Isn’t it sad to know that pregnancy no longer comes easily and in the timeframe we want? Due to the change in lifestyle, eating habits, daily routine and stress, our body has gone for a toss and so is the reproductive system. Infertility has touched more than half of the population therefore making it a very common problem in the present day.
Infertility is not an inconvenience but, a disorder of the reproductive system which disturbs the body’s ability to perform the most basic function of reproduction. It affects both, men and women equally. In about 40 percent of the infertile couples, the male partner is the sole reason or a contributing member for the cause of infertility. Read to know more about fertility evaluation and when a couple should opt for it.
When to seek fertility evaluation?
Approximately 85% of the couples should achieve pregnancy within the first year of unprotected sex. It is reported that about 20-25% of the couples seek some form of fertility evaluation at some point in their lifetime. The diagnosis process is definitely stressful and anxiety provoking. When there is a difficulty getting pregnant, the couple approaches the doctor and the doctor recommends the couple to seek fertility evaluation.
Following are the cases when a doctor recommends fertility evaluation to a couple;
When the couple complains of any of these above mentioned points, the doctor recommends the couple to get a fertility evaluation done.
The cause for infertility could be one or more than one. Sometimes the reason for infertility cannot be explained. A complete evaluation may require many visits to the doctor to obtain a physical examination of the couple to make a note of the complete medical history.
The doctor may ask for a detailed reproductive history which includes information about miscarriage, abortions, previous pregnancies, current sexual practice, the frequency and duration of intercourse. These questions will find out the root cause of the problem.
Both the partners are then asked to perform a few tests individually. This will help the doctor provide the most appropriate treatment to the couple suffering from infertility.
Infertility testing for men
A Doppler ultrasound or a venography is performed in case the doctor suspects the presence of a varicose vein in the testicle of the man. This is performed to evaluate the flow of blood in the testicles.
Infertility testing for women
A woman’s fertility evaluation is complicated when compared to her partner. To perform the infertility test in a woman, it is necessary for her to be in a certain phase of the menstrual cycle and therefore the tests may take 3 to 4 days to complete.
In some cases, the doctor recommends a laparoscopy to check the internal pelvic area, fallopian tubes and the ovaries for the development of endometriosis disorder (presence of endometrial tissue outside the uterine cavity).
A post-coital test (PCT) is also performed to check the mucus quality of a woman and its interaction with a male sperm.
The doctor will have a clear picture of the problem once the reports of all these tests arrive. He will then begin the treatment for infertility.