Tests For Infertility – Go With Ultrasound First
Signs of infertility are really straightforward: Either a couple conceives or they don’t – and if they don’t for over a year – this is a sign of infertility.
Some of the reasons for the reduced fertility in women as they age are a diminished ability for their ovaries to release eggs and the lower health level of those eggs. In addition, aging women become more likely with each passing year to have health issues that interfere with their fertility. There’s also a higher risk for miscarriage.
Of course, the years of highest fertility are in a woman’s twenties, followed by increasing difficulties conceiving in her mid-thirties. By her late thirties her ovaries aren’t making eggs like they used to and miscarriage risks become significant. Infertility is a common problem for women who drink or smoke very much. Today, age-related infertility is the number one reason for difficulty in conceiving for women as more women are choosing to put off having their first child until they are at least thirty-five.
When women fail to conceive after a whole year of intercourse, they are considered to fall in the Primary Infertility category. If they have conceived once before but have gone a year without conceiving (while trying the whole year), they are considered to be in the Secondary Infertility category.
Infertility issues plague both men and women equally, according to some experts, while others say women comprise sixty percent. Statistics show that ten percent of actively trying couples have trouble conceiving, with four of five conceiving within a year. A “normal” amount of time to conceive is considered to be up to two years.
Often, couples must each submit to thorough physical examinations to determine their fertility factors. There is a general misunderstanding by many couples that it’s only the female who could possibly have the fertility issue. Males, however, account for a large percentage, which is why it’s important that they get a medical exam as well.
In order to get a base for comparison, the first tests normally done by a doctor are for the female’s levels of Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH). The tests for these two hormones are normally done on a woman’s first visit to her specialist as well as her third. Since FSH and LH are both critical to male fertility (they are important to sperm health and production), these tests can be done on the male, at the discretion of the fertility specialist.
Some of the other tests routinely done (female) include ultrasound tests, a cervical mucus test, and additional hormone testing. A post-intercourse test that’s not done as much today, the cervical mucus test looks for active sperm from a sampling of the vaginal mucus. Two to eight hours following intercourse, the female is examined by the fertility specialist. Sometimes a bacterial test is done at the same time.
A pelvic ultrasound test will take from 20 to 30 minutes, and is a great way for a doctor to assess the overall condition of the female’s uterus and ovaries, and the follicle development on the ovaries. It is also used to see if an egg has been released from an ovary.
There are many other tests for reproductive-related hormones available to the reproductive endocrinologist: They include tests for total testosterone, progesterone, estradiol, prolactin, free T3, free testosterone, androstenedione, and DHEAS.
Treatments for infertility can be expensive and not covered by insurance, and it depends on what needs to be treated, and how far a couple is willing to go with treatment. A relatively common cause of infertility in women is PCOS or (Polycystic Ovary Syndrome), which is treated with a drug called metformin in combination with clomiphene.
Another drug treatment for infertility (for the female again) is clomiphene for ovulation problems – inability to ovulate. Hormone shots are the next thing that a woman can try, although these can have unpleasant side effects such as bloating and feeling sick. But one of the most significant side effects of hormone therapy is having triplets or more babies.
One of the most expensive and emotionally taxing (as well as physically taxing) fertility treatments is in vitro fertilization (IVF). Regular blood tests, daily hormone injections and frequent monitoring by the doctor is what this treatment requires of you. Nevertheless, it works one out of three times, but out of this 33.33%, one-third of these (33.33% also) will have twins. It should be noted that acupuncture by trained personnel is shown to raise the success rate of IVF.
Janet has been writing helpful articles on fertility and pregnancy for years. Discover more about the signs of infertility and ways to monitor fertility with innovative solutions such as the Clear blue Fertility Monitor and other helpful tips on the website.
categories: pregnancy,infertility,fertility,babies,women’s issues,women,health
