Testing and diagnosis are essential to treat and deal with any problem, so is with infertility. If someone visit the doctor for infertility test or diagnosis, their main question will be of sexual history, sexual habit, reproductive health history, medication and more. Based on these report, infertility problem will be found out and necessary step of treatment is carried out. Though women are accussed for most of the time for not able to bear the kid, men are to be equally blamed for it.There are many aspect that may affect the probability of bearing of child. The distinctive reasons may be
The women are asked specific question such as:
With the answer from these question, appropriate method of treatment is carried on. Some infertility problem can be treated with just simple medication and advice. Surgery and other treatment are carried out for those who cannot be cured with simple medication or advice. Since, fertility is related with both men and female, through examination of both is done. About 30% of fertility is due to male, 30% is due to female and remaining portion is due to both or unknown factor. The structure and the working of the male and female reproductive system is completely different. Different type of tests are conducted on both of them.
Semen Analysis: For this test, semen sample of the male patient is provided to the lab for analysis and sperm count and sperm morphology is evaluated. The semen sample is generally obtained by masturbation in a clean container provided by the lab.
Ovarian reserve Testing: This test is done to identify the quantity and quality of eggs available for ovulation. Ovarian reserve consists of number of extra follicles that are available to undergo properly with medication and another is health of the follicles and the eggs.
Genetic Testing: Genetic testing determine if there is genetic defect causing infertility. Genetic is a contributing factor in upto 10% of couple with infertility or recurrent pregnancy loss. So, yes, genetic testing is a good idea for infertility.
Hormones in Blood: In some cases, blood is sampled for the hormones such as testosterone in male, follicle-stimulating hormones in women, thyroid and prolactin. Blood is sampled in different point of menstrual cycle. This will provide essential insights regarding the factors of infertility. Human body is highly dependent on hormonal balance, so fertility is highly related to hormones too.
Imaging Testing: In some cases, MRI, Ultrasound Scan, X-rays are used to generate images of reproductive system of male and female, and studies are made for different diseases in uterine, fallopian tube, testicle, and other reproductive organ.
Biopsy: Biopsy means removing a small sample of tissue for test. Testicular biopsy is done to determine the cause of male infertility. Testicular biopsy is rare and mostly done when the men’s sperm is out of sperm and hormone test is normal. Endometrial biopsy is done in case of women. Endometrial layer is uterine lining that connects blood supply and nourishes a developing fetus and baby. Endometrial layer is shed each month during menstrual cycle. With the endometrium tissue obtained from the women’s inner uterine line, a doctor can have more knowledge about the progesterone level and other ovulation and other processes.
Laparoscopy: Laparoscopy is a surgical procedure in which a fibre-optic instrument is inserted through the abdominal wall to view the organs in the abdominal area.Small cut are made in the abdomen. It is used in infertility to check if the fallopian tubes are blocked, if so blockages is treated. Other parts such as uterus, fallopian tubes and ovaries can also be visualised via this instrument (Laparoscope)