Infertility Signs And The Tests You Need

Both males and females have deteriorating fertility with age, but one of the signs of infertility is not getting pregnant after a full year of a couple trying.

Some of the reasons for the reduced fertility in women as they age are a diminished ability for their ovaries to release eggs and the lower health level of those eggs. In addition, aging women become more likely with each passing year to have health issues that interfere with their fertility. There’s also a higher risk for miscarriage.

Of course, the years of highest fertility are in a woman’s twenties, followed by increasing difficulties conceiving in her mid-thirties. By her late thirties her ovaries aren’t making eggs like they used to and miscarriage risks become significant. Infertility is a common problem for women who drink or smoke very much. Today, age-related infertility is the number one reason for difficulty in conceiving for women as more women are choosing to put off having their first child until they are at least thirty-five.

When women fail to conceive after a whole year of intercourse, they are considered to fall in the Primary Infertility category. If they have conceived once before but have gone a year without conceiving (while trying the whole year), they are considered to be in the Secondary Infertility category.

Infertility issues plague both men and women equally, according to some experts, while others say women comprise sixty percent. Statistics show that ten percent of actively trying couples have trouble conceiving, with four of five conceiving within a year. A “normal” amount of time to conceive is considered to be up to two years.

Often, couples must each submit to thorough physical examinations to determine their fertility factors. There is a general misunderstanding by many couples that it’s only the female who could possibly have the fertility issue. Males, however, account for a large percentage, which is why it’s important that they get a medical exam as well.

The first tests normally done by a fertility specialist are for a woman’s levels of FSH and her LH. (These abbreviations stand for Follicle Stimulating Hormone and Luteinizing Hormone.) These tests are usually done on a woman’s first and her third visits to her doctor. It should be noted that the tests for these two hormones – Luteinzing Hormone and Follicle Stimulating Hormone – can be done on the male partner, as well. LH and FSH are both important for male fertility too.

Some of the other tests routinely done (female) include ultrasound tests, a cervical mucus test, and additional hormone testing. A post-intercourse test that’s not done as much today, the cervical mucus test looks for active sperm from a sampling of the vaginal mucus. Two to eight hours following intercourse, the female is examined by the fertility specialist. Sometimes a bacterial test is done at the same time.

A pelvic ultrasound test will take from 20 to 30 minutes, and is a great way for a doctor to assess the overall condition of the female’s uterus and ovaries, and the follicle development on the ovaries. It is also used to see if an egg has been released from an ovary.

Reproductive Endocrinologists can test for many other important hormones, other than just the luteinizing hormone and the follicle stimulating hormone. The primary ones are: androstenedione, DHEAS, total testosterone, progesterone, estradiol, prolactin, free T3, and free testosterone.

Treating infertility is a subject for an entire series of articles, but in a nutshell, infertility treatments run the gamut from simple drugs to surgery. Infertility treatments can get very expensive and time-consuming – and rarely covered by insurance, so it boils down to how bad a couple wants to conceive. Certain treatable infertility problems include Polycystic Ovary Syndrome or PCOS, which is treated with the drugs clomiphene and metformin together.

Problems ovulating can be treated with the drug clomiphene. The next thing on the list of ever-increasing extreme treatments for infertility is hormone therapy. This is more extreme because besides bad side effects, it often results in multiple-baby pregnancies.

One of the most expensive and emotionally taxing (as well as physically taxing) fertility treatments is in vitro fertilization (IVF). Regular blood tests, daily hormone injections and frequent monitoring by the doctor is what this treatment requires of you. Nevertheless, it works one out of three times, but out of this 33.33%, one-third of these (33.33% also) will have twins. It should be noted that acupuncture by trained personnel is shown to raise the success rate of IVF.

Janet has been publishing helpful articles on fertility and pregnancy for years. Discover more about PCOS and infertility and smart ways to monitor fertility with innovative solutions such as the Clearblue Fertility Monitor and other methods on the website.

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