Doctor Segment - Q.What reasons for infertility might the physician discover during the examination

Q.What reasons for infertility might the physician discover during the examination on the first visit?.

DOCTOR; The following abnormalities,each of which can interfere with fertility,are evaluated during the initial physical examination. Vaginitis. If a vaginal infection is found it must be treated,as it can delay the occurrence of a pregnancy. STD.Your physician may want to do cultures for chlamydia and gonorrhea if either you or your husband has had sex with anyone else before.l have all my infertility patients take 100 mg of doxycycline twice a day for two weeks (both husband and wife) just in case these or other infections are present.Chlamydia cultures can fail to be positive,even when the infection is present.If both a woman and her husband are treated with tetracycline,that will usually get rid of those germs that can inhibit fertility. Growths or abnormalities in the pelvis.These may be fibroid of the uterus,ovarian tumors,or endometriosis.Additionally,if some congenital abnormalities.Additionally,if some congenital abnormalities are found on pelvic examination,these must be evaluation and may need to be treated. Cervical stenosis.This is a narrowing of the opening into the uterus.It can prevent or make it difficult for the sperm to gain access to the uterus or it can indicate disease of the cervix that could prevent pregnancy.This condition is often due to an earlier abortion,cervical cauterize or freezing,or a cervical conization (excision of cervical tissue) Physical abnormalities.These can indicate abnormal growth pattern in the body that could be due to congenital problems such as chromosomal abnormalities.One of the most common of these is called Turner's syndrome or ovarian agenesis,a problem that requires more extensive treatment and counseling than just dealing with infertility.

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