To the majority of couples, the process of parenthood starts with natural conception. Nevertheless, in case of a failure in conception as anticipated, fertility testing comes into the limelight of the process of getting to know the cause of the problem besides getting the correct direction to take.
Fertility problems may be arising in both genders and that is why a thorough scrutiny of both spouses is necessary. Fertility testing is also essential in the determination of reproductive health and support informed decision-making with regard to family building even in heterogeneous families, such as the same sex couples
We at Zeeva Fertility are of the opinion that awareness and early test can make a significant difference. You may be in the process of actively seeking conception or you may be planning, in any way, but in any case, knowing how fertility testing operates will empower you to take charge of your reproductive state.
Female Fertility Testing
Female fertility testing is aimed at concentrating on three primary areas of hormonal balance, ovarian reserve, and structure and function of reproductive organs. The combination of these factors gives a clear image of the reproductive health of a woman.
Blood Fertility (AMH, FSH, LH, Progesterone) Test
Hormonal testing is usually conducted by use of blood tests, and it is instrumental in determining fertility.
- Anti-Mullerian Hormone (AMH): The AMH levels assist in estimating the ovarian reserve—the amount of eggs that are left in the ovaries. Low levels of AMH can be a pointer to limited ovarian reserve.
- Follicle-Stimulating Hormone (FSH): FSH helps to develop and mature ovarian follicles. Excessive amounts may indicate difficulties in the development of eggs.
- Luteinizing Hormone (LH): LH controls menstruation and ovulation. Abnormalities could indicate ovulatory diseases.
- Progesterone: This hormone makes the uterus ready to implant and makes pregnancy early. A low level can also impact the implantation or risk pregnancy loss.
Ultrasound and Antral Follicle Count (AFC)
Ultrasound scanning is used to assess the uterus, ovaries and fallopian tubes. Antral Follicle Count (AFC) of the ovaries is one of such important measures, estimating the number of little follicles (potential eggs) in the ovaries.
This test assists in the identification of ovarian reserve and the chances of pregnancy-natural or with the aid of the methods of assisted reproduction like IVF.
Fallopian tube blockage HSG Test
Infertility is also a very common but unrecognized cause due to blocked fallopian tubes. Even when a woman has blocked tubes the condition still allows her to have regular periods and this condition is not easily discovered without tests.
Fallopian tubes are examined using the Hysterosalpingography (HSG) test. In the process, a contrast dye is injected into the uterus and examined through the use of X-ray. In case of a blockage, the dye will show the blockage, and the doctors will be able to diagnose the problem properly.
Male Fertility Testing
The tests of male fertility are devoted to the health of sperm, anatomy, and hormonal equilibrium. Male factors are one of the causes of infertility; therefore there is a need to conduct a comprehensive assessment.
Semen Analysis: The Measurement
The main test to determine the fertility of men is a semen analysis. It also measures the quality and quantity of sperm.
- Sperm Count and Semen Volume: These are the indicators of the amount of sperm that is generated and found in each ejaculation.
- Sperm Morphology: This is the composition of sperm. Healthy sperm is usually distinct in terms of head and midpiece, as well as tail.
- Sperm Motility: Motility is a measure of the efficiency of movement of sperms. Movement that is forward is particularly relevant to effective fertilization.
Sperm DNA Fragmentation Testing
Additional tests like sperm DNA fragmentation can be advised in a few instances. This is a test done to determine the integrity of the genetic material in the sperm.
Increased rates of DNA damage are also associated with decreased fertility and could also be causative in recurrent pregnancy loss or IVF failure.
Hormonal Testing for Men
It is also important in the male fertility and a test of hormonal balance is conducted through blood tests.
- Testosterone: The initial male hormone that secretes sperms and reproductive activity.
- FSH and LH: These hormones control the production of the sperm and testosterone. The abnormal levels can also be a sign of impairment of the testicular functioning.
Fertility Evaluation: What to Expect?
A fertility assessment usually starts with an elaborate consultation. Your physician will examine your history, lifestyle and reproductive health.
- In women: The questions can be related to the menstrual cycles, ovulation cycles and previous medical history.
- In men: A physical examination could be done to determine the reproductive organs.
According to the first results, tests may be prescribed by your doctor. Although certain rudimentary assessments can be conducted in a matter of a few hours, other more detailed ones might require a few days.
Next Steps after Your Test Results
After preparing your results, your fertility specialist will explain the results to you. You will gain clarity on:
- The cause (identified) underlying.
- Treatment options are available.
- Success rates, advantages and risks.
Our approach to Zeeva Fertility focuses on individual care. Each individual and couple is different, and the plans to treat them are made in accordance so that the best results are achieved.
Fertility testing is not only a problem-solving activity but also a preventive measure to any individual who wishes to have a family. Early analysis will result in early diagnosis, improved planning, and effective treatment. Consult a fertility clinic near you for more information.
