When to See a Fertility Specialist
Age is the most common cause of infertility. Many people get pregnant in the first 3 to 6 months after stopping contraception. If your cycles are regular and you are under 35, seek help from your OB/GYN or reproductive endocrinologist and infertility specialist after 12 months of trying. If you are over the age of 35, begin fertility testing after trying to conceive for 6 months. If you are over 39, testing should begin within 3 months. If your cycles are not regular, seek help immediately.
Tubal disease If the fallopian tubes are blocked, a specialist should be consulted before proceeding with treatment such as surgery. The surgery for damaged tubes is often not successful and can increase the chance of tubal pregnancy. IVF can be a much more successful treatment and no surgery is necessary. If the fallopian tubes are blocked at the end and filled with fluid, hydrosalpinx, surgery is appropriate prior to IVF. Consultation with the specialist can determine the appropriate procedure. Their expert assessment can help prevent unnecessary second surgeries to perform the appropriate procedure.
Very low sperm count Patients should seek a specialist as soon as possible if the sperm count is very low or zero. Inseminations, fertility pills, and surgeries are usually ineffective with this diagnosis. These unnecessary medications and procedures can waste your time and money.
Proper identification of the cause of infertility is crucial to the most cost effective, and timely treatment. An infertility specialist can help you avoid unnecessary procedures, such as the advisability of laparoscopy when no symptoms of endometriosis or no history of infections are present and avoid tests of limited usefulness.
1 Comments:
At Sun Sep 17, 04:03:00 AM 2006,
Anonymous said…
Very low sperm count might be an indication of Klinefelters Syndrome.
If you have very low sperm count - you should see your doctor and request a blood test that shows testosterone levels, estrogen levels, FSH, LSH and other indicators.
If your testosterone levels are very low (there are different scales in the USA, compared with other areas in the world, i.e. in Australia T is measured in nmol/l, and normal range for 46XYers is around 9 - 30. Folks with Klinefelters Syndrome either have no T, very low T around 2.5, low around 5-6, or low of the normal range - if a mosaic), and your estrogen is very high, its suggested that you get a Karyotype Test in which a number of cells are tested and the number of X & Y chromosomes are tested. For a good result more cells should be tested i.e. ideally 100 or more. http://en.wikipedia.org/wiki/Karyotype
There are a number of conditions where low testosterone is a symptom, but Klinefelters Syndrome is the most common genetic condition.
For more information on Klinefelters Syndrome see http://www.XXYTalk.com.
John Shannon
Medical Researcher
Moderator
XXYTalk.com
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