The infertility test is ordered by a gynecologist after an interview with the woman regarding her health and menstruation, but the partner should also be tested.
The source of failure in trying to conceive a couple is often hypertension, diabetes, thyroid and kidney diseases. You should start with a blood and urine test, because diseases and defects of the reproductive system are not the only causes. In addition, the couple undergo genetic, immunological and cervical mucus tests together.
medical history
A carefully conducted medical history with both of them will concern the drugs they take, the methods of contraception practiced, the woman’s menstrual cycle, chronic diseases, consumption of coffee and cigarettes, and sexual life in terms of the possibility of contracting a venereal disease that can impair fertility in both sexes.
What should a partner expect?
A woman should go to a gynecologist or endocrinologist who specializes in hormonal disorders for examination. In the case of an irregular menstrual cycle, hormonal and ovulation disorders are suspected. While the clinic where we went to the gynecologist has a contract with the National Health Fund, the following hormones are subject to reimbursed tests: FSH, LH, prolactin, estradiol, and testosterone. If they remain at an optimal level, the patency and efficiency of the reproductive organs are checked. A vaginal ultrasound is performed, as well as an X-ray of the uterus and fallopian tubes, the so-called X-ray. HSG hysterosalpingography. In turn, TVE transvaginal endoscopy assesses the pelvic peritoneum and fallopian tubes. The visual structure and condition of the reproductive organ, peritoneum, abdominal organs and the patency of the fallopian tubes will be enabled by laparoscopy and colorography. A gynecological examination using a speculum, hysteroscopy and a biopsy of the endometrium are also performed.
What should a man expect?
The partner visits an andrologist — a specialist in the male reproductive system, or a urologist. Men should be aware that infertility can be successfully treated. The lack of fertility in men can usually be blamed on too low sperm motility or insufficient sperm count, i.e. less than 20 per milliliter of semen. Men’s fertility may be disturbed by the previously mentioned venereal diseases, but also overheating of the testicles resulting from long hours of driving, clothing impervious to air, sedentary lifestyle, alcohol consumption, and finally the use of the sauna. for the detection of bacteria or sperm antibodies. Andrological examination, on the other hand, concerns the structure of the testicles and the penis, indication of possible defects or diseases (varicose veins of the spermatic cord, hernia, cryptorchidism). Male fertility can also be assessed by radiological examination of the vas deferens, testicular biopsy, and hormonal examination.