Couples who want children are often put off for years before it feels the need to obtain medical assistance. Usually, the first onscreen initiative went to the obstetrician or gynecologist.
Examination of fertility must involve the husband and wife, because in about 10 percent of cases the problem lies in both partners. Even if the doctor finds the cause of infertility, treatment is only useful if the condition is also known to the other party. To determine the condition of fertility, the husband should be examined by a urologist or andrology (doctors who specialize in male reproductive function).
Many hospitals in large cities that have a fertility center that provides consultation, examination and treatment to couples who want children.
Investigation of infertility
Investigate the cause of infertility is a couple of detective work. The doctors must diagnose the step by step to assess whether adequate sperm production and quality, whether ovulation, fertilization and implantation do occur fertilized egg cell, etc.. Therefore, it is usually not enough with just one visit to the doctor.
1. Female fertility research
Gynecologist may ask the following questions:
■How old are you when getting the first menstrual period?
■How your menstrual cycle since then, is there a problem?
■Is there a previous pregnancy and childbirth, miscarriage, abortion or disease?
With her eyes, hands and ultrasound devices, gynecologists can investigate abnormalities in the vagina, uterus, ovaries or fallopian tubes. He also might examine the process of ovulation and menstrual cycles monitored closely. If there are signs of malformation, inflammation or other pathological conditions (see: 15 Causes of Female Infertility), Additional technical examination with x-ray, laparoscopy, histereskopi, and others will confirm.
2. Male fertility research
Urologist / androlog might be interested to ask the following:
■When did you start puberty? (Having a wet dream)
■Have you ever been hospitalized before because the testes do not drop or other testicular problems?
■Have you been affected by the disease goiter (enlarged thyroid) in a child?
To determine the level of male fertility, your doctor will examine the body and sexual organs. The condition of the body and hair can indicate hormonal status. The existence of pressure-sensitive points on the testis and epididymis may indicate inflammation. Your doctor may order an ultrasound examination to detect testicular abnormalities, such as whether there varikosel (see: 15 Causes of Male Infertility.)
Male fertility research is most important is semen analysis (semen). Under the microscope, the cement will be examined the amount, quality and movement. When a man produces too few sperm, there may be hormonal testicular problems. Therefore, it may be necessary to measure hormone levels in their blood.
3. Research post-coital
If both partners considered infertile, the doctor may need to check the health of intimate relationships. In some cases, mucus (mucus) in the cervix a woman "hostile" sperm so they killed or constrained to fertilize an egg. This condition can be caused by infection, too much anti-sperm antibodies, or high acidity in the cervix.
If the doctor suspects cervical mucus hostility as the cause of infertility, she will ask the couple to have intercourse around the time of ovulation. Therefore, in the center of fertility is usually provided by a romantic room for you both. Once you "do", cervical fluid containing the sperm sample will be taken from the cervix for examination under a microscope.
At the time of the consultation process and therapy, you are strongly encouraged to ask the doctor if there are things that are not understood. Do not feel embarrassed to ask. The more you know, the better efforts and your chances for getting a child.