Talk:Fertility testing

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Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 30 August 2021 and 21 September 2021. Further details are available on the course page. Student editor(s): B Sereus, ChristopherHuebner, 1vcsdn. Peer reviewers: Jwctubahero.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 21:14, 17 January 2022 (UTC)[reply]

sociologic aspects of fertility testing

Not sure if it is out of the scope of this page, but perhaps under the "Men"** section or elsewhere, it may be worth discussing the barriers to fertility testing and how traditionally, fertility testing is overlooked for those assigned male at birth and overburdened on those assigned female at birth. Relevant articles may be:

Comment re "Men" section -- I also agree with the discussion that current gendered language on this page isn't accurate/representative, so consider changing this section to Testing for AMAB Patients (assigned male at birth).

- DuboceApts131

Resources

The contents of the page Investigations for Infertility: Fertility East are well-organised and well-written. Much information can be added from this resource. Diptanshu^Talk 15:19, 6 May 2013 (UTC)[reply]

Contents from Investigations of Infertility: Spire Healthcare can also be helpful.Diptanshu ^Talk 15:44, 6 May 2013 (UTC)[reply]

Perhaps some useful content here

The following content was cut from menstrual cycle. I think it might fit for this article? Please check: ++++++++

Fertility

The most fertile period (the time with the highest likelihood of pregnancy resulting from sexual intercourse) covers the time from some 6 days before until 2 days after ovulation.^[1] These approximately 8 days in a 28‑day cycle with a 14‑day luteal phase, corresponds to the second and the beginning of the third week. A variety of methods have been developed to help individual women estimate the relatively fertile and the relatively infertile days in the cycle; these systems are called fertility awareness.^{[medical citation needed]}

There are many fertility testing and fertility awareness methods, including urine test kits that detect hormones in urine, basal body temperature, cervical fluid consistency, or cervix position. Fertility awareness methods that rely on cycle length records alone are called calendar-based methods.^[2]^[3] Methods that require observation of one or more of the three primary fertility signs (basal body temperature, cervical mucus, and cervical position)^[4] are known as symptoms-based methods.^[2]^[3] Methods that rely on the hormones are called hormonal methods. Changes in hormone levels along the cycle trigger other changes such as temperature or cervical fluid consistency. Most hormonal methods rely on LH, FSH or estrogen. LH tests can be used to detect an LH peak or an LH surge that occurs 34–36 hours^[5] before ovulation, these tests are known as ovulation predictor kits (OPKs).^[6] FSH urine tests can be used detect a drop in FSH or a peak or a surge as FSH starts decreasing around 6 days before ovulation then it surges and peaks closely together with LH. FSH and LH levels in correlation are sometimes an indicator of fertility or menopause. Computerized devices that interpret basal body temperatures, urinary test results, or other physiological changes are called fertility monitors.

A woman's fertility is also affected by her age.^[7] As a woman's total egg supply is formed in fetal life,^[8] to be ovulated decades later, it has been suggested that this long lifetime may make the chromatin of eggs more vulnerable to division problems, breakage, and mutation than the chromatin of sperm, which are produced continuously during a man's reproductive life. However, despite this hypothesis, a similar paternal age effect has also been observed.^{[medical citation needed]}^{[clarification needed]}

As measured on women undergoing in vitro fertilization, a longer menstrual cycle length is associated with higher pregnancy and delivery rates, even after age adjustment.^[9] Delivery rates after IVF have been estimated to be almost doubled for women with a menstrual cycle length of more than 34 days compared with women with a menstrual cycle length shorter than 26 days.^[9] A longer menstrual cycle length is also significantly associated with better ovarian response to gonadotropin stimulation and embryo quality.^[9] ++++++++

