Showing posts with label Tests and diagnosis. Show all posts
Showing posts with label Tests and diagnosis. Show all posts

Wednesday, 24 August 2011

Test a and diagnosis of Female infertility

If you have been unable to conceive within a reasonable period of time, seek help from your doctor for evaluation and treatment of infertility.

Fertility tests may include:

Ovulation Test. A blood test for progesterone, a hormone produced after ovulation, can demonstrate that you are ovulating. You can also check at home. A kit of over-the-counter ovulation prediction - a test that you can do at home - detects the rise of luteinizing hormone (LH) which occurs before ovulation.

Hysterosalpingography. This test evaluates the size and shape of your uterus and see if the fallopian tubes are open. The fluid is injected into the uterus and an X-ray is taken to determine if the uterine cavity is normal and the fluid passes from the uterus and fallopian tubes in your file. If abnormalities are found, you may need further evaluation. In some women, the test itself can improve fertility, and possibly discover the opening of the fallopian tubes.

Laparoscopy. Usually done on an outpatient basis under general anesthesia, laparoscopy allows the physician to view the ovaries, fallopian tubes and uterus to check for endometriosis, scarring, blockages or irregularities. First, the doctor makes a small incision (8 to 10 mm) below the navel and inserts a needle into the abdominal cavity. A small amount of gas (carbon dioxide usually) is inserted into the abdomen to create space for the entry of the laparoscope - a lighted optical, fiber telescope. If you give your consent before surgery, your doctor can remove endometrial adhesions, treatment of scars or other problems with the use of sharp instruments, laser ablation during the procedure.

Ovarian reserve test. Women at risk of a reduced supply of eggs - including women over 35, those with autoimmune diseases and snuff - maybe this series of blood tests and imaging, performed on certain days of the menstrual cycle. These include blood tests for follicle stimulating hormone (FSH) concentration of three days of their cycle, the clomiphene citrate challenge test (CCCT), which received five doses of clomiphene citrate ovarian stimulation drugs preceded and followed by a blood test to assess their level of ovarian estrogen ultrasound to determine the volume of the ovaries or the number of follicles, and blood tests to detect other markers of ovarian reserve.

Hormone tests. Proof of specific hormones such as FSH and prolactin, a doctor can determine if undiagnosed can interfere with fertility.

Tests and diagnosis Of Male infertility

Many infertile couples have more than one cause of infertility, it is likely that both need to consult a doctor. You can take a series of tests to determine the cause of infertility. In some cases, the cause is never identified. Tests can be costly and may not be covered by insurance - know your health plan covers advance.

The diagnosis of male infertility usually involves:

General medical examination and medical history. This includes the examination of the genitals and questions about the treatment of hereditary diseases, chronic health problems, diseases, injuries or cuts that may affect fertility. The doctor may also ask questions about sexual habits and sexual development in adolescence.

The semen analysis. The semen is usually obtained through masturbation and ejaculation into a special container for the doctor's office. Your sperm is sent to a lab to measure the number of sperm present and detect abnormalities in the shape (morphology) and movement (motility) of sperm. The lab will also check his sperm for signs of problems such as infections. Sperm often fluctuate from one sample to another. In most cases, several tests are performed a semen analysis over a period of time to ensure accurate results. If your semen analysis is normal, your doctor will probably recommend thoroughly testing his female partner before the proof of male infertility.

Preliminary results, your doctor may recommend other more specialized tests that can help identify the cause of your infertility. These may include:

Scrotal ultrasound. This test uses high frequency waves of sound to produce images inside of your body. Scrotal ultrasound can help your doctor to look for evidence of varicocele or obstruction of the testicle that contains sperm (epididymis). A small wand is moved toward the surface of your scrotum produces images with a video screen.

Transrectal ultrasonography. This test is similar to that ultrasound examination the scrotum. You can do this type of ultrasound, a small, greased pole is inserted into the rectum. It allows the doctor to check your prostate, and verify the presence of blocks in tubes that carry sperm (ejaculatory ducts and seminal vesicles).

Hormone tests. A hormone produced in the hypothalamus and pituitary gland and testes have a key role in sexual development and sperm production. Your doctor may recommend a blood test to measure testosterone and other male hormones that can affect the sperm count.

