Diagnostic
What are the most important fertility tests?
Las fertility tests are specialized medical tests designed to evaluate reproductive capacity. These tests, carried out by specialists in reproductive medicine, make it possible to identify possible obstacles on the path to conception. The diagnostic process usually begins with a complete medical evaluation that includes a detailed medical history and a physical exam.
The initial evaluation may include hormonal blood tests, which measure important levels such as anti-Müllerian hormone (AMH), follicle stimulating hormone (FSH) and luteinizing hormone (LH). These tests provide valuable information about ovarian reserve and general hormonal function. The results help doctors develop a personalized treatment plan and determine the most appropriate options for each patient.
An essential component of the diagnosis is AMH test, which provides an accurate measure of ovarian reserve. This biological marker is particularly useful for evaluating reproductive potential and can help predict response to fertility treatments.
When is fertility testing recommended?
Fertility tests are recommended in a number of specific situations. For women under 35, specialists suggest carrying them out after a year of unsuccessful conception attempts. For women over 35, the waiting period is reduced to six months, according to World Health Organization (WHO) guidelines.
Other factors that may indicate the need for fertility tests include:
- History of pelvic or abdominal surgery
- Irregular menstrual cycles
- History of sexually transmitted diseases
- Chronic medical conditions
Procedures
What tests does a full fertility evaluation include?
The comprehensive evaluation of female fertility covers a variety of diagnostic procedures. Transvaginal ultrasound allows visualizing the uterus and ovaries, identifying possible structural anomalies or conditions such as ovarian cysts. This non-invasive procedure provides detailed images of the reproductive system.
La hysterosalpingography is another important procedure that evaluates the patency of the fallopian tubes by injecting a contrast agent. This test can identify blockages or other abnormalities that could interfere with conception.
Hormone tests performed at specific times in the menstrual cycle provide crucial information about ovulation and endocrine function. These results help determine if they are needed fertility treatments specific.
How is the evaluation of the ovarian reserve performed?
The evaluation of the ovarian reserve involves multiple bookmarks. In addition to the AMH test, the antral follicle count using ultrasound provides a direct visual measure of reproductive potential. These evaluations help determine the quantity and quality of available eggs.
Results
How are fertility test results interpreted?
Interpreting the results requires specialized medical expertise. Normal values vary depending on age and other individual factors. For example, AMH levels typically decrease with age, but must be interpreted in conjunction with other fertility markers.
Specialists evaluate all results comprehensively, considering factors such as:
- Age of the patient
- Complete medical history
- Lifestyle and environmental factors
- Supplementary Test Results
Based on this evaluation, a variety of treatments may be recommended, from ovulation induction to more advanced procedures such as in vitro fertilization.
Choices
What alternatives are there after a fertility diagnosis?
After completing the diagnostic tests, specialists may recommend different treatment options. For some patients, the preservation of fertility through the egg freezing can be an important preventive option.
Treatment options are customized to specific outcomes and can range from less invasive interventions to advanced assisted reproduction techniques. The choice of treatment depends on multiple factors, including the cause of infertility, age and personal preferences.
Preparation
How to prepare for fertility tests?
Proper preparation for fertility tests can improve the accuracy of the results. It is recommended to keep a detailed record of menstrual cycles and any related symptoms. Some tests require specific conditions, such as testing on certain days of the menstrual cycle.
It is important to follow all medical instructions prior to each procedure. This may include fasting for certain blood tests or abstaining from sexual intercourse before certain specific procedures.
Follow-up
What steps follow after the initial tests?
Follow-up after initial tests is critical to successful treatment. Specialists schedule regular appointments to monitor progress and adjust treatment plans as needed. The frequency of visits will depend on the specific treatment plan and individual response.
During this phase, doctors may recommend additional tests or modify treatment strategies based on the initial response. Continuous monitoring helps to optimize results and adapt the approach as needed.
References
- World Health Organization. (2024). WHO laboratory manual for the examination and processing of human semen, 6th ed. World Health Organization. https://www.who.int/publications/i/item/9789240030787 Trusted Source
- Practice Committee of the American Society for Reproductive Medicine. (2023). Testing and interpreting measures of ovarian reserve: a committee opinion. Fertility and Sterility, 119 (4), 605-615. https://doi.org/10.1016/j.fertnstert.2023.01.013 Trusted Source
- Spanish Fertility Society. (2023). Guide to evaluation, advice, support and psychological intervention in Assisted Reproduction. Ibero-American Journal of Fertility, 31 (2), 69-78. Trusted Source
