Fertility control and tests

Infertility is such a serious issue that the medical world is looking at it and women are celebrating fertility on a world day on June 15th.

It is generally accepted by scientists of all specialties, even gerontologists, that women around the age of 40 have lost 50% of their fertility, ie the chance of becoming pregnant normally and giving birth to a healthy baby.

It is also true that after the age of 42 fertility literally goes downhill. Nothing should be left to chance and in this field science gives a lot of weapons.

A woman at any age, and even more so if she has advanced somewhat, must know the state of her fertility by performing specific tests from an early age.

IVF has helped thousands of women around the world find fertility problems and become mothers. But the good history was played and always plays the good history by the experienced doctor specialized in IVF, and of course the examinations. The Pap test should not be considered trivial for one year and then left for a number of years.

The history that the doctor takes is not only about the woman who wants to get pregnant and if she has had surgeries in the past, but also if there is another precedent of premature menopause in the family.

In the sense of control we mean the ultrasound examination of the uterus of the ovaries and the surrounding area. It matters how big the ovaries are, how many eggs there are in them and whether there are fibroid cysts or polyps. Let’s not forget that cysts and fibroids, even very small ones, can be factors in the failure to continue a pregnancy, even if there is a successful conception. It is at the doctor’s discretion to request further testing through tests for ovarian hormones such as FSH, LH and others that come out through blood sampling. In essence, they show how well the reproductive system works.

Eggs and their condition have an alert hormone called AMI or otherwise (Anti-Mullerian Hormone). Shows the adequacy of eggs. Exams usually take two to three days. But they are very important for the woman to have a clear picture of her condition and beyond that she decides on how to proceed according to her time. Lately, however, more and more doctors are advising women not to let time go to waste. A small problem at first may swell later and be more difficult to solve.

Even IVF has a different response when the woman is not old, has not had abortions and has not suffered from long-term medications.

An ultrasound of the internal genitals and how thick the endometrium is are essential. The fallopian tube will also show the condition of the fallopian tubes. If the picture is not clear, the doctor may perform a laparoscopy or hysteroscopy to examine the inside of the uterus. As much as this control is necessary for the woman, so serious is the control of the man through a sperm chart. The andrological test will rule out fertility problems in the man.

At the same time, mammography for women over 35 should probably not be neglected, as well as hysterosalpingography and x-rays of the uterus and fallopian tubes. The Post-coital test is the examination of the cervical mucus after intercourse.

For the man, it is good for the sperm diagram to be accompanied by endocrine examinations, as well as a white blood cell prolactin test, a prostate ultrasound and a testicular biopsy.

Compiled list of fertility tests for the couple:

For the woman:

  • Test for hormones FSH, LH, E2, AMH, TSH, PRL, DHEA S – performed between the 2nd and 5th day of the cycle.
  • Vaginal ultrasound – examination of the uterus and ovaries
  • Pap test
  • Cultivation of vaginal – cervical fluid
  • Control of sexually transmitted diseases
  • Hysterosalpingography

For the man:

  • Control of hormones FSH, LH, prolactin, and testosterone.
  • Sperm diagram
  • Control of sexually transmitted diseases
  • Semen culture
  • Sensitivity test