11.Whose infertility is it, anyway? - Infertility Niche Business

It all starts with a general physical examination. In addition to questions about your medical history, any illnesses you may have had in the past, as well as any disabilities, your doctor may also ask you questions about any medications you're taking and your sexual habits.

One of the first tests you're likely to undergo a semen analysis. This particular test is considered one of most important exams. Don't be taken aback if your physician requests more than one semen specimen in order to get an accurate reading from this test.

One of the most common ways of obtaining this specimen is through masturbation. Another often-used method is through the interruption of intercourse and ejaculation into a clean container.

The semen specimen is then delivered to a laboratory which analyzes it for several criteria, including quantity, color and the presence of infections or blood.
In addition, the lab closely examines the sperm itself. The process determines the number of sperm present as well as the possible presence of any abnormalities in both the shape and the movement of the sperm.

At times, two samples are requested simply because it's not unusual for sperm counts to fluctuate from one specimen to the next.

The doctor also requests a blood test aimed at determining the level of testosterone as well as a variety of other hormones.

You may also be put through an ultrasound test as well. A transrectal and scrotal ultrasound helps your physician find any possible evidence of conditions like retrograde ejaculation and ejaculatory duct obstruction.

And lest you complain about the tests you're going through as a man, your female partner is enduring a battery of her own. A woman's fertility depends on the release of healthy eggs -- on a regular basis -- as well as a reproductive tract that allows both the eggs and the sperm to pass into her fallopian tubes to get fertilized. Her reproductive organs, naturally, then must be healthy and functional.

To this end, the woman undergoes ovulation testing. This is a simple blood test that measures hormone levels that ultimately determine whether she is ovulating.