What is an unexplained infertility?
Who defines unexplained infertility?
What is the definition of unexplained infertility? What are the criteria to be met to be defined as unexplained causes of infertility? How long diagnosis take to make sure that infertility cannot be explained?
Well, unexplained infertility basically is that we don’t know what’s going on – just like that. Of course, something happened because when we have a couple or a patient that’s trying to get pregnant and is trying at home for a whole year and the pregnancy doesn’t come, something of course is happening. So we run all of the tests and the studies that we know that can help us to know what could be happening and when we find out everything is right and we have no pathology or whatever sort of, we put these patients in the list of unexplained infertility which is not that they don’t have any problem, of course, there is a problem – the thing is that we cannot say where exactly it is.
Unexplained infertility is where we have done our routine investigations which have proven that the woman is ovulating, her egg reserve is good, her tubes are open and the sperm count is normal and yet, the couple have not been able to conceive after two years of trying. Then they get this label of unexplained subfertility. There may be other reasons why this is not happening but we do not have any tests to check for that but when they go through the treatment of IVF, sometimes we may get more information why this was not happening, like the sperm binding to the egg or the quality of the egg which was delaying their chances. It would be more clear when they are undergoing IVF treatment.
Unexplained infertility is better named subfertility and it’s a label. It’s a label that we give to couples that haven’t conceived within a reasonable timeframe. For young couples, 95% of them might conceive within a couple of years of trying, if they haven’t done so, then we would give them that label. It’s not so much as say, a diagnosis because it doesn’t tell you what is going wrong, but at least it gives people an understanding that there may be something and perhaps there may be something that can be done to help.
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