Infertility blood tests test for what?

Written by Kang Jian Hua
Reproductive Center
Updated on September 30, 2024
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Patients with infertility undergo numerous blood tests. Firstly, these tests can determine the blood types and general blood profiles of both partners. Secondly, the tests examine the sex hormones of both individuals to check for any endocrine abnormalities. Thirdly, they can detect infectious diseases, such as hepatitis B, syphilis, HIV, cytomegalovirus, toxoplasmosis, and herpes zoster. Lastly, the tests can assess the chromosomes of both partners to identify any genetic issues.

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Written by Kang Jian Hua
Reproductive Center
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Can infertility be treated with IVF?

Infertility cannot be universally treated with IVF; it requires specific analysis of each case. Before considering IVF, a pre-operative assessment is necessary to determine if the criteria for IVF are met. Infertility can be caused by male factors, female factors, or unknown reasons. Male factors can be addressed with artificial insemination or third-generation IVF. Female factors, like tubal issues, are suitable for IVF. If ovarian factors can stimulate follicle production, IVF is also possible. However, uterine factors causing infertility preclude the use of IVF.

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Written by Gan Hai Ying
Obstetrics and Gynecology
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Why does premature ovarian failure cause infertility?

The primary reason that premature ovarian failure leads to infertility is due to the decline in ovarian function it causes. Reduced ovarian function results in insufficient secretion of estrogen levels within the body. Consequently, the follicles on the ovaries do not develop and mature, and without mature egg cells, the sperm and egg cannot meet, which leads to infertility. Additionally, women with premature ovarian failure experience low hormone levels that prevent changes in the uterine lining, making it unsuitable for a fertilized egg to implant in the uterine cavity, which also causes infertility. Premature ovarian failure in women often leads to infertility. Therefore, it is difficult for women with this condition to conceive. If childbearing is desired, after treatment to regulate menstruation, it may be necessary to use assisted reproductive technologies such as in vitro fertilization to achieve pregnancy.

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Written by Zhao Min Ying
Reproductive Medicine
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How does infertility arise?

Couples who live together and have normal sexual relations without any contraceptive measures for over a year are diagnosed with female infertility in the case of the woman, and male infertility in the case of the man. Infertility is related to many factors. For men, the main factors are abnormalities in the semen, which include low sperm count, weak sperm motility or even a complete absence of sperm, as well as sexual dysfunction, where various factors prevent the completion of normal sexual activities. For women, the main factors include, first, ovulatory disorders, which are primarily abnormalities in menstruation, although some may have normal menstruation but still experience ovulatory disorders. Second, factors related to the fallopian tubes; these can include previous conditions like pelvic inflammatory disease, appendicitis, etc., or infections caused during procedures involving the uterine cavity leading to blockages in the fallopian tubes, which can be diagnosed via hysterosalpingography. Third, conditions such as endometriosis and adenomyosis, which can also affect the chances of pregnancy. Fourth, factors related to the uterus, such as uterine fibroids, polyps, and malformations, which can create barriers to pregnancy. Lastly, some immunological factors, including antisperm antibodies or other antibody factors, etc.

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Written by Zhang Chun Yun
Obstetrics and Gynecology
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Can infertility caused by endometriosis be cured?

When endometrial glandular and stromal tissues are found outside the uterine cavity, it is called endometriosis. The main clinical symptoms of endometriosis include lower abdominal pain, painful menstruation, and varying degrees of discomfort during sexual intercourse. Some women may also experience abnormal menstruation, such as prolonged menstrual periods, increased menstrual flow, and spotting before menstruation. For women of childbearing age, infertility is the greatest obstacle. Endometriosis should be treated under medical advice, with standardized and correct treatments, which can include surgery or medication. However, medication does not significantly help in improving pregnancy rates for infertile women, while surgical treatment can increase the pregnancy rate post-operation. The effectiveness of the treatment depends on the extent of the disease. For those hoping to conceive, postoperative medication is not advisable; instead, treatments that stimulate ovulation should be pursued to increase the chances of pregnancy as soon as possible. If pregnancy is not achieved within two years after surgery, the chances of conceiving are slim. For those who still cannot conceive after preserving fertility through surgery, assisted reproductive technologies like in vitro fertilization and embryo transfer may be considered. It is important to follow your doctor's advice, and if you have further questions, it is recommended to consult a doctor at a hospital for more detailed advice.

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Written by Zhao Li Li
Obstetrics
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Can fallopian tube cysts cause infertility?

If it has been confirmed that there is a fallopian tube cyst, further examination is still needed to determine whether the fallopian tube cyst affects normal conception. If the fallopian tube cyst causes narrowing or blockage of the fallopian tube lumen, it may decrease the likelihood of normal conception or increase the risk of ectopic pregnancy. If the cyst on the fallopian tube does not affect the spaciousness of the entire lumen or cause any blockage of the fallopian tube, it generally will not have any impact on normal conception.