November 24th, 2009 
Chuck Carter The first sign of infertility is the failure for a couple to ‘get pregnant’ after a full year of trying. The reasons for this are many, but one of them is aging.
Several reasons for women’s diminished fertility with advancing age include a reduced health of their eggs and a reduced ability of their ovaries to release them. There’s also an increased risk of fertility-reducing health issues and miscarriage risks with age.
A woman’s highest fertility is in her 20’s, with her 30’s being a time when she is still relatively fertile. She will start having difficulty conceiving as she gets into her mid to upper 30’s. Miscarriage risks start to come into play in her late 30’s. Fertility decreases appreciably in smokers and drinkers. With more women choosing careers today that put off child-rearing, aging has become the primary reason for infertility.
When women fail to conceive after a whole year of intercourse, they are considered to fall in the Primary Infertility category. If they have conceived once before but have gone a year without conceiving (while trying the whole year), they are considered to be in the Secondary Infertility category.
Infertility runs at a fifty-fifty ratio between males and females, according to some experts. Others say that females have sixty percent of infertility issues. Statistically, ten percent of couples who are trying to conceive will have trouble, and four out of five will succeed within one year. A normal amount of time to conceive is up to two years.
In order to assess their fertility, many partners must both have complete medical exams done. Many of the males in relationships have the problem with fertility, therefore it’s important that both partners get a complete physical.
The first tests normally done by a fertility specialist are for a woman’s levels of FSH and her LH. (These abbreviations stand for Follicle Stimulating Hormone and Luteinizing Hormone.) These tests are usually done on a woman’s first and her third visits to her doctor. It should be noted that the tests for these two hormones – Luteinzing Hormone and Follicle Stimulating Hormone – can be done on the male partner, as well. LH and FSH are both important for male fertility too.
Routine tests done later on the female include ultrasound tests, additional hormone tests, and a cervical mucus test. Not done very much nowadays, the cervical mucus test involves testing the post-coital mucus lining the vagina for healthy sperm. One reason for the test is if the male partner does not want to be tested.
Ultrasound testing can be done as part of your initial consultation with a reproductive endocrinologist. Ultrasound testing is done to get an overall picture of the health of all the female reproductive organs. Ultrasound imaging is also done to see if an egg has been released from ovulation.
There are many other tests for reproductive-related hormones available to the reproductive endocrinologist: They include tests for total testosterone, progesterone, estradiol, prolactin, free T3, free testosterone, androstenedione, and DHEAS.
Infertility can make couples go to great lengths to fix any problems in order to conceive. And the treatments can get very expensive, especially considering that most treatments for infertility are not covered by any insurance. Hopefully, any problems can be remedied with prescription drug therapy, such as taking metformin and clomiphene for PCOS infertility. (PCOS stands for Polycystic Ovary Syndrome).
Problems ovulating can be treated with the drug clomiphene. The next thing on the list of ever-increasing extreme treatments for infertility is hormone therapy. This is more extreme because besides bad side effects, it often results in multiple-baby pregnancies.
One of the most expensive and emotionally taxing (as well as physically taxing) fertility treatments is in vitro fertilization (IVF). Regular blood tests, daily hormone injections and frequent monitoring by the doctor is what this treatment requires of you. Nevertheless, it works one out of three times, but out of this 33.33%, one-third of these (33.33% also) will have twins. It should be noted that acupuncture by trained personnel is shown to raise the success rate of IVF.
Janet has been publishing helpful articles on fertility and pregnancy for years. Discover more about the signs of infertility and ways to track fertility with innovative solutions such as the Clear blue Fertility Monitor and other methods on the website.
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