factor infertility include : -
  • Ovulatory Disorders - accounting for 18% to 30% of infertility in women.
  • Anatomical Disorders - like blocked fallopian tubes, often the result of infections or inflammations, like endometriosis or pelvic inflammatory disease.
Most specialists recommend that couples with no known reproductive health problems put a 12-month time limit on attempting to achieve pregnancy before seeking medical help, if pregnancy doesn't occur. Consultation with a specialist is recommended when first considering pregnancy (or if pregnancy isn't achieved after several cycles) for women age 35 or older, and for women who have menstrual or ovulatory irregularities, known tubal problems, a history of miscarriages or thyroid conditions.

Men with known sperm deficiencies or a history of infections should also consult a specialist.

After being diagnosed as infertile, a couple may want to use these strategies when beginning treatment : -
  • Consult a specialist early on.
  • Educate yourself as much as possible about all aspects of infertility.
  • Be assertive and ask questions.
  • Know your options for treatment and what is financially and emotionally possible for you as a couple.

A fertility specialist, usually a urologist, will perform a physical examination. A physical examination of the scrotum, including the testes, is essential for any male fertility work-up. It is useful for detecting large varicoceles, undescended testes, absence of vas deferens, cysts, or other physical abnormalities.

Varicoceles large enough to possibly interfere with fertility can be felt during examination of the scrotum. In such cases, they are described as feeling like "a bag of worms." They disappear or are greatly reduced when the patient lies down, so the patient should be examined for varicocele while standing.

Checking the size of the testicles is helpful. Smaller-sized and softer testicles along with tests that show low sperm count are strongly associated with problems in sperm formation. Normal testicles accompanied by a low sperm count, however, suggest possible obstruction. The doctor may also take the temperature of the scrotum with a test called scrotal thermography.

The doctor will also check the prostate gland for abnormalities.

The penis is checked for warts, discharge from the urinary tract, and hypospadias (incorrect location of the urethra opening).

Select IVF Surrogacy India professionals diagnose infertility by performing an infertility workup, a series of tests conducted in both the man and woman. The tests are done to check if the woman is ovulating and to look for any abnormalities in her uterus or fallopian tubes.

In many cases, men are examined for varicocele, which is a mass of dilated veins that develops within the scrotal sac. Varicocele can increase the temperature in the testes and affect sperm factors, such as sperm count. A surgical procedure called varicocelectomy can be used to treat varicocele. About 50% of men who undergo varicocelectomy to correct infertility father children within the first year. It often takes about 6 months for a sufficient quantity of new sperm to be produced to permit fertilization. Semen analysis usually is done at 3- and 6-month intervals after the operation.




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