Tests For Infertility - Go With Ultrasound First

By Olivia Hooks

The first sign of infertility is the failure for a couple to 'get pregnant' for a full year of trying. The reasons for this are many, and one of them is aging.

And two reasons that aging reduces a woman's fertility are diminished health of her eggs and a reduced ability of the ovaries to release them. They also have a higher risk for miscarriage and other health problems that affect their fertility.

A woman's highest fertility is in her 20's, with her 30's being a time when she is still relatively fertile. She will start having difficulty conceiving as she gets into her mid to upper 30's. Miscarriage risks start to come into play in her late 30's. Fertility decreases appreciably in smokers and drinkers. With more women choosing careers today that put off child-rearing, aging has become the primary reason for infertility.

Failure to conceive for a whole calendar year (after trying the whole year) means a woman is in the "primary infertility" category; "secondary infertility" is when she has already been pregnant at some point, but has not been able to conceive for the previous 12 months of trying.

Both males and females have infertility problems, with the split being roughly 50-50, according to some experts on fertility. But the ratio is 60-40 - with the females having 60 percent of the infertility issues according to others. One in ten of couples trying to conceive will have difficulties, with four out of five being successful inside a year. What is a normal amount of time? Up to two years of trying, say experts.

In order to assess their fertility, many partners must both have complete medical exams done. Many of the males in relationships have the problem with fertility, therefore it's important that both partners get a complete physical.

The first tests normally done by a fertility specialist are for a woman's levels of FSH and her LH. (These abbreviations stand for Follicle Stimulating Hormone and Luteinizing Hormone.) These tests are usually done on a woman's first and her third visits to her doctor. It should be noted that the tests for these two hormones - Luteinzing Hormone and Follicle Stimulating Hormone - can be done on the male partner, as well. LH and FSH are both important for male fertility too.

Some of the other tests routinely done (female) include ultrasound tests, a cervical mucus test, and additional hormone testing. A post-intercourse test that's not done as much today, the cervical mucus test looks for active sperm from a sampling of the vaginal mucus. Two to eight hours following intercourse, the female is examined by the fertility specialist. Sometimes a bacterial test is done at the same time.

Ultrasounds are a good way to for the fertility specialist to examine the condition of the uterus, ovaries, and cervix without complicated and invasive examination techniques. Ultrasound can also be utilized to determine if ovulation has occurred.

There are many other tests for reproductive-related hormones available to the reproductive endocrinologist: They include tests for total testosterone, progesterone, estradiol, prolactin, free T3, free testosterone, androstenedione, and DHEAS.

Treatments for infertility can be expensive and not covered by insurance, and it depends on what needs to be treated, and how far a couple is willing to go with treatment. A relatively common cause of infertility in women is PCOS or (Polycystic Ovary Syndrome), which is treated with a drug called metformin in combination with clomiphene.

Failure to ovulate can be treated by clomiphene, with the next level of treatment being hormone therapy. One of the more undesirable side-effects of hormone therapy is the increased likelihood of having 3 or 4 babies all at once.

One of the most expensive and emotionally taxing (as well as physically taxing) fertility treatments is in vitro fertilization (IVF). Regular blood tests, daily hormone injections and frequent monitoring by the doctor is what this treatment requires of you. Nevertheless, it works one out of three times, but out of this 33.33%, one-third of these (33.33% also) will have twins. It should be noted that acupuncture by trained personnel is shown to raise the success rate of IVF. - 30525

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