It is very important for a married couple to check for fertility, ideally done by both parties. This is related to the results of the study which states that women account for 45% of difficult pregnancy, while men only contribute 40% of the causes of difficulty conceiving while the remaining 15% are outside partners. However, you don’t need to worry if you are only married for 1-4 months. Fertility checks can be done if you have been married for a period of 8-12 months without using contraceptives and have an active husband and wife relationship but have not appeared signs of pregnancy.
In general, 75% of married couples will become pregnant in less than 6 months, while 25% will become pregnant within 6-9 months after marriage. If you are still having difficulty getting pregnant after 12 months of marriage, you should have your fertility checked, although in certain conditions fertility checks can be done at a shorter time so you don’t have to stick to it at 12 months.
Early examination for married women over 35 years of age, women who often experience menstrual disorders, have had post-miscarriage operations, or suffer from infections in the uterus. Examination female fertility performed by conducting tests on the anatomy of the reproductive organs using ultrasound, blood tests, hormone levels, sperm and egg examinations, as well as other examinations.
The following are the stages of examination that are important in determining the level of fertility that can be carried out by women and men who have difficulty getting pregnant:
1. Anatomical examination
Anatomical examination in women will relate to the reproductive organs. This examination aims to determine the role of these organs in supporting the fertilization process. For example, by examining the breasts, physical examination of the female area and also the thyroid gland in the uterus, while men know the function of the sperm, testes, prostate, and scrotum, which aims at maximizing the role of these organs or experiencing problems.
2. Blood tests
Blood tests will be performed on women who experience irregular menstruation. With a blood test the fertility hormones FSH, LH and estradiol will be checked whether it has an effect on women. Whereas in men, blood tests are carried out on hormones related to sperm formation.
3. Ultrasound examination
For women and men, this examination functions to determine abnormalities in the reproductive organs in detail, one of which is to find out cysts or other disorders. In women, an ultrasound examination is also performed with a more thorough picture of the pelvic cavity to determine the main problems of fertility examinations.
4. Special Examination
For women, a special test will usually be carried out to determine the risk of antiphospholipid syndrome which is generally characterized by recurrent miscarriages. In addition to this, a Hysterosalpingogram can be done to determine the condition of a woman’s uterus and fallopian tubes by using certain fluid injections which then use X rays to find out details of normal or abnormal conditions in women.