Have you been trying unsuccessfully to have a child for a long time? Consult a specialist in infertility treatment Gyncentrum and start the diagnosis of your problem.
Infertility diagnosis
Accurate diagnosis-basis of infertility treatment
In order for infertility treatment to be effective, a number of tests are necessary to make an accurate diagnosis and choose the best treatment method for the couple. Infertility diagnosis always involves both partners. The first step in the process is a medical interview, during which the specialist acquires a lot of important information about previous efforts to have a child. Usually at the initial diagnostic stage, patients are asked to perform hormonal tests and tests for the most common infectious diseases. If the situation requires it, patients are referred for specialist consultations.
Infertility diagnostic methods
Reproductive immunology
One of the increasingly common causes of pregnancy problems is immunological disorders. It is estimated that they can account for 6 to 12% of infertility cases.
Reproductive endocrinology
Hormonal disorders are a common cause of fertility problems in both women and men. Hormone testing is the first step in diagnosing infertility.
AMH ovarian reserve assessment
Evaluation of ovarian reserve is a basic test that tells about a woman’s fertility status. Ovarian reserve is the number of follicles in the ovary capable of growing and developing an egg.
Semen examination
Semen testing (sperm testing) is the primary method of diagnosing male fertility. The analysis allows to determine a man’s reproductive capacity and diagnose the possible cause of infertility.
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Diagnosis of infertility in women
The most common cause of fertility problems in women is hormonal disorders. In this case, it is first recommended to check hormone levels, especially FSH and LH. The former is produced by the anterior lobe of the pituitary gland and is responsible for the formation and maturation of Graaf follicles in the first phase of the menstrual cycle. FSH also regulates the characteristic changes in the mucous membrane lining the uterus during the menstrual cycle phase. – Of great importance in the diagnosis of infertility is the testing of the level of the LH hormone, which is also produced by the pituitary gland. Its level in the blood depends on the phase of the menstrual cycle. The highest concentration of LH hormone occurs during the last days of the follicular phase, causing the growth of the Graaf follicle and ovulation.
Another important element in diagnosing infertility is checking the level of estradiol secreted by cells in maturing Graaf follicles, the adrenal cortex and the placenta. Based on the results, the doctor is able to diagnose possible ovarian diseases. Each woman is born with a certain number of egg cells, which decreases with age. To find out how many cells still remain, check the AMH level. From the results you can also read the level of fertility, ovarian reserve, and whether there is a premature cessation of ovarian function. Ladies who are having trouble getting pregnant should also check prolactin and progesterone levels.
Inmost cases, ultrasound and hormonal tests bring the answer to the question of what may be the cause of the difficulty in getting pregnant. If this is not the case, the specialist recommends further tests, including immunological, genetic, bacteriological.
Diagnosis of infertility in men
The basic test to diagnose infertility in a man is a semen test, through which the doctor learns about the motility, condition, structure and number of sperm in the ejaculate. It is important to remember to maintain sexual abstinence before the test. A man’s period of sexual abstinence should last from 2 to 7 days. The idea is to accumulate an adequate number of sperm and to make sure that the sperm are not too “old.” Men who have a sedentary lifestyle, smoke or wear tight underwear are most at risk of infertility. Men who have undergone reproductive surgery, testicular torsion conditions, cryptorchidism in childhood or have been treated with sex steroids may also suffer from infertility problems.
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