Causes of Infertility
In 1/3 rd of cases, malefactors lead to infertility. In remaining 1/3rd its female partner and rest 1/3rd it’s both together. Causes of infertility are due to both male and female factors. In a typical interview, the physician asks the woman if she has irregular periods, severe menstrual cramps, pelvic pain, abnormal vaginal bleeding or discharges, a history of genital infection, or medical illnesses. Furthermore, expect questions concerning prior conceptions, prior miscarriages, pregnancies, operations, and methods of contraception.
The man will be asked questions concerning genital injury operations, infection, drug and/or medication, usage, history of prior paternity, and medical illnesses. Your physician will ask both of you how long you’ve been trying to conceive, how often you have sexual intercourse if you use lubricants during intercourse, and if anyone in your family has birth defects. Since 25 percent of infertile couples have more than one-factor causing infertility, it is very important to evaluate all factors that may affect both the male and female partners.
The complete sexual and reproductive histories of each partner, including any former relationships, must be considered. During the first visit, many infertility physicians discuss the emotional stress of infertility, a subject which is often difficult to share with family and friends. Physicians know that the procedures and intimate questions involved in an infertility workup can be difficult. You should always feel free to make your physician aware of your concerns and frustrations. A complete physical examination that directs special attention to the reproductive organs usually follows the interview.
Your physician will be especially alert to signs of hormone imbalance and may schedule blood tests to measure hormone levels depending on your individual case. Some physicians begin testing during the first visit based on indications from the history and physical examination of each partner.