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Infertility Assessment

What Is Infertility?

Infertility is defined as the condition in which a couple could not conceive after 12 months of regular sexual intercourse without using contraception. This condition may be due to either male or female factors, or both.

Age is another major contributing factor. A woman’s natural fertility decreases by 1% every year after she reaches 35 years old. In general, it becomes harder for a woman to conceive after 35. Smoking, alcohol and obesity are the other factors that may also affect the chances of pregnancy.

fertility test in singapore at gynaeinfertility

On the female side, hormonal disorders, absent ovulation, blocked fallopian tubes, hostile cervical mucus and endometriosis can all be causes of infertility. Male infertility is often due to a low sperm count, poor sperm motility, poor sperm survival (vitality), poor morphology or abnormally-shaped sperm, resulting in failure to fertilize the egg.

Women might also be affected by Polycystic Ovarian Syndrome (PCOS). It is an imbalance of hormones caused by excess androgens or male hormones, and is one of the most common hormonal disorders in women of reproductive age. PCOS causes disruptions to menstrual cycles and can cause anovulation (absence of ovulation), which in turn causes infertility. Patients with PCOS might not display symptoms; as many as 50% never get diagnosed.

Fertility Screening

If you and your partner are having troubles conceiving, we recommend going for a fertility screening with our fertility doctor. This assessment usually starts with a detailed medical history and physical examination to help discover the cause of the problem.

Semen analysis will be performed for the male partner, on top of the routine physical examination.

In addition, the female partner will need to undergo ultrasound scan, hysterosalpingography (HSG), and ovulation assessment. Laparoscopy may be used to diagnose and remove endometriosis, pelvic adhesions or ovarian cysts.

Our gynaecologist will also be able to assess the tubal patency during laparoscopy. Semen analysis will be done for the male partner, on top of routine physical examination.

Depending on the test results, treatment like ovulation induction, surgery to remove growths or adhesions, Superovulation Intra-Uterine Insemination (SO-IUI) or In-Vitro Fertilisation (IVF) may be recommended.