The test for sterility when it is not necessary to hesitate?

The test for sterility when it is not necessary to hesitate?
Examinations

the test for sterility If a couple can not conceive after one year, both partners need to pass the test is not infertility. Since almost 50% of cases the cause of infertility couples are health problems in men, it is important that both partners have started to be examined as soon as possible.

Tests for sterility in women

During the first visit, the patient's specialist in fertility studies its history, and detailed inquires about her lifestyle. He wondered what contraceptive enjoys woman, whether she had before pregnancy, when her period started, and as a regular in her menstrual cycle, than she was sick, what medications and are being taken before any operation suffered, where he works, is engaged in any sport and if she has bad habits. It may also ask some questions about the woman's sexual relationship with her partner - to answer them may be uncomfortable, but it is necessary that a specialist can create the most complete and clear picture of the state of his patient.

Then, a thorough medical examination. Particular attention is paid to the thyroid, breast, hair growth Hair: structure, characteristics of growth and development (its characteristics may indicate some hormonal failures), and, of course, of the reproductive system.

Based on the results of the first examination the doctor may prescribe additional diagnostic procedures. During the diagnosis of infertility is widely used the following tests:

Ovulation Test is required in order to make sure that women do ovulate. To do this, usually do a blood test and ultrasound examination is carried out.
Checking the function of the ovaries is carried out in order to understand how a woman during the menstrual cycle produced hormone and function. Determines the level of estrogen and follicle-stimulating hormone on certain days of the menstrual cycle, carried ultrasound and a blood test to assess the level of inhibin B.
Blood tests to determine the level of luteinizing hormone, follicle stimulating hormone, estradiol, progesterone, prolactin, testosterone, androstenedione, dehydroepiandrosterone.
Postcoital test - an analysis of the cervical mucus, which is carried out after intercourse, and to determine whether the sperm to penetrate the cervical mucus, and survive there.
Ultrasound examination to determine the thickness of the endometrium, monitor follicular development, and identify some of the diseases affecting the uterus and ovaries.

If these tests and semen analysis of the partner women give normal results, and does not identify any violations, for the diagnosis of infertility can be used the following methods:

Hysterosalpingography - examination of the uterus and fallopian tubes using X-rays. During the procedure, the uterus through the cervix injected a special dye, which helps to identify some of the violations that prevent conception Conception - as the emerging life For example, fallopian tubes.
Hysteroscopy is appointed, if during hysterosalpingography were detected any abnormalities. The hysteroscope is introduced into the uterus, and with the help of a doctor can identify the various structural abnormalities, tumors and growths of scar tissue in the uterus.
Laparoscopy. This procedure is performed under general anesthesia using a laparoscope - a thin, long, telescopic instrument, which is located at the end of the camera and light. It is injected into the abdominal cavity through a small incision in the abdomen, and it provides a detailed picture of the uterus, fallopian tubes and ovaries. If you are aware of any violations, such as endometriosis or scar tissue blocking the fallopian tubes, they can be eliminated immediately, with the help of a laser. Before performing laparoscopy, make sure that the patient is not pregnant.
Endometrial biopsy. Fence small fragment of endometrial tissue is made shortly before the onset of menstruation. With this procedure it is possible to know whether the endometrium is thick enough so that a fertilized egg would be implanted into it and start to develop. Before performing a biopsy of the endometrium is also necessary to do a pregnancy test.

Tests for male infertility

The first stage of the survey men becomes a conversation with a specialist in fertility. They ask the same questions as the women, not counting, of course, questions about the menstrual cycle The menstrual cycle - that occurs in different phases? and pregnancy.

The most common of the tests for infertility in men is a semen analysis. With this analysis it is the sperm concentration and motility, as well as the estimated amount of healthy, viable sperm. If the results of semen analysis show certain abnormal blood tests are assigned to testosterone, follicle stimulating hormone, luteinizing hormone, and prolactin. In the process of diagnosis of infertility is often carried out and the analysis of urine - it reveals some infections, as well as the presence of sperm in the urine, which is one of the signs of retrograde ejaculation. If the results of semen, urine and blood tests are normal, additional tests for men in most cases do not require, and doctors focus on the study of women.