The Causes of Infertility – Risk, Diagnosis & Treatment

“Infertility” the term infertility represents the inability to conceive naturally. When a couple is trying to conceive for a long time but they fail every time, without a diagnosis it is difficult to find out the causes of infertility maybe it’s a woman or a men’s infertility. Sometimes the age factor might be responsible for infertility (Suppose there is a woman with the age of 35 and more than this, she can easily suffer from women’s infertility. The age factor may not be responsible in the case of male infertility, because if there is a man who is near 40 of age there are only 01 to 02% chances in a decrease of semen mobility per year).

For a better understanding we can lookout the types of infertility: There are two factors through which we can identify the types of infertility – Primary Infertility and Secondary Infertility.

Primary Infertility

We can see primary infertility as when a couple is trying to conceive for a year but did not get success in a single time. This is the primary kind of infertility where you did not get any positive results throughout the whole duration.

Secondary Infertility

Secondary infertility we can see this as you get a chance to get pregnant previously but now it is taking too much time and you are trying hard for conceiving.

Both types of infertility come after all the efforts a couple is doing without taking any birth control pills and any other kind of male or female protection. There are a lot’s of scenarios through which you may seek help earlier-

• Irregular menstruation Cycle
• The age of the female partner is 30 or more than this.
• Previous history of any infection or any diseases(Sexually Transmitted).
• Fibroids – Uterine abnormalities.
• Semen abnormalities.

These are few very known factors of infertility. There are most of the factors which indicate the women’s infertility but it’s not indicating that a man can not have some inabilities. Making a baby is a both side effort and a lovemaking process.

How to evaluate Fertility?

In medical science, there are some ways through which a doctor can find out the reason behind infertility. There are some tests, with the help of them a doctor can easily find out the possible reasons and their treatments.

Physical Examinations

The very first when you visit for a consultation from your doctor, they will ask some questions from you, such as – since how long are you trying to conceive? How often you are doing sex, is it protected or not? Do you and your partner consume Alcohol? Are you taking any kind of birth control pills or any other protection at the time of intercourse? Do you have painful menstruation or at the time of intercourse?, Do you have regular /irregular menstruation?, Have you ever conceived before?, Do you have any medical history in the past?  There are several questions your doctor will ask you. It is mandatory to tell everything to your doctor because if you will not talk openly with your doctor there may be a communication gap through which you might face unsatisfactory results.  

Follicle Monitoring/ Transvaginal Ultrasound(Female)

What is a Follicular Monitoring or Study and why is it mandatory? When you are going through fertility treatment your doctor will suggest you for follicular study/transvaginal Ultrasound. It’s normal to come in our mind that why does the doctor suggest the follicular study or transvaginal ultrasound and what is the role of follicular study in pregnancy? 

The very first it is important to know about the Transvaginal Ultrasound – Its a kind of inner ultrasound of your uterus to evaluate the structure of tubes, ovaries and any kind of abnormalities in the uterus, fallopian tube, fibroids, endometrial thickness or any other possible reason behind infertility. With the help of Follicle study you can get the information about your follicles -How many follicles or eggs available, the follicle size is growing or not, and when your follicle ruptures or when you ovulate.

HSG Evaluation

HSG Evaluation is done to know the status of blocked fallopian tubes because if a woman has any kind of blockage in her fallopian tubes then it will be quite difficult to conceive. This is a painful process compared to other procedures. The HSG is a procedure in which you have an X-ray test of your internal shape, in this procedure a thin tube will insert in your vagina and cervix. A contrast material commonly known as the medical dye is injected into your uterus the X-ray will follow the dye and show a white shadow on results. This dye spread in your uterus and will reflect an image. If there is a minor blockage it might be possible that dye can open it but if you have a huge blockage then it will be outlined. If both tubes are open then the dye covers the space and spills out the pelvic cavity so the body will absorb the dye.  

Laboratory Testing

After doing all kinds of studies, you have to go through with some blood tests to evaluate the level of some required hormones for pregnancy. It is mandatory to find out what the level of your blood sugar is at present, do you have any type of thyroid problem? The Laboratory test is as important as your other tests. Once your doctor suggests the laboratory test do not delay it. 

Semen Analysis(Male)

Semen analysis is as important as female tests are. The semen analysis provides information about the quality of your partner’s semen. It might be possible that you do not find out anything serious about that but at a stage, it is important to find out the count of healthy sperm, thickness, and mobility. If there are any kind of abnormalities deducted in the analysis then your male partner has to make sure that he completes the treatment first. The quality of semen is not in our hands sometimes some genetic effects may be the reason for good and poor semen.