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Infertility Diagnosis

Diagnosis FAQs

Infertility is defined according to a woman’s age, as the female reproductive system changes rapidly with time. The classic definition of infertility is the inability to conceive, or to carry a pregnancy to term within one year of unprotected intercourse. For women over the age of 35, this timeframe is shortened to 6 months. This age adjustment enables the fertility treatment process to begin sooner to accommodate natural changes in egg production and viability.

Those who have known health conditions that may impact fertility, such as irregular periods (anovulation), PCOS, endometriosis or male factor infertility, should seek a fertility specialist as soon as they are ready to start a family.

Pregnancy is the result of a multi-stage process:

  • A woman’s body must release an egg from one of her ovaries (ovulation).
  • The egg must go through a fallopian tube toward the uterus.
  • A man’s sperm must join with (fertilize) the egg along the way.
  • The fertilized egg must attach to the inside of the uterus (implantation).

Infertility can result from a problem with any one of these steps.

 

Yes. Infertility is just as likely to be due to a condition in the male partner as the female partner: a third of the time, infertility is attributed to the male partner, a third of the time to the female and a third of the time to unexplained factors. Male infertility is most commonly caused by such factors as low sperm count or poor sperm quality, a blockage in the male reproductive system.

 

For men and women, this process involves a complete medical history and at a minimum, female examination and a series of tests that assess the primary fertility functions:

For a woman

Evaluation focuses on ovarian function and fallopian tube health as well as a thorough examination of the reproductive anatomy. Ovarian function is a key indicator of egg quality as well as female hormone production. The fallopian tubes are where egg and sperm meet and fertilization occurs. A number of tests can evaluate the health of these reproductive systems. In addition, a complete medical history and examination will take into account menstrual history, previous surgery, health conditions, physical activity level, stress level and thyroid health (responsible for reproductive hormone output).

For a man

Evaluation assesses the status of male sperm (shape, volume and mobility) as well as the health of the urinary tract and male reproductive organs. If the semen analysis indicates a male problem, an examination by a urologist/andrologist will be recommended.

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