Determining the cause of infertility often involves a thorough evaluation of both partners. The process typically includes a series of medical assessments and tests to identify any underlying issues. Here is a general outline of how healthcare providers determine the cause of infertility:

1. Medical History:

• Both partners will be asked about their medical histories, including any pre-existing conditions, surgeries, medications, and lifestyle factors.
• Specific questions may focus on sexual history, menstrual history, and previous attempts at conception.

2. Physical Examination:

• A physical examination may be conducted to identify any physical abnormalities or signs of reproductive issues.
• For men, a genital examination may be performed to assess the testicles and surrounding structures.
• For women, a pelvic exam may be conducted to examine the reproductive organs.

3. Semen Analysis (for Men):

• A semen analysis is a crucial test for assessing male fertility. It evaluates sperm count, motility, and morphology.
• Abnormalities in any of these parameters can provide insights into potential male infertility factors.

4. Ovulation Tracking and Hormone Testing (for Women):

• Monitoring the menstrual cycle and assessing ovulation through methods like basal body temperature charting or ovulation predictor kits.
• Hormone testing, including measurements of FSH, LH, estrogen, and progesterone levels, to evaluate the functioning of the reproductive system.

5. Imaging Studies:

• Ultrasound imaging may be used to assess the structure of the uterus and ovaries in women or the testicles in men.
• Hysterosalpingography (HSG) is an X-ray procedure to examine the uterus and fallopian tubes in women.

6. Additional Testing:

• Genetic testing may be considered, especially if there is a suspicion of a genetic factor contributing to infertility.
• Other specialized tests, such as thyroid function tests or glucose tolerance tests, may be conducted depending on the individual circumstances.

7. Diagnostic Procedures:

• Hysteroscopy or laparoscopy may be recommended to visually examine the reproductive organs for abnormalities or blockages.
• Genetic testing may be considered to identify any hereditary factors impacting fertility.

8. Further Evaluation for Unexplained Infertility:

• In some cases, despite extensive testing, the cause of infertility may remain unexplained.
• Further evaluation or consultation with a fertility specialist may be necessary for more advanced diagnostic techniques or alternative approaches.

It's important to note that infertility can be multifactorial, and both partners contribute to the fertility equation. After completing the initial evaluation, a healthcare provider or fertility specialist can discuss the results with you and your partner, provide insights into the identified issues, and formulate a personalised treatment plan based on the specific cause or causes of infertility.

Book your consultation with London Andrology by contacting us here.