Infertility(part III):Tests And Treatment For Infertility

continued from

Infertility(part I) : Introduction

Infertility (part II):Male And Female Infertility:Causes And Risk Factors

Tests and Treatment for Infertility:

In this article I will explain some basic tests and some treatment options….

Tests Done For Fertility assessment:

Some basic tests I will explain a bit or more…

Semen analysis(semen D/R) of male is done first when couple has difficulty in conceiving…..

method:

it  is asked that male refrain from sex/masturbation for 3days and then submit semen sample in lab by mastrbation and sample preferably taken in lab .. if at home their container is taken and reach lab within 20min....

mostly if abnormality is found... 3samples 1 week apart are to be taken...

WHO criteria of Normal semen …(for fertility)

Some basic points…

Colour                          : grey or white(should not be pink or red)

Volume                         : 2-5ml

Sperm count                  : 20-40million/ml(minimum 20million/ml)

Alive sperm                   : atleast 75percent

Motile active                  : atleast 25persent

Motile sluggish              : atleast 50percent

Normal shape and form : atleast 30percent

PH                                  : 7.2-7.8

Pus cell                           :2-3/Hpf if present considered just normal if Ph is okey…otherwise not

No antibodies be there…

Female basic tests:

Hormones level…(in blood)

Level of FSH and LH be checked on 2^nd day of menses bleed

Level of estradiol and testosterone be checked on 2^nd day of menses bleed

Ratio between LH/FSH is taken on 2^nd day of menses

Progesterone level be done on 21^st day of menses cycle

LH may again be counted on 10^th-12^th day of menses cycle to know if it increases or not…

In urine

LH level is done at 12^th day of menses to know it increases or not…

Ultrasound:

On 10^th day of menses cycle…

Ovaries size , shape, volume is seen…ovaries volume must be below 10ml and no cyst be there and increased follicle of 12-18mm be there and one follicle be so big upto 10-24mm be there normally

Uterus is seen …any defect in position or shape or if any mass inside uterus that prevent pregnancy…

Better is the ultrasound done through vagina(TVS….transvaginal sonography)…..…. A bit costly….

Some other test: even secretions from mouth of uterus are taken and mixed up with sperms and seen under microscope to know that if there is problem in their mixing up naturally…

Tubes test:to know tubes are open and can egg pass from them or not..

Hysterosalpingography: In this test, doctors use x-rays to check for physical problems of the uterus and fallopian tubes. They start by injecting a special dye through the vagina into the uterus. This dye shows up on the x-ray. This allows the doctor to see if the dye moves normally through the uterus into the fallopian tubes

Laproscopy: a camera is entered into abdomen and ovaries , uterus and tubes are seen and area around them is seen to know if any abnormality in surrounding area…..

Treatment of infertility:

Definitely the underlying cause is to be treated..

In men:

Doctors often treat infertility in men in the following ways:

Sexual problems: If the man is impotent or has problems with premature ejaculation, doctors can help him address these issues. Behavioral therapy and/or medicines can be used in these cases.

Too few sperm: If the man produces too few sperm, sometimes surgery can correct this problem. In other cases, doctors can surgically remove sperm from the male reproductive tract. Antibiotics can also be used to clear up infections affecting sperm count.

In Females:

Medicines:

Medicines are given mostly

1)mostly in hormonal problems leading to disturbed menses

2) ovarian cyst …. Or polycystic ovaries(ovary with multiple cyst)

3) infections inside pelvis/abdomen

4)ovulation problem….

One thing is to be remembered these medicines are to be taken for months and regular follow up by the doctor and regular ultrasound is necessary and never loose hope….

Surgery:

1)      when tubes are blocked

2)      any mass or tumor in uterus or ovaries that donot get treated by medicines..

3)      endometriosis: when uterus lining is also present outside uterus

4)      ovary cyst that not get treated by medicines..

Arificial(assisted ) reproductive techniques:

These are the methods by which couples are helped out to conceive when they fail to conceive naturally…..

IUI(intra uterine insemination) semen is first concentrated and injected high in uterus …. Mostly for couples with low sperm count or motility but female partner is healthy..

IVF(in vitro fertilization) or test tube babies… when problem is with male or female or both…. Mixing of good quality sperm and egg is done outside body and then placed in mother uterus..

