What to check after 1 year of failure to conceive

What to check after 1 year of failure to conceive

Investigation of a couple’s infertility should include an assessment of both partners. For women, the focus should include ovulation, tubal damage and any uterine abnormalities; men’s parameters should include semen-related factors, such as sperm count; the sperms’ ability to swim (motility), including velocity or forward progression; size and shape of the sperm (morphology); total semen volume; and the liquefaction of the semen (the ability to go from a normal, gel-like state at ejaculation to a liquid state).

Physicians also should screen both partners for any infections, such as Chlamydia trachomatis, as well as susceptibility to rubella. 

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REFERENCES

National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health Surveys

Male fertility, a critical review (Micronutrient Initiative. Investing in the future: A united call to action on vitamin and mineral deficiencies. Global Report 2009).

Iodine in pregnancy