Post-ejaculatory urine. This test involves collecting a urine sample after orgasm. The urine is checked for the presence of semen. Sperm in the urine may indicate that your sperm travels backwards into the bladder rather than out of your penis during ejaculation (retrograde ejaculation).

Genetic testing. These tests are used if the doctor suspects that your sperm count and reduced fertility of the other problems can be caused by an abnormality of the sex chromosomes inherited. When sperm concentration is very low, the genetic causes could be involved. A blood test can reveal whether there are subtle changes on the Y chromosome - evidence of a genetic abnormality. Genetic testing can also be ordered to diagnose Klinefelter syndrome or cystic fibrosis.

Testicular biopsy. This test involves removing samples of the testicle with a needle. It can be used if the semen analysis shows no sperm at all. Testicular biopsy results will tell whether sperm production is normal. If it is, the problem is probably caused by a blockage or other problem with the transport of sperm.

Evidence of anti-sperm antibodies. These tests are used to test immune cells (antibodies) that attack sperm. That are particularly likely to have antibodies to sperm if you have had a vasectomy reversal.

Vasography. In some cases, the dye is injected into each of the tubes that carry sperm (vas deferens) to check the block.

Specialized tests of sperm function. A variety of tests can be used to check how your sperm survive after ejaculation, how they can penetrate an egg, and if there are problems with the egg. If you have a low sperm count can have healthy sperm to be an important factor in male fertility.

Tests and diagnosis Of Infertility

Before surgery, infertility testing, be aware that a certain amount of effort required. Doctor, is to clarify what sexual practices are, and make recommendations on how it might be necessary to change habits. The tests and periods of trial and error, it may take several months. Approximately one third of infertile couples, no specific cause can not be found (unexplained infertility).

The evaluation is expensive and in some cases associated with unpleasant procedures, and expenses can not replace many of the health plans. Finally, there is no guarantee - despite all the tests and advice - the design is done.

The tests for men

So that the man is fertile, the testicles must produce enough healthy sperm, and semen is ejaculated effectively into the woman's vagina. Tests of male infertility, trying to find out if these processes are altered.

General physical examination. This includes the examination of the genitals and questions about medical history of disease and disability, drugs and sexual habits.

Semen analysis. This is a very important test for her boyfriend. Your doctor may request one or more of the semen samples. Sperm is usually obtained by masturbation or interruption of sexual intercourse and ejaculation of semen into a clean container. Laboratory analysis of a sample of semen volume, color, and infections or bleeding.

Hormonal tests. A blood test to determine levels of testosterone and other male hormones is common.

Scrotal and transrectal ultrasonography. Ultrasound can help your doctor to explain the conditions, such as premature ejaculation and obstruction back.

Tests for women

For a woman is fertile, the ovaries must release healthy eggs regularly, and the reproductive system must allow the eggs and sperm to pass into the fallopian tubes to be fertilized by sperm. Her reproductive organs must be healthy and functional.

When a doctor asks questions about health history, menstrual cycle and sexual habits, you are a general physical examination. This includes a regular gynecological exam. Fertility tests may include:

Ovulation tests. A blood test is sometimes performed to measure hormone levels to determine if you are ovulating.

Hysterosalpingography. This test evaluates the condition in the uterus and fallopian tubes. Fluid is injected into the uterus, and the X-ray is taken, if the cavity is normal and will ensure that the fluid goes through the fallopian tubes. Jam or problems can often be localized and can be corrected surgically.

Laparoscopy. It is performed under general anesthesia, this procedure involves making a small incision (8 to 10 mm) below the navel and inserting a thin viewing device to examine the fallopian tubes, ovaries and uterus.

The most common problems faced by laparoscopy are endometriosis and scarring. Your doctor can also detect blockages or irregularities of the fallopian tubes and uterus. Laparoscopy is usually done in an outpatient basis.

Hormonal tests. Hormonal tests can be done to control the level of hormones of ovulation, thyroid and pituitary hormones.

Ovarian reserve tests. Testing can be done to determine the potential effectiveness of eggs after ovulation. This approach typically begins with hormone testing early in the menstrual cycle of women.

Genetic testing. Genetic testing can be done, if there is a genetic defect that causes infertility.

Pelvic ultrasound. Pelvic ultrasound can be done to find the tube of the disease tubes or pipes.

Not everyone needs to experience all or many of these tests before the cause of infertility is found. What tests are used and their sequence depend on discussion and agreement between you and your doctor.