1. The vagina. checks may include inspekulo check, check in, check-mikroskopik fluid vagina. This is to determine the difference anatomy or function and assess whether there are microorganisms that cause disruption or infection.
2. Serviks factors (neck womb). it includes checks inspekulo check, check in, post-coitus test, test serviks mucus, and culture if necessary. Of all inspection, testing serviks mucus play an important role because infertilitas may be caused by sperm penetrate the mucus serviks failed and this is usually due to reaction imunologis.
To test serviks mucus test can be done post-coitus examination are:
* Previous pair sexual conduct on the first day of a two-day period praovulasi or when ovulasi.
* After ejakulasi, the patient supine for 20 minutes and went to the doctor within 8-12 hours later, taken to sediaan mucus serviksnya.
* And do mikroskopik examination to determine the degree of penetration of the mucus serviks calculate the number of sperm that move.
Said the positive test results when> 20 which means that active sperm factor imunologis can be. A negative test result does not provide any intrepetasi.
3. The uterus. Examination conducted in, Biopsy endometrium, biakannya if necessary, histerosalphyngography, and laparoskopi.
4. The tuba fallopi. Examination can be done in a way, among others:
* Pertubasi or rubin test aims to check patensi tuba. Tuba sumbatan when the gas pressure rise or stand up to 200 mmHg, the increase of only 80-100 mmHg means that one or both tubanya still patent (ovum / egg can exit the womb). Examination performed during menstruation and clean before ovulasi, or on the day-to-10 menstrual cycles.
* Histerosalphyngography. The goal is the same as the pertubasi just less safe due to possible exposure to radiation in the examination repeated, but this check will be more accurate.
* Laparoskopi. The goal is to see if there is endometriosis at the same time to see tuba. But this is an action operatif so dilkukan better when there is medical indication.
5. Ovarium factors. Inspection covers how menstrual history, serviks mucus changes, body temperature basalt, sitologi vaginal hormonal, Biopsy endometrium, and hormonal examinations. Laparaskopi can also be ovulasi Diagnostic. The most important in determining this check is not there ovulasi, because ovulasi indicate the existence of eggs produced by the ovary (ovarium) that can be fertilized by male sperm. Ovulasi examination can be done with the hormonal form of examination:
* Measure serum progesterone level in the mid-luteal phase to-day or 3 of menstrual cycle. Told positive results (there ovulasi) when the progesterone level 3 - 10 ng / ml.
* Measure luterinizing kadar hormone (LH) in blood plasma every day in the luteal phase to know the time ovulasi. This is useful to determine when it's appropriate to do so coitus conception success rate.
In the case of amenorrhea (no menstruation), oligomenorrhea (menstrual cycles> 35 days or longer period <3>
How do I overcome infertilitas?
Expected to start before the therapy, couples in consultation with the doctor about the right to appropriate medical denan circumstances. The therapy that can be applied, among others:
In the men's, among others:
1. Medical therapy in form of drug or hormone, for example to improve the number of sperm.
2. Surgical therapy when dealing with anatomical aberration or surgical problems related to the case infertilitas men such as varicocele.
3. In the case azoospermis or oligospermis the weight, where the pregnancy occurs very rarely the best action is to AID (artificial insemination donor). This method is how to put the sperm in the female reproductive channel does not do with the way in which sexual relations derived from the sperm donor (other people). AID is conducted every month for a year could allow 65% of pregnancies.
4. When there are only a spermatozoa the method can be performed ICSI (intracytoplasmic sperm injection), where a method in spermatozoa injected sitoplasma ovum.
5. When the value of normal sperm analysis and test results of the post-coitus insemination can be done and done sediaan sperm insemination intra uterin namely placing spermatozoa that have been separated from the seminal fluid to the space dalanm womb using a small kateter.
In the women, among others:
1. Medical therapy in form of drug or hormone, for example to improve the induction ovulasi.
2. Surgical therapy when dealing with anatomical aberration or a problem related to surgical cases infertilitas on women such as the mouth of the womb etc. tumor.
3. Condom therapy, where condoms are used constantly during each have sex more or less 6-8 months. In this period, expected antibody level has decreased and no longer in the area of reproductive women, so that the sperm during this diaglutinasikan or dimobilisasikan by antibody to be free and able to move to migrate to the tuba falopii channel (channel of eggs) and meet with the egg cell without a hitch.
4. In the case anovulasi (no eggs) are given drugs with the induction ovulasi desertai sexual scheduled.
5. In the case of bad serviks mucus which can not be corrected with drugs, can be done include:
* IVF (in vitro fertilization), namely maternal egg cell fertilization with sperm outside the body (tube baby).
* GIFT (gamet intra-fallopian transfer), namely the mother put the egg cell and sperm into the distal end of the tuba fallopi / egg channel.
* ZIFT (zygote intra-fallopian transfer), namely when conception has occurred outside the body to the way the results of IVF fertilization (zygote) to put the eggs in the channel / tuba fallopi through kanulasi abdominal trans.
Infertilitas that success depends on the cooperation of the husband-wife and doctor in examination infertilitas to know the cause, so that treatment can be done and the good that therapy can be expected to increase the chance of a pregnancy.
