Fertility problems

12 fertility tests for men and women who want to have a baby


Spending months having sex with your partner without using any type of contraceptive method and not achieving pregnancy can lead to rethinking serious questions about possible fertility problems and what they would be fertility tests for men and women who want to have a baby. In the following article, we will tell you what the study would be like both for them and for them.

Fertility problems currently affect a percentage of 15% -17% of the Spanish population, which translates into a total of more than 800,000 couples with difficulties in becoming parents.

Some of the main causes of infertility are closely related to advanced age, endometriosis problems in women, alterations in semen production in men, erection problems and other risk factors, such as chronic diseases, diabetes, fibroids, depression or sexually transmitted diseases.

In this sense, It is estimated that 40% of infertility cases are due to women's problems, another 40% to men and 20% to mixed or unknown reasons. A situation that has given rise, in recent years, to a high number of births through assisted reproductive techniques and which seems to continue to increase, constituting 3% of newborns.

Thus, different tests are distinguished between men and women to find out the causes of infertility and thus be able to assess the different assisted reproduction treatments to become parents.

There are six fertility tests that are performed on a woman to try to detect possible problems she may have in getting pregnant. Know them all!

1. Hormonal study
One of the first fundamental tests to be carried out during the fertility study in women is the hormonal analysis, with which it is possible to rule out or corroborate endocrine problems that affect the menstrual cycle. It is usually done during the first days of the cycle, through a blood test, to know the functionality of the ovaries, the pituitary of the woman and even the state of the ovarian reserve. In this study, the levels of the hormones FSH, LH, progesterone, prolactin, estradiol, and AMH are determined.

2. Hysterosalpingography
It consists of the assessment of the fallopian tubes and their patency from a contrast X-ray. It is done after the end of menstruation and before ovulation.

3. Transvaginal ultrasound
It is an ultrasound ultrasound with which it is possible to assess both the state of the ovaries and study the morphology of the uterus. Likewise, it also provides information on the proper functioning of the ovaries and endometrium during the menstrual cycle.

4. Hysteroscopy
During this test, an endoscopic exam is performed to examine both the inside of the uterus and the cervical canal. With this, it is possible to detect alterations inside the uterus, as causes of abortions or the impossibility of implanting the embryos.

5. Endometrial biopsy
It involves the extraction of a sample of endometrial mucosa for later analysis in the laboratory. From this test, it is possible to know the possible existence of infections or abnormalities in the endometrium.

6. Karyotype
A blood test is done to be able to study the chromosome pattern. From this test, possible chromosomal abnormalities responsible for infertility can be detected.

And what about the male part? They also undergo six tests to detect any obstacles to conceiving a baby.

7. Seminogram or Spermiogram
It is one of the first tests to be carried out in the fertility test in men. Its primary function is to check and assess both the quantity of sperm as well as its quality and shape. Also, during the first visit with the reproductive medicine specialist, a testicular exam may also be performed, in which the testicles are examined for the possible appearance of lumps or infections.

8. Training test (REM)
This test complements the previous one and consists of freeing the sperm from any fluid or substance that makes it up. Then, a motile sperm count, known as REM, is performed to find out which ones may be useful in assisted reproductive techniques.

9. Bacteriological and biochemical studies
It consists of detecting those infections that alter the quality of the semen from a blood test or taking a semen culture.

10. Hormonal analysis
As in the case of women, it is necessary that the man also undergo a blood test to check the status of the hormonal levels of LH, FSH and testosterone. From this test, it is possible to detect possible abnormalities that cause infertility.

11. Testicular biopsy
By means of a puncture, sperm are extracted from the testicles to proceed to a semen analysis.

12. Karyotype
As in the case of women, the karyotype test is also usually performed in the male fertility study to find those chromosomal abnormalities that cause infertility.

Once all the appropriate tests have been carried out, it is necessary to wait a period of 3-4 weeks to know the results. Afterwards, and after the evaluation of the specialist doctor, it is possible to determine the assisted reproduction treatment that best suits each specific case.

According to a recent study published in the journal Human Reproduction, there is an increased risk of being infertile if your weight at birth was low for your gestational age. This study refers specifically to men and is not related to infertility in women.

To do this, more than 5,000 men and women who were born in the 1980s were analyzed and followed until the end of 2017. The conclusions of this study indicate that men who were born small for gestational age (baby with 10% weight according to each week of gestation and compared to other children of the same gestational age) had a 55% higher risk of infertility than adults compared to adults within the appropriate weight range for gestational age.

The head of the study points out that "a suboptimal growth environment for the fetus, for whatever reason, could be detrimental to the development of sperm production and reproductive organs." Hence, I emphasize how important it is for the mother to take care of everything related to pregnancy so that it does not have any negative effect on the fetus, for example, that she does not smoke or drink and that she takes care of her diet.

You can read more articles similar to 12 fertility tests for men and women who want to have a baby, in the category of On-site fertility problems.

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