A “demographic rearmament” that is beginning. Less than a week after Emmanuel Macron’s press conference during which the President of the Republic announced that he wanted to launch a plan to act against “male and female infertility”, the general lines of the latter were given by the Elysée this Monday, January 22.
In one idea, the executive would like to present this plan to combat infertility “within a maximum period of six months.” It should contain, among other things, an infertility prevention point for people over 25 years of age. This evaluation could include a spermogram and a gynecological examination, possibly as early as this year, examinations that, however, would not be mandatory.
If the details of this plan are still awaited, it should be said that there is already a medical evaluation to establish or not an infertility problem. This is considered “when there is no pregnancy after one or two years of regular sexual relations,” Améli indicates on her site.
Significant blood test
After 12 to 24 months of regular sexual relations, a heterosexual couple should begin a classic medical consultation, with a general practitioner or an obstetrician-gynecologist, which can also be carried out after six months of unsuccessful attempts if the woman is over 35 years. .
The consultation should make it possible to look for explanatory factors, but also to find a cause, sometimes simple, for the infertility. The professional may then consider additional tests.
These are different according to the sexes. For women, Améli points out that, first of all, it is possible to analyze the duration and regularity of a woman’s menstrual cycles using the temperature curve.
These readings allow professionals to evaluate the quality of ovulation to “set the dates for the exams to be performed.” Among them, a blood test that must determine various doses, including that of the anti-Müllerian hormone AMH, “a marker of ovarian follicle reserve.” It should detect abnormalities in ovarian or pituitary functioning.
Various possible tests
Other more intrusive exams are also considered, including abdominopelvic endovaginal ultrasound performed by a gynecologist. Its objective is to evaluate the ovarian reserve in the follicles, but also to look for ovarian causes, including ovarian or uterine cysts (fibroids, polyps, malformations, etc.) This examination also allows the detection of endometriosis.
Next comes hysterosalpingography, or hysteroscopy, a radiological examination that also highlights abnormalities of the uterus or “a blockage of the uterine tubes, which prevents the migration of the egg towards the uterus.” These abnormalities can be identified by a product injected into the uterus.
Finally, an abdominopelvic laparoscopy is also possible. This is a surgical technique that allows access to the interior of the abdomen through small incisions in the abdominal wall to determine pelvic abnormalities or diseases, including endometriosis.
spermogram
For men, the solutions are fewer. In the vast majority of cases, a laboratory spermogram is necessary, which consists of collecting and analyzing the sperm after three or four days without having sexual relations.
Observed under a microscope, the collected liquid allows “to perform a sperm count and observe their morphology.” “An insufficient number of sperm or the predominance of sperm with abnormal morphology can be the cause of sterility,” notes Améli.fr. If any anomaly is detected, a new spermogram may be requested.
If the anomaly recurs, an ultrasound of the genitals, a hormonal assessment, a testicular biopsy or even a karyotype analysis can finally be performed.
Source: BFM TV
