Infertility is often defined as inability to conceive naturally after trying for one year without any contraception. Women who are able to get pregnant but who are unable to carry pregnancy to full term are also considered to be infertile. About 10% of the US population, and around 9% of the European population between the ages of 15-44 have either difficulty conceiving or carrying pregnancy to full term.
Even though infertility is often perceived as a women's problem due to its direct link to pregnancy, female and male infertility have about the same level of prevalence within the society. About one-third of the causes of infertility are associated with female factor infertility and another one-third is associated with male factor infertility when the rest is either due to a combined male-female factor or unexplained infertility.
If you have been trying to get pregnant for the past one year and have not been able to get pregnant, then you might belong in either one of these groups. For partners who have not been successful at achieving pregnancy for a full year, a series of tests is in order. Infertility investigation works in a dual manner where both partners undergo a testing process. The starting point of infertility testing would be as follows:
- For male partner, a semen analysis is required. Krueger's semen analysis
provides information on sperm count, volume, motility, morphology and
a few more factors. This would be the starting point of infertility investigation.
- For female partner, hormone testing is in order. If the female partner has
regular menstrual periods, then hormone tests such as FSH, LH, Estradiol,
Prolactine and TSH. If the female partner is young, but does not have regular
menstrual periods, then apart from the hormone tests, further investigation
may be necessary to see into the ovarian function and the uterus. Irregular
periods could be due to Poly Cystic Ovarian Syndrome (PCOS) or any other
problems.
When standard hormone testing and sonogram investigations fail to provide an answer, more invasive testing process will be in order. Female partner might be required to have a hysteroscopy as well as certain infectious disease tests such as Chlamydia, CMV IgG and Toxoplasmosis.
When all the above testing processes fail to yield and answer, then thrombophilia defects and immune system problems are to be investigated. Especially for women with repeated miscarriages, thrombophilia is one of the main suspects.
Sometimes, patients who complete their first round of testing can be offered fertility treatment before attempting the more in-depth and invasive tests. This is simply because, the likelihood of belonging in the unexplained infertility group is very high and the expensive testing procedures can be very overwhelming. Therefore, before attempting these tests, an IVF treatment can be attempted first and if the result is negative, then further tests can be performed. In most cases, partners are able to achieve pregnancy without consulting the invasive testing processes.
At North Cyprus IVF, we take into consideration every single factor that can potentially be contributing to your infertility problems. When we ask you to have a series of tests, it is merely due to the fact that we are trying hard to make sure we are able to offer you the most effective type of treatment that is unique and suitable for your specific needs.
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