A knowledgeable gynecologist or fertility specialist can roughly assess both a woman’s and a man’s fertility through interviews and a few easily conducted tests.
To reliably assess an individual’s fertility, it is crucial to know their age, any existing medical conditions, information about previous pregnancies, and lifestyle factors that may affect fertility.
For men, the basic examination includes a semen analysis, which examines sperm count, motility, and the presence of antibodies.
The assessment of a woman’s fertility includes health information, gynecological ultrasound, and measurement of the AMH hormone. If necessary, a fallopian tube patency test may be performed if there is reason to suspect damage to the tubes due to conditions such as endometriosis, uterine infections, or previous chlamydia infections.
A gynecological basic examination often includes a transvaginal ultrasound, but a fertility specialist can provide a more detailed assessment of ovarian function, especially concerning fertility. Calculating the Antral Follicle Count (AFC) provides a rough estimate of the remaining ovarian capacity.
Ultrasound examination is complemented by the measurement of AMH hormone (anti-Mullerian hormone).
A woman’s fertility declines dramatically between the ages of 38-42. Age is the most significant factor affecting female fertility, but individual variations within this age group are considerable. Many 38-year-olds can still conceive easily, but most 42-year-olds may no longer respond to treatments.
A female’s egg development begins during fetal development, which means that the DNA of the eggs ages along with the woman. As we age, our cells, including egg cells, accumulate DNA damage. For egg cells, this means that fewer are capable of initiating a normal pregnancy. The average age of menopause for Western women is 51 years, but the fertile eggs are depleted several years, even up to nearly 10 years, earlier.
Sometimes a woman’s ovarian reserve can significantly decrease even before the age of 36-38.
If early menopause has been diagnosed in female relatives or if you have an underlying medical condition, it’s advisable to assess your own situation as early as possible.
All the doctors at Dextra Fertility Clinic are highly experienced in evaluating your individual situation.
If fertility concerns you, it’s a good idea to book an appointment with us. We can discuss your situation together and conduct necessary tests.
Having the facts can often make it easier to make decisions and choices.