Need to Know
How to Evaluate Women Who Couldn't Conceive Naturally? Why is it Important?
Evaluation of couples when there is no pregnancy naturally and starting treatment after the problem is detected is the most important step on the way to success. Sometimes, while the problem is solved with a very simple treatment, in couples who seem to have no problem and all tests are found to be normal, very serious genetic problems that affect egg, sperm and embryo development can be seen, although rarely. Therefore, it is very important to evaluate the couples well and correctly at the beginning.
Couples who cannot conceive despite one year of unprotected sexual intercourse should be investigated in terms of problems preventing conception.
In the process that starts with a gynecological examination, the condition of the uterus and ovaries of the woman, egg reserve and ovulation status are determined and the process begins.
During this evaluation, ultrasonography and hormone analyzes (AMH, FSH, Estradiol, Progesterone, Prolactin) are checked. If there are situations that are thought to affect the patient's hormonal status, If there are additional problems such as thyroid hormones (TSH, fT4), hair growth, hair loss; Testosterone, DHEA-SO4, 17 OH progesterone, cortisol etc. are evaluated with detailed analyzes if necessary.
HSG (Medicated Uterine Film), which is made within a few days of the end of menstruation, provides the diagnosis of whether the tube where the egg and sperm meet is open, and the diagnosis of problems such as adhesions, curtains, polyps, fibroids or congenital deformities that prevent pregnancy from continuing in the uterus.
For men, sperm analysis is performed, and if necessary, detailed examination and andrology examination are performed.