urology
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Premarital fertility screening refers to a set of medical evaluations conducted before marriage to assess the reproductive health of both partners. These tests help identify potential fertility issues, genetic disorders, and infections that could affect conception and future pregnancies. It typically includes semen analysis for men, hormone profiling for women, ultrasound scans, and screening for sexually transmitted infections (STIs).
Fertility screening can be broadly classified into basic and advanced assessments. Basic tests include semen analysis, hormonal evaluations (FSH, LH, testosterone, AMH), and ultrasound imaging of reproductive organs. Advanced screenings may involve genetic testing, hysterosalpingography (HSG) for tubal patency in women, and testicular biopsy in men if required.
Premarital fertility screening provides crucial insights into potential fertility challenges, allowing couples to take preventive measures or seek early treatment. It also helps in identifying hereditary genetic disorders that may be passed on to offspring, ensuring informed family planning decisions. Additionally, it helps diagnose infections that may impact reproductive health.
While fertility screening provides valuable insights, it does not guarantee future fertility as reproductive health can change over time. Some tests may also have limitations in detecting minor abnormalities or predicting long-term reproductive potential. Additionally, emotional stress or stigma associated with infertility assessments may discourage couples from undergoing testing.
Men should consider consulting a urologist if they experience symptoms like erectile dysfunction, low libido, pain or swelling in the testicles, or a history of infections affecting fertility. If semen analysis shows abnormal sperm count, motility, or morphology, a urologist can provide specialized evaluation and treatment options. Early consultation can improve outcomes and address concerns before marriage.
