drsangeetagomes@gmail.com 99867 61411

Dr. Sangeeta Cares For You

Fertility Workup

How does the Doctor examine if I am infertile?

To determine whether you are infertile, Doctor will go over your health history, medications, sexual history and sex habits like how often you have sex.

Investigations:

In Men:

  • Physical examination
  • Sperm analysis to test the health of the sperm
    •

    In Women:

  • Medical history
  • Physical exam including pelvic exam
  • We make sure you ovulate regularly and your ovaries are releasing eggs
  • Blood tests are taken to measure hormonal levels
  • Ultrasound for ovaries and Uterus
  • X – Ray for uterus and fallopian tubes to look for tubal patency.
    •

    You should know: In 80 % of couples the cause of infertility is either ovulation problem, blockage in fallopian tubes or a sperm problem. In about 5 % to 15 % of the cases, all tests would be normal, but causes are unknown.

    So, What are the treatments for infertility?

    In men infertility is treated with :

    1. Surgery: if the cause is varicocele (widening of veins in the scrotum) Or A blockage in Vas deferens (tubes that carry sperm)
    2. Antibiotics: to treat infections in reproductive organs
    3. Medications & counselling: to treat problems with erections or ejaculation
    4. Hormone treatment: if problem is a low or high levels of certain hormones

    In women infertility is treated with:

    1. Fertility drugs and hormones: to help women ovulate and restore hormonal levels
    2. Surgery: to remove tissue that is blocking fertility ( endometriosis ) or to open blocked fallopian tubes, fibroid removal, Cyst removal, polyp removal etc.

    In men and women, infertility can be treated with Assisted Reproductive Technology (ART). There are several types of ART:

    1. Ovulation Induction: Tablets and / or injections are given to stimulate ovaries followed by serial ultrasound the ensure egg release.
    2. Intra Uterine Insemination (IUI): Sperm is collected, processed and placed inside the women’s uterus while she is ovulating.
    3. In Vitro Fertilization (IVF): The sperm and egg are collected and brought together in a laboratory. The fertilized egg grows for 3 to 4 days. Then the embryo is placed in women’s uterus.