Tests That Reveal the Causes of Delayed Conception in Couples

Introduction

Delayed conception is a common concern for couples, usually defined as failure to conceive after a full year of regular, unprotected intercourse. Lab tests play a key role in identifying the causes in both partners, helping the physician develop a precise treatment plan. In this article we review the most important of these tests.

Women's Hormone Tests

Hormones are the key to understanding ovulation and a woman's ability to conceive.

Ovulation Hormones

• Follicle Stimulating Hormone (FSH), usually measured on day two or three of the cycle.
• Luteinizing Hormone (LH), responsible for triggering ovulation.
• Progesterone, which confirms ovulation has occurred, usually measured on day 21 of the cycle.

Ovarian Reserve

• Anti-Mullerian Hormone (AMH), which reflects ovarian reserve and the number of remaining eggs.
• A low value may indicate reduced fertility.

Other Tests Affecting Fertility

Some hormonal conditions can hinder conception without obvious symptoms.

Additional Hormones

• Prolactin, as a high level can prevent ovulation.
• Thyroid function (TSH) for its direct effect on fertility.
• In cases of polycystic ovary syndrome, testosterone and insulin and sugar levels may be requested.

Men's Tests

The male factor accounts for about half of delayed conception cases, so evaluating the man is essential alongside the woman.

Semen Analysis

• Semen Analysis is the most important test for evaluating male fertility.
• It assesses sperm count, motility, and morphology.
• Abstaining from ejaculation for 2 to 5 days before the test is advised for an accurate result.

Hormonal Tests for Men

• Testosterone, which affects sperm production.
• FSH and LH hormones when results are abnormal.

Important Note About Results

Normal values for each test vary from one lab to another, and the timing of some tests within the menstrual cycle affects their accuracy. Therefore, results should be interpreted by a fertility specialist to reach a correct diagnosis.

Conclusion

Delayed conception may be due to causes related to the woman, the man, or both, and precise lab testing is the first step toward diagnosis and treatment. The most important tests include female hormones, semen analysis, and male hormonal tests.

Don't let delayed conception worry you. Book a fertility testing package at RAIDX Laboratories and begin your journey to parenthood with confidence.