An individualized evaluation conducted by a fertility specialist can help ease frustration and worry by providing information, answers and direction as to further diagnosis and treatment. Evaluation is the first step to taking full advantage of reproductive potential and timeline.
Illness, birth defects, or acquired anatomical disorders can interfere with conception and healthy pregnancy. We are fortunate that even the most challenging conditions, such as blocked fallopian tubes, absence of a uterus or egg follicles or absence of sperm, can be treated by fertility therapy.
This is a key consideration in evaluating fertility. Conception and healthy fetal development depend primarily on the quality of a woman's eggs, and egg production and quality in turn is largely dependent on a woman's age. One of the most frustrating aspects of older parenthood is the simple fact that egg quantity and quality declines with age. While a woman is born with about 2 million eggs, this number declines to about 300,000 at puberty. A woman will ovulate her healthiest eggs during her 20s and early 30s. By the mid 30s the remaining eggs are of lower quality, and by the early 40s only eggs with very low fertility potential are available for ovulation. As eggs age, they are more likely to have abnormal numbers of chromosomes, leading to failure of a fertilized egg to develop to the point of implanting in the uterus and to a higher likelihood of miscarriage. Age also may affect the production of the hormones estrogen and progesterone, which are essential to establishing and maintaining pregnancy.
The process of evaluating and diagnosing infertility consists of a complete medical examination and a series of tests that assess the primary fertility factors in both men and women. A thorough infertility evaluation enables the patient's doctor to more specifically focus in on a diagnosis, and from there, a treatment that will hopefully enable them to conceive.
Evaluation will assess the status of male sperm as well as the male reproductive history and lifestyle. An evaluation for habits such as hot tub use, medications being taken or exposures to organic chemicals are examples of the information we gather in the male fertility evaluation.
A sperm analysis can provide a lot of answers to a couple experiencing fertility struggles. This test measures four properties of a sperm sample, each of which is important to egg fertilization and conception:
If necessary, the male partner may be advised to receive a urological exam, as well as more specific sperm testing and evaluation of hormone levels. If a male partner is thought to have a sperm abnormality, we will recommend that he receive an exam from a urologist – a physician who focuses on the male urinary tract and reproductive organs. A urologist who specializes in andrology will have further expertise with the male reproductive system.
