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Infertility is the inability to conceive after one year of regular, unprotected intercourse. It is caused by hormonal imbalances affecting ovulation and sperm production, infections like Trichomonas vaginalis, or inadequate progesterone levels that prevent embryo implantation. The Follicle-Stimulating Hormone (FSH) test is the most important test for infertility diagnosis because it evaluates reproductive function in both men and women.
Infertility is caused by hormonal imbalances, infections, structural abnormalities, and genetic factors that affect reproductive function. In women, conditions like polycystic ovary syndrome (PCOS), endometriosis, low progesterone levels, and abnormal FSH levels can prevent ovulation or implantation. In men, low testosterone, abnormal FSH levels, infections like Trichomonas vaginalis, varicoceles, and poor sperm quality can impair fertility. Age, lifestyle factors like smoking and excessive alcohol use, obesity, and stress also contribute to infertility in both partners.
The Follicle-Stimulating Hormone (FSH) test is the most important test for infertility because it directly evaluates reproductive function in both men and women by measuring the hormone responsible for egg maturation and sperm production. The Progesterone test is essential for women to confirm ovulation and assess whether the uterine lining can support embryo implantation. The Trichomonas vaginalis RNA tests for both males and females detect infections that can damage sperm or cause pelvic inflammation affecting fertility. Together, these tests provide a comprehensive evaluation of the hormonal and infectious factors that most commonly contribute to infertility challenges.
You should get tested if you have been unable to conceive after 12 months of regular, unprotected intercourse, or after 6 months if you are over age 35. Women should consider testing if they have irregular or absent menstrual cycles, a history of pelvic infections, endometriosis, or multiple miscarriages. Men should get tested if they have a history of testicular injury, sexually transmitted infections, or low libido. Couples with known risk factors like advancing age, hormonal disorders, or previous fertility issues should seek evaluation earlier to identify treatable causes.
What this means
Your FSH level is slightly elevated above the optimal range. In women, this may suggest diminished ovarian reserve or that your ovaries are working harder to produce eggs, which can affect fertility. In men, elevated FSH may indicate reduced testicular function or lower sperm production.
Recommended actions
Maintain a healthy weight through balanced nutrition and regular exercise
Reduce stress with meditation, yoga, or other relaxation techniques
Consider supplements like CoQ10, vitamin D, and omega-3 fatty acids after consulting with your doctor
Retest in 2-3 months and consult a fertility specialist if trying to conceive
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