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Understanding Infertility: Causes and Diagnostic Tests

by | Oct 23, 2024 | Blog, Infertility Treatment

Infertility is a condition that affects millions of people around the world, yet it remains a deeply personal and often misunderstood challenge.

Whether you’re trying to conceive or want to learn more about reproductive health, understanding the causes and available diagnostic tests is crucial” says Dr Neelima Mantri , the best gynecologist in Mumbai for infertility.

In this blog, with here inputs we’ll break down the causes of infertility and the various diagnostic tests that can help identify the right treatment path.

What is infertility?

Infertility is defined as the inability to conceive after one year of unprotected sex for couples under 35, or after six months for women aged 35 and older. Infertility affects both men and women equally, making it essential for both partners to undergo evaluation when challenges arise.

Causes of Infertility

Infertility can arise from several factors affecting both men and women. Ovulatory disorders like PCOS and hormonal imbalances can prevent ovulation, while blocked or damaged fallopian tubes from infections, surgeries, or endometriosis may obstruct pregnancy. Uterine issues, including fibroids or polyps, can hinder embryo implantation.

On the male side, low sperm count, poor motility, or abnormal sperm shape can make conception difficult. Hormonal imbalances may disrupt testosterone and sperm production, while genetic conditions like Klinefelter syndrome and medical problems such as diabetes or infections can affect sperm health.

Additionally, aging reduces egg quality and quantity, with lifestyle factors such as smoking, alcohol, obesity, and stress further impacting fertility.

Diagnostic Tests for Infertility

One of the first steps in diagnosing infertility in women involves testing hormone levels. For couples struggling with infertility, a thorough diagnostic workup is essential to identify the root cause. Here’s what you can expect:

  • Medical History and Physical Examination: The journey often begins with a detailed discussion about your medical history, including menstrual cycles, previous pregnancies, and lifestyle factors. A physical examination will help assess overall reproductive health.
  • Hormonal Blood Tests: Blood tests measure critical hormones like follicle-stimulating hormone (FSH), luteinizing hormone (LH), and anti-Müllerian hormone (AMH) to assess ovarian function. These tests help doctors gauge the woman’s egg reserve and ovulation health, crucial for successful conception.
  • Pelvic Ultrasound: A pelvic ultrasound allows doctors to visualize the reproductive organs, identifying any structural abnormalities, such as uterine fibroids or ovarian cysts.
  • Hysterosalpingography (HSG): Thisspecialized X-ray test examines the fallopian tubes and uterus to check for blockages. A dye is injected into the uterus, allowing the specialist to see if the tubes are open and functioning correctly, which is essential for the sperm to reach the egg.
  • Laparoscopy: In some cases, a minimally invasive surgical procedure called laparoscopy may be recommended. This allows doctors to observe the reproductive organs directly and diagnose conditions like endometriosis or pelvic adhesions.
  • Ovarian Reserve Testing: Evaluating the ovarian reserve is critical, particularly for women over 35. Tests may involve hormone assessments and ultrasound evaluations to determine the number of viable eggs remaining.
  • Semen Analysis for Male Infertility: A semen analysis assesses sperm count, motility, and morphology, helping fertility specialists determine if male factors are contributing to the couple’s inability to conceive. If abnormalities are found, male infertility solutions in Mumbai can provide personalized treatment plans.

Treatment Options for Infertility

Depending on the cause of infertility, treatments range from medications to advanced procedures, each focused on improving fertility. These options aim to enhance reproductive health for both partners.

  • Medicine: Fertility drugs can stimulate ovulation in women and improve sperm production in men.
  • Intrauterine Insemination (IUI): A procedure where sperm is placed directly into the uterus.
  • In Vitro Fertilization (IVF): Eggs are fertilized in a lab and implanted into the uterus, offering a higher chance of success for couples with complex infertility issues.
  • Surgical Interventions: Laparoscopic infertility treatment can remove blockages, fibroids, or scar tissue, allowing for a more natural conception. This is often used in cases where non-invasive treatments fail.
  • Male Infertility Solutions: Depending on the results of the semen analysis, men may undergo hormone therapy, lifestyle changes, or surgical procedures to improve sperm quality.

Navigating the journey of infertility can be one of life’s most challenging experiences, but you don’t have to face it alone. Dr. Neelima Mantri, one of the best gynecologists in Mumbai for infertility, understands the emotional toll it takes and is here to offer compassionate support every step of the way. With a focus on personalized care, she provides advanced laparoscopic infertility treatment and a variety of male and female infertility solutions tailored to your unique circumstances.

For expert advice and support, connect with Dr. Neelima here: https://www.drneelimamantri.com.

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MS & Fellowship in Minimal Access Surgery – Obstetrics & Gynaecology, MBBS Obstetrician, Gynecologist

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