Infertility is one of the most common issues affecting most couples, but due to modern medical science, various treatments are now available. In case you have not conceived after trying for some time, it is a time when you should consider an infertility workup. This assessment will help you understand what may be the cause and which is the best infertility treatment for you and your partner.
What Is an Infertility Workup?
An infertility workup is an evaluation of both partners to assess the potential causes for difficulty in conceiving. It involves a series of diagnostic tests and consultations to identify and treat fertility problems. Be it a fertility test for women or a fertility test for males, the process is comprehensive and customized.
When Should You Seek an Infertility Workup?
Here are some guidelines to guide you on when it might be time to seek a specialist:
Trying Over a Year Without Success
You are under 35 years old and have been trying to conceive for over one year. You should now seek professional advice.
Six Months in Women Over 35
For women above 35 years, the timeline is shortened to six months because of the natural decline in egg quality and ovarian reserve with age.
Irregular or Absent Menstrual Cycles
Women who have irregular or absent periods may have ovulation problems, which affects fertility.
Previous Health Conditions
Medical conditions such as endometriosis, polycystic ovary syndrome (PCOS), or a history of pelvic infections may necessitate early testing.
Previous Pregnancy Loss
Recurrent miscarriages are a strong indication for detailed evaluation.
Male Factor Concerns
If the male partner has a history of testicular trauma, varicoceles, or any known reproductive health concern, a fertility test in males is necessary.
Lifestyle Factors
Smoking, too much alcohol consumption, being obese, or exposure to environmental toxins can affect fertility in either or both partners.
What Does an Infertility Workup Involve?
The infertility workup is designed for your case and may include the following for women:
- Hormonal Tests: Checks for levels of FSH, LH, AMH, and prolactin.
- Ovulation Testing: Determines whether or not ovulation is happening on a regular basis.
- Ultrasound: Checks the uterus and ovaries for abnormalities such as fibroids or ovarian cysts.
- Hysterosalpingography (HSG): Checks the fallopian tubes for blockages.
For men, it includes:
- Semen Analysis: Assesses sperm count, motility, and morphology.
- Hormonal Testing: Tests testosterone and other hormones that affect sperm production.
- Physical Examination: Helps to identify problems such as varicoceles or other anatomical abnormalities.
Why Early Evaluation Matters
Infertility workup helps identify treatable causes and directs you to the appropriate infertility treatment. Early evaluation can:
- Increase the potential for spontaneous conception.
- Help avoid delays in treatment when age is a factor.
- Guide couples to consider medication, ART, or surgery.
Frequently Asked Questions
- What is the first step in an infertility workup?
The first step usually involves a detailed medical history and basic fertility tests for both partners.
- How long does an infertility workup take?
The process can take a few weeks to complete, depending on the tests required.
- Can lifestyle changes improve fertility?
Yes, adopting a healthier lifestyle, such as maintaining a balanced diet, exercising, and avoiding harmful substances, can enhance fertility.
- Must all cases of infertility always be treated?
Though treatment cannot be guaranteed for many types of infertility, treatment through medical intervention or Assisted Reproductive Techniques can become a reality for many.Â
- Where do I go to find my ideal specialist for an evaluation workup?
You seek an experienced clinic in the city. In Mumbai, for example, Dr. Pratik Tambe offers advanced diagnostic and treatment services for couples facing fertility.
