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Infertility is defined as the inability to get pregnant using normal efforts over a period of one year. Infertility affects 10 to 15 percent of couples. The problem may be with the woman 40 percent of the time, the man 40 percent, or with both for 20 percent of the time. A cause is not always found. After trying to get pregnant for one year, it is wise to start testing for infertility.
Before seeking medical care, keep a calendar of your periods and sexual efforts for 2 to 3 months. This will be helpful in determining what tests should be performed. Most of the testing can be done in the office, but some may require outpatient surgery. The basic evaluation for both partners will include the following: - medical, social, and sexual histories
- a physical examination and
- tests for both partners for infections and fertility
Fertility tests include: - analyzing the semen for sperm count and activity levels
- confirming egg production (ovulation) each month in the female
- determining the ability of the womb to accept the sperm
- examining the uterine tubes to confirm they are open and
- examining internal pelvic organs for scarring from such diseases as endometriosis or chlamydial infections
After the initial testing, a review of the findings will help the couple choose an action plan. The treatment will depend on the cause. Treatment may require a change in sexual habits or assisted reproduction, such as in vitro fertilization with an embryo transfer. Working through a fertility problem with your partner and doctor can be stressful, so open, sensitive communications are important at all times. Check with your health insurance company to see if you have some cover for fertility care. Be sure to consider the cost, the amount of intrusion on your body or life, the risks of treatment, and the success rate of the treatment options open to you. Article #7138 Copyright (c) 2002 McKesson. All Rights Reserved. |
