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Infertility is a problem affecting approximately 15% of the couples and it is defined as the incapacity to conceive after one year of unprotected intercourse. Primary infertility means that there is no previous pregnancy, and secondary infertility assumes the existence of at least one pregnancy. The question arising is if and when is the time to test yourself against infertility. Therefore, when taking this decision, you should consider the following: -you and your partner have not been able to conceive after having intercourse for several months during the 5 days before and the day of ovulation (the "fertile window," which can be identified by using fertility awareness methods, natural family planning using a woman's physical signs of ovulation, such as changes in cervical mucus consistency and resting body temperature); -wish to follow a treatment for the condition you would be tested for, or you would prefer to make use of family planning decisions with that test result; -have less than 35, have regular menstruation, have had intercourse within the fertile window for at least 12 months; -have 35 years old or more or you have irregular periods and have had intercourse within the fertile window for at least 6 months; -are high-risk for fertility problems and have had sex within your fertile window for a few months; -have suffered several pregnancy losses; -are willing to spend a certain amount of money and have a health insurance necessary for infertility testing. Other possible indications that you should have infertility testing are: the apparition of a physical problem, not being able to ejaculate , not ovulating or irregular menstruation. A physical examination will be conducted; the general state of health of both partners will be evaluated to discover physical disorders that may be causing infertility. Semen analysis , blood tests, and special procedures may follow. Regarding the causes, the two partners equally share the failure of conceiving: female and male factors, both 30-40%, combined factors 15-20%, unknown causes 2 - 15%. The medical investigation that wishes to discover and treat the cause of infertility addresses to both partners. The approach of infertility requires team work, involving the generalist, endocrinologist, gynecologist, urolog, all of them helping to set a diagnosis and set up a treatment. Of course a psychologist owns a very important role in counseling the couples confronting this issue because infertility generates some special emotional problems, leading to guilt feeling, depression, a drop in the social-professional output and the apparition of tension between partners. Evaluating infertility must keep in mind all the steps of the conceiving process: ovulation, the tubular transportation of the ovule, production and viability of the spermatozoon , the drop in the vagina at the right moment, the receptivity of the cervical mucus, fertilization and uterine receptivity for implantation. Infertility is a treatable disease in 85-90% of the cases and testing yourself against it should be a natural thing to do if you have any of the indications above that something is abnormal. |
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