Overview:

A fertility workup is similar to an evaluation of infertility for a male or female that includes specific tests that provide information about their health.

When a couple has been attempting to conceive for a long period without being successful, infertility workup becomes necessary. If a couple has been trying to get pregnant for more than a year without success, it is said that they may have some fertility concerns.

If the female is over 35, they should get this evaluation as soon as possible, at most after waiting six months. This will reveal the precise infertility issue affecting the couple and creating issues.

Symptoms

In women, changes in the menstrual cycle and ovulation may be signs of a condition connected to infertility. These signs include:

  • There is more or less bleeding than usual.
  • irregular time frames. Each month, the amount of days between each menstruation fluctuates.
  • The number of days between menstruations varies from month to month.
  • There is no period. You've never had a period, or your periods have entirely stopped.

Men can experience confusing symptoms of infertility. These symptoms may go unnoticed until a man tries to conceive a baby.

  • The infertility's symptoms are influenced by its underlying cause. Among them are:
  • Hair growth patterns change
  • Modifications in sexual desire
  • a testicular bulge, pain, or edema
  • difficulties getting and maintaining an erection
  • thin, firm testicles

Causes:

What causes infertility in women?

The inability to ovulate, which results in the ovary not releasing an egg, is the primary cause of infertility in women. The primary factor is a disorder known as polycystic ovary syndrome.

Other conditions can impact fertility:

  • fallopian tube issues, which affect the tubes that transfer eggs from the ovary to the uterus. Scar tissue from infections or a condition known as endometriosis can occasionally obstruct your tubes.
  • Smoking can affect a woman's ability to get pregnant.
  • It can also matter if you're overweight or underweight.
  • Many things can prevent an egg from implanting in your uterus even if it manages to pass through your fallopian tubes.
  • Sperm development may be slowed or damaged by cervical mucus.

What causes infertility in men?

The most common cause of male infertility is sperm dysfunction, which includes: low sperm count, which indicates you have too few or no sperm in your sperm.

  • Low sperm motility occurs when your sperm do not move as well as they should.
  • You have sperm that is improperly formed.
  • Your sperm ducts have become obstructed.

Another common issue is a temporary decrease in sperm production. This could happen if your testicles are injured. For example, it is possible that your testicles were overheated for an extended period of time. It's also possible that you were exposed to chemicals or used drugs that affected the way you made sperm. Your sperm count may decrease if you consume alcohol or smoke. In addition, men over the age of 40 have reduced fertility.

Female Testing

Several routine tests are typically performed to the female during the work-up process:

Three-day Blood Work:

The term "three-day blood work" refers to a complete blood sample performed on the third day of your menstrual cycle to examine numerous hormone levels. The E2 (oestrogen) level in the blood will be checked to see if the primary female reproductive hormone from the ovaries is being released regularly. FSH (Follicle-stimulating hormone) is a substance secreted by the brain that encourages an ovary to mature an egg. The bloodwork will also check at AMH (Anti-Müllerian hormone), which is the best indicator of a woman's egg supply. It does not change month to month and is not affected by a woman's menstrual cycle. Finally, the LH (luteinizing hormone) level is examined, which is the hormone that causes a mature follicle to be released.

Internal Ultrasound Baseline :

An ultrasound of the uterus, where embryos are deposited, will also be performed as part of the workup process. The ultrasound will assist in identifying if the woman's uterus is normal and will also take the antral follicle count, which represents the number of eggs accessible for a possible pregnancy that month.

HSG Test :

An x-ray of the uterus and Fallopian tubes is used in the HSG test (hysterosalpingogram). This test determines the state of the uterus and whether the Fallopian tubes are open. It also searches for fibroids, polyps, or scar tissue that could interfere with conception.

Male Testing :

In 40-to-50 percent of infertile couples, the male partner has a condition that is contributing to the couple's infertility; consequently, analysing their sperm count and health is critical. These tests are also far less intrusive than tests for female infertility.

Analysis of Sperm :

An andrologist will conduct a sperm analysis to determine the sperm's ability to fertilise an egg. The quantity of sperm and their swimming ability will be examined.

Contact Embrion IVF Centre and Women's Hospital

If you are considering fertility treatments, visit with us at Embrion IVF Centre and Women's HospitalWe would be delighted to speak with you about the fertility process and your possibilities. Visit our nearest centre today.