The fertility specialists at Cloudnine Fertility perform both male and female infertility diagnosis and testing. In very broad terms, fertility diagnosis starts with attempting to determine the impact of several major factors for the male and female partners with testing and diagnosis:
The impact of aging on female reproduction is well known. Overall, a woman’s age is one of the best predictors as to whether or not she will conceive with her own eggs. After about age 43, the odds of this fall low enough (and miscarriage and chromosome abnormality rates raise high enough) that the likely best option is egg donation. After about age 35, when declines in natural fertility become sharper, many women are simply experiencing what we call age-related sub-fertility. That is, there is no specific fertility problem other than as we get older, the egg being ovulated may be less capable of sustaining a pregnancy.
Sexual Dysfunction. Although this might primarily have to do with one or the other partners in a couple (e.g. erectile dysfunction in men, vaginismus in women), oftentimes, sexual dysfunction is a couple’s problem and must be addressed by assessing both partners.
Unexplained Infertility. This is the diagnosis given when all the other tests are normal. Many couples failing to conceive after 1-2 years of trying, with all the usual tests coming up normal, may actually have age-related sub-fertility or endometriosis. On the other hand, there may be other diagnoses or medical problems that we have just not come to understand yet. The most recent diagnosis of “Decreased Ovarian Reserve” was only elucidated about 20 years ago.