Male & Female Fertility Testing
Fertility tests play an important part in fertility evaluation as well as treatment. With the help of testing, the doctor can understand the reason behind yours and your partner’s inability to achieve pregnancy. As fertility testing involves both male and female partners, we must understand conception takes two and not one individual only. Several reports suggest that male and female factors are equally responsible for infertility.
Female Fertility Diagnosis and Testing
- Age: Age, as most people know, has a major influence on female reproduction. The age of a woman is the best indicator to know she’ll be able to conceive with her eggs. With age, the natural fertility of women declines. The eggs ovulated are less capable of sustaining a pregnancy leading to miscarriages.
- Ovulation: It is only through ovulation that conception is possible. Ovulation stands for the regular monthly menstrual cycles. Problems such as PCOD, Hypothalamic Anovulation, etc can interrupt ovulation. With age, the ovulation of eggs also gets critical. Women of young age who don’t ovulate regularly can be induced with ovulation through oral or injectable fertility medications.
- Ovarian Reserve: The test on ovary reserve is done with the help of an ultrasound to check the capacity of the ovary to provide eggs capable of fertilization and resulting in a healthy pregnancy.
- Tubal Status: Fallopian tubes can be blocked or distorted due to infections, post-surgical scarring, or endometriosis. This can prevent the eggs and sperms from getting together and causing tubal pregnancy. The dye test HSG is a non-surgical way to evaluate if the tubes are open or not.
- Uterus and Endometrial Lining: Intrauterine scarring, polyps, and fibroids can cause the uterus and it’s lining to be abnormal causing the failure of the embryo to implant. Ultrasonography before ovulation can help to diagnose any related problem. Other than that, a sono-hysterogram or hysteroscopy can also be done. Most of these problems can be corrected surgically.
- Genetic: Some patients can also experience infertility due to genetic diseases. Some women’s eggs and men’s sperms can have abnormal chromosomes leading to repeated miscarriages. Although rare, these problems do exist.
- Endometriosis: This is a disease in which the tissue that normally lines the uterus grows outside the uterus. The only way to make a definitive diagnosis is through surgery. This disease has a high occurrence rate and surgery can only help to improve the odds of conception by a small margin.
Male Fertility Diagnosis and Testing
- Sperm Count: A sperm count should be done even if a female factor has been identified. This is so because as many as 40% of cases of fertility problems are associated with issues affecting both partners.
- Sperm Function: This refers to the ability of the sperm to penetrate the human egg. It is through semen analysis to determine if the sperm are present in sufficient numbers to reach, and penetrate. Sometimes, sperms which may seem normal in the analysis are found to not bind with human eggs. This mixing of sperm and egg can be done through IVF.
- Sperm DNA Integrity: In cases of unexplained infertility, some reports suggest that it may be linked to the sperm rather than the egg.
- Genetic: Men who have rare genetic abnormalities can have male infertility
Other than the above-mentioned factors, some factors can be linked to both male and female include:
- Sexual Dysfunction: Even though this is primarily due to either the male- erectile dysfunction or female- vaginismus, both must be assessed.
- Unexplained Infertility: Many couples fail to conceive even when the diagnosis is given is normal. These couples may have subfertility, endometriosis, or medical problems that have not been understood as yet.
- Cycle Day 2-3 FSH and Estradiol
- Mid-Cycle Ultrasound
- HSG or Hysterosalpingogram
- AMH- Anti-Mullerian Hormone
- Fragile X
- Karyotype (chromosome test)
- Testosterone, 17-Hydroxy-Progesterone, Fasting Blood Sugar and Insulin
- Semen Analysis
- Karyotype (chromosome test)
- SCSA- Sperm Chromatin Separation Assay for DNA fragmentation
- Hormonal tests such as FSH, LH, Prolactin. Testosterone, and Estradiol
Happy Patients Review
My experience with Dr. Tanya can’t be expressed into words, after all, she helped me become a mother. After trying for several years, we were recommended Dr. Tanya by a family friend. She was very supportive and professionalism is the reason I have a 6-month baby girl. Thank you, Dr. Tanya, and her team for everything.
We want to thank Dr. Tanya for everything she has done for my family. My husband and I were trying to have a baby for 10 years, after all, experiments failed, we decided to visit Dr. Tanya. Her positive outlook and experience helped us finally become parents. She is the best IVF specialist in Delhi. Highly recommended.
Our experience with Dr. Tanya has been very good. She and her team were very warm to us and answered all our doubts with complete transparency. She assured my family that I would be able to conceive. Three months ago I gave birth to my son and that was the happiest day of my life. It wouldn’t have been possible with Dr. Tanya. Thank you so much, Doctor.
Is the egg retrieval painful?
During egg retrieval, you will be sedated and given medication so that you don’t’ feel the pain. After the surgery/procedure, you may feel cramps, soreness, or fullness.
Is bleeding expected after egg retrieval?
After egg retrieval, vaginal bleeding/spotting is common. It is similar to bleeding in periods. In case of excess bleed, you should contact the doctor immediately.
How long do I have to stay in the hospital during and after the procedure?
IVF Procedure does not require any hospitalization. It only requires frequent visits from time to time.
How soon can I return to normal life after IVF?
Once the embryo transfer is done, you can resume your normal life. You may experience cramps because there might be a minor swelling in the ovaries. Stick to a mild routine and avoid exertion as it may affect your chances of getting pregnant.