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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Want Fertility Tests Done Due To Advanced Age. What Tests Should Be Done?

I am looking for fertility tests to be done before marriage due to higher side of age (~35) In this regard I would like to know which tests should be done for this. Please give me the names of these tests for both Male and Female. Thank you for the help. Regards
Thu, 21 Feb 2013
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General & Family Physician,  's  Response
Hello, thanks for using HCM.
Fertility naturally decreases in women unlike in men. In men, unless they present with acquired causes of infertility, even at older ages, they still maintain their fertility.
However, in addition to acquired causes of infertility in women, women naturally loose their fertility as they age. This decrease is related to ovarian function in which the quantity and quality of egg is affected with age. A practical test used to evaluate this is the FSH hormone concentration in blood. Very high values of FSH ( above 15 international units) collected on day 3 of menstrual cylcle usually indicate an ovary that has given up. However, such test should be done more than once as values may fluactuate from one cycle to the other with fertility likely to increased in months with reduced values.
Other possible tests for acquired causes will include ultrasound, hysterosalpingography and serologies for chlamydia, ureaplasma, mycoplasma.
Your partner will have to do a spermogram.
Best regards and hope this helps
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Want Fertility Tests Done Due To Advanced Age. What Tests Should Be Done?

Hello, thanks for using HCM. Fertility naturally decreases in women unlike in men. In men, unless they present with acquired causes of infertility, even at older ages, they still maintain their fertility. However, in addition to acquired causes of infertility in women, women naturally loose their fertility as they age. This decrease is related to ovarian function in which the quantity and quality of egg is affected with age. A practical test used to evaluate this is the FSH hormone concentration in blood. Very high values of FSH ( above 15 international units) collected on day 3 of menstrual cylcle usually indicate an ovary that has given up. However, such test should be done more than once as values may fluactuate from one cycle to the other with fertility likely to increased in months with reduced values. Other possible tests for acquired causes will include ultrasound, hysterosalpingography and serologies for chlamydia, ureaplasma, mycoplasma. Your partner will have to do a spermogram. Best regards and hope this helps