How to Diagnose Infertility

October 27, 2013

What is Infertility?

couple seeking infertility diagnosis from fertility specialist

Defined broadly by the American Society for Reproductive Medicine (ASRM), infertility encompasses not only the traditional understanding of the inability to achieve pregnancy after a year of regular, unprotected intercourse for women under 35, or six months for those 35 and older, but also situations where medical intervention is necessary. This may include scenarios requiring the use of donor gametes (sperm or eggs) or embryos to facilitate a successful pregnancy. Importantly, this definition advocates for an inclusive approach, ensuring that anyone, regardless of marital status, sexual orientation, or gender identity, has access to necessary reproductive health care and treatments. Reflecting the diversity and complexity of reproductive challenges, this inclusive stance emphasizes the commitment to provide equitable care and support for all individuals navigating the path to parenthood.

Understanding the Causes of Infertility

Infertility can result from a variety of factors, with conditions like ovulatory disorders, polycystic ovary syndrome (PCOS), endometriosis, and male factors such as low sperm count significantly impacting fertility. Our comprehensive approach at ORM Fertility includes evaluating both partners to identify and treat these common causes of infertility.

Investigating Female Infertility

woman talking to specialist about how to diagnose infertility in women

So how is the cause of infertility diagnosed? The first step is finding medical doctors called Reproductive Fertility Specialists, such as the ones at Oregon Reproductive Medicine. The specialists then evaluate each individual patient, taking note of each individual’s personal medical history to inform their final diagnoses and treatments. Because no single test is a perfect to diagnose infertility, tools at Portland-based Oregon Reproductive Medicine include:

Diagnostic interviews that cover health and reproductive history
Tests of the uterus, including a saline infusion sonogram
Tests of the fallopian tubes, including a hysterosalpingogram
Tests of the ovaries
Tests of the cervix

Diagnosing Female Infertility

To diagnose the cause(s) of infertility in females, specialists begin a series of hormone tests and evaluations. They will confirm that ovulation is occurring regularly, and they will test and measure the thickness of the endometrium (the lining of the uterus) and levels of FSH (follicle-stimulating hormones). An additional diagnostic examination evaluates the health and condition of the fallopian tubes, uterus, and surrounding environments to determine if there is anything abnormal or if there may be a blockage. Additionally, fertility testing can also see whether the cervical mucous has the correct consistency to carry sperm to the uterus effectively.

Learn More About Female Infertility Treatments

At ORM Fertility, we offer a range of advanced treatment options tailored to meet individual needs. From Intrauterine Insemination (IUI), In Vitro Fertilization (IVF), and Intracytoplasmic Sperm Injection (ICSI) to fertility preservation techniques like egg freezing, our team is dedicated to providing you with the best possible care. Learn more about how these cutting-edge treatments can help you on your journey to parenthood.

Request a consultation today to learn more about fertility evaluations and treatment.

Understanding and Addressing Male Infertility

While infertility often brings to mind female health issues, male infertility plays an equal role in a couple’s struggle to conceive. It’s crucial for both partners to undergo evaluation when facing fertility challenges. Here’s a concise overview of diagnosing and treating male infertility, aimed at broadening the discussion and understanding of this important topic.

Diagnosing Male Infertility

man discussing male factor infertility with doctor

The diagnosis of male infertility begins with a thorough medical history and physical examination, followed by a series of tests to evaluate sperm health and reproductive function. The cornerstone of this evaluation is a semen analysis, which assesses sperm count, motility (movement), and morphology (shape). Additional tests may include hormonal profiling to check for endocrine issues that affect sperm production, genetic tests to identify hereditary conditions, and imaging tests like ultrasounds to look for structural problems.

Male Infertility Treatment Options

Treatment for male infertility varies depending on the underlying cause. Options may include:

Medication and Hormone Treatments: To address hormonal imbalances or other specific medical conditions affecting fertility.
Surgical Procedures: Such as varicocelectomy to remove enlarged veins in the scrotum, or TESE (Testicular Sperm Extraction) for cases of non-obstructive azoospermia.
Lifestyle Changes: Improvements in diet, exercise, and avoiding exposure to toxins can enhance fertility.
Assisted Reproductive Technologies (ART): Techniques like Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF), often combined with Intracytoplasmic Sperm Injection (ICSI), can be powerful options for overcoming many forms of male infertility.

Choosing a Fertility Clinic

Choosing ORM Fertility for your fertility journey means accessing a team of highly skilled Reproductive Fertility Specialists, state-of-the-art facilities, and a personalized care approach tailored to your unique situation. Our clinic has been recognized for its excellence in fertility care, demonstrating our commitment to helping you achieve your dream of becoming a parent.

Posted in Infertility Causes