The first and main signal of problems with reproductive health is the inability to become pregnant naturally within a year (if a woman is over 35 years old, then within 6 months) with a regular sex life without contraception.
Today, the statistics of the reasons for the non-occurrence of pregnancy are distributed approximately equally: 40% - the female factor; 40% - male factor; 20% is a combined factor. DAHNO experts are convinced that infertility is not a woman's or a man's problem. The family should always be viewed as the patient. But since the examination of the husband is simpler and less time-consuming, they usually start with him.
Diagnosing the causes of infertility begins with a consultation with a reproductive physician. Further examination takes place under his reliable control. For a woman, these are:
- infectious screening (genital infections, smear for flora and cytology)
- ultrasound of the pelvic organs, thyroid and mammary glands
- check the hormonal panel (FSH, LH, prolactin, progesterone, TSH, free T4)
For a man, a spermogram is mandatory to determine the quantitative and qualitative characteristics of the ejaculate. Additionally, infectious and hormonal screening, MAR-test can be prescribed.
To study the chromosome set of both partners, genetic analysis is carried out - karyotyping.
In some cases, to clarify the diagnosis, the reproductive physician recommends additional examinations to future parents.