Infertility Diagnosis
What is Infertility?
Infertility is a medical condition characterized by the inability to achieve pregnancy after 12 months of regular, unprotected sexual intercourse (or 6 months if the woman is over 35). It can affect both men and women and may result from issues in either partner or a combination of factors.
Causes of Infertility:
Infertility can stem from various factors in both men and women:
Female Factors:
Ovulation Disorders: Conditions like PCOS (Polycystic Ovary Syndrome) or hormonal imbalances.
Fallopian Tube Blockage: Due to infections, endometriosis, or surgery.
Uterine or Cervical Abnormalities: Fibroids, polyps, or structural issues.
Age-Related Decline: Egg quality and quantity decrease with age, especially after 35.
Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus.
Male Factors:
Low Sperm Count or Poor Sperm Motility: Affects the ability to fertilize an egg.
Abnormal Sperm Morphology: Irregularly shaped sperm that cannot fertilize an egg.
Varicocele: Enlarged veins in the scrotum that affect sperm production.
Hormonal Imbalances: Low testosterone or other hormonal issues.
Lifestyle Factors: Smoking, alcohol, obesity, or exposure to toxins.
Combined or Unexplained Factors:
In some cases, the cause of infertility remains unexplained even after thorough testing.
Types of Infertility Identified !
Infertility isn’t just a one-stop obstacle to counter, rather, it comes in types. Let’s impart some limelight to this:
- Primary Infertility: Primary infertility means not being able to get pregnant after one year of timely sexual intercourse in the absence of protection.
- Secondary Infertility: Secondary infertility is the scenario of losing the ability to get pregnant after having at least one successful pregnancy.
- Unexplained Infertility: As the name suggests, unexplainably is the core nature of this type of pregnancy where a person or couple’s reason for not being able to conceive is unidentified.
Diagnosis Of Infertility
Diagnosis is the first door to identify infertility, nurtured and provided by health care experts. The process consists of getting a detailed history of medical and sexual aspects by the practitioner.
Following the collection of necessary, these processes and tests help detect the point of issue for female infertility:
- Pelvic Exam: Your certified health practitioner runs a thorough pelvic examination to determine the underlying issue, structural problem, or disease signals.
- Blood Test: This test is crucial to take note of hormone levels in a female. Hormonal insufficiency or imbalance most certainly affects the ovulation.
- Transvaginal ultrasound: Your examiner inserts an ultrasound device inside your vagina to get a closer hold of issues about the reproductive system.
- Hysteroscopy: A hysteroscope inserted inside one’s vagina with the intention to examine the uterus.
- Saline sonohysterogram (SIS): In this procedure, the testing is done by filling the uterus with saline (sterilized salt water) and performing a transvaginal ultrasound.
- X-ray hysterosalpingogram (HSG): X-rays capture an injectable dye as it travels through your fallopian tubes The specificity of this test boils down to track blockages.
- Laparoscopy: Laparoscopy is a widely gossiped procedure adopted in diagnosing infertility too. A laparoscope is inserted into a small abdominal incision that helps identify ailments and growths like endometriosis, uterine fibroids, and scar tissue.
Male infertility diagnosis is centered around ensuring the health of sperm. In the absence of healthy sperm, a successful implantation and later conception is thought! Let’s identify how male infertility can be diagnosed:
- Semen analysis: This semen analysis test checks low sperm count and poor sperm mobility. In some cases may need to use a needle biopsy to to remove sperm from their testicles to test.
- Blood test: Similar to a female’s diagnosis process, a blood test helps check the level of hormones in a male’s body. Along with regular blood tests exposure to chromosomal abnormalities, if present is also identified.
- Scrotal ultrasound: A scrotal ultrasound diagnoses any issues related to the scrotum such as varicoceles and complications of male testes.
Treatment For Both Genders
Doctor examining reproductive health of female patient, providing the right treatment.
- Lifestyle Tweaks: Applicable for both female and male counterparts, maintaining a healthy weight, discarding intake of substances like drugs, quitting smoking and major alcohol consumption improves health amplifying the chances of pregnancy.
- Medications:
- For females, fertility medications stimulate ovaries to produce more eggs. Likewise in the case of males, the medications insist on testosterone rise evacuating issues such as erectile dysfunction.
- The hormone balance as a result of medication deposition helps with stamina and performance during sex
- Surgery: In females, surgeries to unblock restricted fallopian tubes, and treat polyps, fibroids, wounds, and scar tissue are opted for. Likewise, for men, surgeries to open blocked sperm-carrying tubes are prioritized.

At Pacific IVF Center Nepal, we are committed to providing the highest quality care and support to help you achieve your family-building goals. Our team of experienced fertility specialists will work with you to create a personalized treatment plan and provide ongoing support throughout the ICSI process.
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