Infertility Diagnosis

Infertility generally occurs when the couple fail to conceive despite regular inter course of more than 12 months without using any birth controls. It may be that one partner who is unable to hold pregnancy for 9 months or the other one who cannot contribute to conception.

Among the 60 million couple diagnosed with infertility, the majority are from the developing countries. Negative causes of secondary infertility and reproductive outcomes are basically from an unhealthy lifestyle such as obesity, poor diet, excessive stress, late marriage, frequent abortion, drinking and smoking.

Causes of male infertility

• Radiation and chemotherapy can severely damage sperm production.
• Frequent exposure to external environmental factors such as saunas or hot tubs.
• Overconsumption of smoking, marijuana, alcohol, and steroids.
• Depression and high blood pressure.
• Premature ejaculation, sexually transmitted disease, or due to certain genetic diseases.
• Problems in the healthy delivery of sperm caused by testicles blockage or injury in   reproductive organs.
• Genetic defects such as diabetes, HIV, mumps, chlamydia, and gonorrhea.
• Abnormal sperm production.

Causes of female infertility

• Pelvic surgery, infection, or appendicitis.
• Reproductive cancers, radiation, and chemotherapy.
• Early menopause before 40.
• Enlargement of endometrial tissue outside the uterus.
• Inflammation of fallopian tube.
• Tumors or cervical abnormalities.
• Thyroid, irregular mensuration cycle, eating disorders and excessive exercise.

Most common causes of infertility found in both male & female

It’s not only women who are facing problems conceiving but men too are surrounded by the male fertility problems. Many such risk factors related to infertility issues are identified in both male and female. They are:

• Overweight/Underweight

  Inactive lifestyle (over-weight, eating disorders, or following low calorie-restrictive diets) increases difficulty in getting pregnant. Whereas in men, indulging in over-weight activities affects the sperm counts which invites male fertility issues.

• Age

  Women after attaining 37, starts producing low-quality eggs which inclines difficulty conceiving, wherein men, after the age of 40, they get less fertile.

• Tobacco & Alcohol use

  In women, tobacco reduces the likelihood of pregnancy, while alcohol directly contributes to diagnosis of infertility in females. In the case of men, it increases the risk of erectile dysfunction and decreases motility.

Infertility Reasons: Diagnosis and Test

Before moving on with the treatment process, the couple needs to undergo diagnostic tests for infertility. A male member has to carry out semen analysis and blood tests, as a male infertility diagnosis. Both the test evaluates the sperm counts, testosterone level and other male hormones (only if needed). Whereas, the female infertility tests and diagnosis includes uterus test for infertility, ovarian reserve testing, blood test, ultra-sound, and hysterosalpingography.

It is said, that 1 in 10 couple experience trouble conceiving. So, the primary step for such a pair is to take help from the fertility specialists, who shall assess the overall reproductive health and conduct few tests to identify the underlying fertility problems or pregnancy delay.

Infertility diagnosis test includes:

• Ovulation test

  For the ovulation test one needs to get their blood test to find out the regular cycle (egg-producing).

• Ultrasound scan

  An ultrasound scan examines the lining of the wombs and finds out any conditions that may alter the linings. It further allows analyzing the existence of polyps or fibroids, ovarian cysts, ovary size and the existence of ovarian follicles.

• Semen Analysis

  It measures the number of sperm, it’s morphology, and motility.

• Anti-Mullerian Hormone (Egg count test)

  It evaluates the blood and offers an indication to ovarian reserve testing.

• Ovarian Reserve Testing

  A basic test suggested by the fertility specialist to measure the ovarian reserve hormone. This provides a good estimate of the number of eggs present in the ovaries, which is also useful as IVF diagnosis.

• Blood Test

  It investigates the genes which are causing difficulties for conceiving. Experts recommend testing Stag3, Cystic Fibrosis, FSH receptor (female), AZF (male), and MTHFR (female).

• Biopsy

  A simple procedure performed under local anesthesia in order to obtain sample tissue.

• Venography

  To figure out the possible blockage in the tubes, the test is conducted.

What’s next for the infertility treatment in Nepal?

Advancement in science and technology has flowed in several infertility solution in Nepal. Now a days, people are willing to push their family planning after career settlement due to the presence of several infertility diagnosis in Nepal.

The boom of Infertility Diagnosis centers in Nepal has rigorously started to ease the Nepalese couple lifestyle. The incapability of conceiving a child despite regular sexual intercourse or due to biological inability is now being cured through the infertility diagnosis and infertility treatments at Vatsalya.

If you are trying to conceive for a long time, or if you are looking out for a late family planning, a simple infertility diagnosis can give a clear picture of the overall reproductive health. Contact us to book an appointment with the fertility specialist!