Barren is a medical condition that can happen to anyone, both men and women.Almost all newly married couples, eager to have offspring. However, not all couples can be so lucky . Check out what is barren and the tests needed to test it.
Women are often blamed if couples can not have offspring. In fact this is not always true.As many as 30-40 percent of cases of infertility come from men, then 40 percent more from the women. The rest, as much as 20-30 percent is a combination of fertility problems of both.
What Is Mandatory?
World Health Organization (WHO) states, infertility or sterility is a disorder in the reproductive system where there is failure to achieve pregnancy after sexual intercourse without contraception for 12 months in a row.
Primary infertility occurs when a partner has never had a child at all, while secondary infertility is a failure to have the next child after the first child. Various things can be the cause of this infertility, including infection in men or women.
Characteristics of male fertile sperm cells
The characteristic of healthy male reproduction is characterized by the ability of the testis to produce adequate healthy sperm cells. Healthy sperm must have the ability to travel and fertilize the egg after ejaculation in the female genitals. Fertility tests in men aim to find out whether there is a disorder that causes infertility in men .
Characteristics of a fertile female ovum
Characteristics of healthy reproductive women are characterized by ovarian organs capable of releasing healthy eggs. The reproductive tract then carries the egg into the tube of the fallopian tubes (fallopian tubes), so that it can occur fertilization by sperm after intercourse. The fertilized egg then moves to the uterus. Fertility tests in women are meant to determine if there are any disruptions in the process.
Most couples who complain of infertility or infertility are caused by problems with ovulation in the ovaries, fallopian tubes that are blocked, or problems with sperm.Meanwhile, other couples did not manage to have children despite all the results of normal fertility tests.
Important Factors for Fertility Diagnosis
When you and your partner consult your doctor about possible infertility, several factors will be asked to help identify possible root causes, including:
As the age increases, the fertility of women and some men will decrease.
- Pregnancy history .
For women, chances are the doctor will track the history of labor and the complications you've had during pregnancy, including a history of miscarriage . As for men, it will probably be questioned about the child you have in the previous relationship.
- When you and your partner are already trying to conceive.
Research shows that the average woman has the most fertile period at the age of 20 - 24 years, and will decrease when entering age above 35 years. Pairs of child-bearing age who have sex without contraceptives, 92 percent of whom will become pregnant within two years. Meanwhile, for couples age 35-39 years, as many as 94 percent will get pregnant after one year and 90 percent after two years. If you're young and healthy, and have not been too long trying to conceive, you may be advised to wait a while longer.
- Sexual intercourse.
To determine the possible cause of sterility, your doctor will evaluate how often you have sex . As well as about the possibility of difficulties that you face. While you may feel embarrassed, it is important to give an honest and open statement to the doctor.
- Duration after removing the contraceptives.
You will be asked about the type of contraception that has been used and since when to stop it. For some types of contraceptives, it may take some time before the fertility of the user returns to normal levels.
- Medical history and symptoms experienced.
To check for fertility, it is also important for your doctor to evaluate your previous medical history, including sexually transmitted diseases . For women, you will be asked about the menstrual schedule and whether there is bleeding between menstrual periods or after having sex.
- Drugs .
Some treatments can have side effects of infertility. The examining physician will inquire further about the medicines you are taking and possible alternative treatments. Do not forget to also inform free medicines that you often consume.
- Lifestyle .
Some unhealthy lifestyles can affect a person's fertility. The doctor who checks for fertility will usually track your smoking history, how much you weigh, the habit of drinking, and the level of stress you are experiencing.
Some Types of Fertility Tests
General health conditions can affect fertility rates. Tests or fertility checks are often preceded by a physical examination. It will then proceed with special tests on the reproductive parts.
Test for men
Some special reproductive tests performed on men include:
- Sperm analysis. You will be asked to give a sample of semen for examination. Can be obtained through masturbation or during intercourse and secrete semen to a special place. Then sperm analysis will be done.
- Ultrasound . Through the process of ultrasound examination, the doctor can detect the possibility of interference in the male reproductive organs.
- Hormonal examination. This examination needs to be done to determine the level of testosterone and other male hormones.
- Testicular biopsy. In some cases, samples of the testes tissue should be taken.This test aims to check if there is a problem in the sperm production process.
- Genetic examination. The possibility of doing this test to find out if there is a genetic disorder that can cause sterility.
- Chlamydia Examination . Through a urine sample, the doctor will determine whether there is Chlamydia . This infectious disease can be one of the causes of infertility.
Tests for women
For women, fertility tests begin with a physical examination, a medical history record, and a gynecological examination. Here are some tests that may be performed:
- Ovulation test . It takes a blood test to measure hormone levels to determine whether you ovulate and can produce eggs regularly.
- Examination of ovarian egg reserve. This test will help determine the quality and number of ovum cells available for ovulation. This examination is often preceded by a hormone test at the beginning of the menstrual cycle.
- Imaging test. Pelvic ultrasound examination can be done to look for possible impairment of the uterus or ovaries tube. It can also be done hysterosalpingografi or HSG . This examination can evaluate the condition of the uterus and ovaries tubes.On this examination, a special contrast fluid will be injected into the uterus. X-rays are then performed to determine whether the uterine cavity is normal, while ensuring the fluid flows well from the ovaries tube.
- Hysteroscopy . When you have certain fertility-related complaints, your doctor may recommend this check. The trick, the doctor will insert a special tool through the cervix to monitor the condition of the uterus and check if there are abnormalities.
- Hormone test. Chances are you will be asked to perform other hormone related tests. For example, thyroid hormone and pituitary or pituitary gland that also control the reproductive process.
In undergoing a series of fertility checks, sometimes not only around physical issues, but also must be considered about psychological factors and costs. For that it takes patience, cooperation, and mutual support between couples.

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