Please read detail in my detailed article on this topic:

Ways To Tackle Infertility…

Infertility

Infertility - 3

good article; lekin aap ko Treatment darmian se start kerne ke bajaye alahda se start kerna tha. mera khayal hai keh aap Treatment ko Infertility part - IV ker de aur treatment ko zara aur tafseel se likhe. baharhal overall bahut hi achcha article hai.

aap jagah jagah ........ ka istemal kerti hai, yeh na kare. aik achche article mai puntuation ki bhi ghaltia nahi honi chahiye. aap ke iss article mai spelling (maslan progesteron ki jagah Progestosterone likha hai) aur punctuation ki ghaltia nahi ke barabar hai.

waterr

Too few sperm: If the man produces too few sperm, sometimes surgery can correct this problem. In other cases, doctors can surgically remove sperm from the male reproductive tract. Antibiotics can also be used to clear up infections affecting sperm count.

acha article hai, bohot informative hai,

lekin underline statement ki samajh nahi aaie, zara explain kejie plz.....

extraction of sperm via sugery

its like in west you must have heard the wife took the sperm from dead husband body...its though unethical...

but in live husband with fertility issues it can be done...

 the first TESTICULAR BIOPSY is done. Yani testes ka tissue lai ker microscope ke under daikha jata he lab mai ke sperm bun bhi rahe han ya nahi. If these are formed then jab ye sperm mix ho jate han fluid from prostate(male gland inside body that produce fluid for nutrition of sperm) ke sath tu body ke ander aik jaga par ye semen rehta ha/store hota he for 1-2 day that place is called epididmydis, even vas defference(yani jo tubes jahan se semen baher ata he) uss jaga se semen can be collected by surgery, iss ka faida ye ha k more concentrated and good quality sperms are taken

waterr

v. v. v. thanks for explanation....

main kuch aur hi samjha tha....... now its ok, i understood....

sperm extraction via four methods:

percutaneous aspiration:

if no sperm in semen or very less..... only a needle is inserted into scrotum and sperm can be extrated (from epididymus) under local anesthesia.. a 20min procedure...no surgical cut given..

success rate 80-90%

Vasal aspiration

if vas deffrence is blocked or after vasectomy reversal...

a small icision given in scrotum...vas deffrence is aproached and fluid aspirated...even this is done in local anesthesia

Epididymal aspiration:

same but the level is now epididymus and incision is given in scrotum

Testicular extraction:

if epididymus is blocked near to testes even from testes sperm can be collected...

success rate 60%

level vary with the level where problem exists

semen for lab

generally lab mai, semen analysis ke liye semen masturbation ke zaria lia jaata hai. jin logo ki nazar mai masturbation haram aur gunah hai woh kis tarah apna semen lab ko de ge for semen analysis?

mera sawal

mere khayal main waterr ne jo method bataya hai yeh un logon k lie nahi ijaad kia gaia jo masturbation ko haram qaraar dete hain.....

well sakhat zaroorat k tehet pig ka gosht bhi halaat qaraar dia gaia hai, phir masturbation to ek common baat hai......

waterr

lagta hai ab mujhe ek medical dictionary bhi leni paregi... lolzzzz

sunny007bro

semen analysis:

if they are really strict and they think that even for medical purposes this should not be done then

1)ask wife to masturbate him....its allowed as foreplay

2)ejaculate in condom..... start intercourse with wife withdraw at climax ejaculate in condom but preferably the container

 3)simple percutaneous aspiration can be done...

. as needle aspiration though an outdoor procedure will require a needle prick and chances of infection are there even if 100%aspectic technique is used..

well there are people still who refuse morphine in case of myocardial infarction pain.......

plus islamically if for health and life you do a things its okey...

like if u r dying in a place and no water or drink is there except alcohol then you can drink...

waterr

mujhe english se koi problem nahi hai, jesa k main ne pehle bhi zikar kia hai main desease k sceintific names nahi jaanta, es lie thori bohot mushkilat hoti hai, baqi sense to samjha aati hai, wesy bhi agar aap urdu main bhi explain karogi to deseas ka name phir bhi wahi scientific hongi, to mere lie to ek hi baat hoie na.....:)

any ways... well explained................

wohe matlab tha brother

waterr

Re: Infertility(part III):Tests And Treatment For Infertility

water

reply:infertility(partIII):tests and treatment

uqueenstar, your question is quite timely and detailed :) answer required..

timely as i have been writing a bit or more on PCO (polycystic ovaries) slowly.. but  actually i have not been writing as i get really fed uped of reproductive issues.... sorry but its like this... as there is so much i want to write in one topic and have to cut it short so i get fed uped.. plus to struggle with converting tough terms into simple english is also a bit frustrating...

anyways i have posted my article u may read and ask what ever u want....there

its short and simple and covers basic aspects needed hopefully..

do read:

PCO:The Leading Cause Of Female Infertility

MA SHA ALLAH

THANKS ALOT WATERR

Thanks a lot water you accepted my request to write on this very important topic and your article is full with information and easy to read and easy to understand for every one I just came now form umra and sign in to check the posts I am here for short time later I will read all your previous 3 days articles because I was absent from the forum due to umra trip.