References

^ ^a ^b a) Schwartz, Daniel, et al. "Donor insemination: conception rate according to cycle day in a series of 821 cycles with a single insemination." Fertility and sterility 31.2 (1979): 226-229. b) Schwartz, D., P. D. M. MacDonald, and V. Heuchel. "Fecundability, coital frequency and the viability of ova." Population studies 34.2 (1980): 397-400. c) Bremme, J. Sexualverhalten und Konzeptionswahrscheinlichkeit. Diss. Med Dissertation, Universität Düsseldorf, 1991. d) Weinberg, C. R., et al. "The probability of conception as related to the timing of intercourse around ovulation." Genus (1998): 129-142. e) Wilcox, Allen J., Clarice R. Weinberg, and Donna D. Baird. "Post-ovulatory ageing of the human oocyte and embryo failure." Human Reproduction 13.2 (1998): 394-397. f) Colombo, Bernardo, and Guido MasaroIo. "Daily fecundability: first results from a new database." Demographic research 3 (2000). g) Dunson, David B., Bernardo Colombo, and Donna D. Baird. "Changes with age in the level and duration of fertility in the menstrual cycle." Human reproduction 17.5 (2002): 1399-1403. h) Wilcox, Allen J., Clarice R. Weinberg, and Donna D. Baird. "Timing of sexual intercourse in relation to ovulation—effects on the probability of conception, survival of the pregnancy, and sex of the baby." N Engl J Med 1995.333 (1995): 1517-1521. i) Dunson, D. B., et al. "Assessing human fertility using several markers of ovulation." Statistics in medicine 20.6 (2001): 965-978. j) Dunson, David B., et al. "Day-specific probabilities of clinical pregnancy based on two studies with imperfect measures of ovulation." Human Reproduction 14.7 (1999): 1835-1839. k) Stanford, Joseph B., and David B. Dunson. "Effects of sexual intercourse patterns in time to pregnancy studies." American Journal of Epidemiology 165.9 (2007): 1088-1095. l) Frank-Herrmann, Petra, et al. "Determination of the fertile window: Reproductive competence of women–European cycle databases." Gynecological endocrinology 20.6 (2005): 305-312. m) Dunson, David B., and Clarice R. Weinberg. "Accounting for unreported and missing intercourse in human fertility studies." Statistics in Medicine 19.5 (2000): 665-679. n) Bilian, Xiao, et al. "Conception probabilities at different days of menstrual cycle in Chinese women." Fertility and sterility 94.4 (2010): 1208- 1211. o) Stanford, Joseph B., and David B. Dunson. "Effects of sexual intercourse patterns in time to pregnancy studies." American Journal of Epidemiology 165.9 (2007): 1088-1095. p) Lynch, Courtney D., et al. "Estimation of the day‐specific probabilities of conception: current state of the knowledge and the relevance for epidemiological research." Paediatric and Perinatal Epidemiology 20.s1 (2006): 3-12. q) Dunson, David B., and Clarice R. Weinberg. "Modelling human fertility in the presence of measurement error." Biometrics 56.1 (2000): 288-292. r) Wilcox, Allen J., Clarice R. Weinberg, and Donna D. Baird. "Post-ovulatory ageing of the human oocyte and embryo failure." Human Reproduction 13.2 (1998): 394-397. s) Kühnert, Bianca, and Eberhard Nieschlag. "Reproductive functions of the ageing male." Human reproduction update 10.4 (2004): 327-339. t) Stanford, Joseph B., George L. White Jr, and Harry Hatasaka. "Timing intercourse to achieve pregnancy: current evidence." Obstetrics & Gynecology 100.6 (2002): 1333-1341.
^ ^a ^b World Health Organization (2015). Medical Eligibility Criteria for Contraceptive Use:Fertility awareness-based methods. Fifth edition. World Health Organization (WHO). hdl:10665/181468. ISBN 9789241549158.
^ ^a ^b Curtis KM, Tepper NK, Jatlaoui TC, et al. (July 2016). "U.S. Medical Eligibility Criteria for Contraceptive Use, 2016" (PDF). MMWR. Recommendations and Reports. 65 (3): 1–103. doi:10.15585/mmwr.rr6503a1. PMID 27467196.
^ Weschler (2002), p.52
^ Cite error: The named reference Reed2018 was invoked but never defined (see the help page).
^ MedlinePlus Encyclopedia: LH urine test (home test)
^ Leridon H (July 2004). "Can assisted reproduction technology compensate for the natural decline in fertility with age? A model assessment". Human Reproduction. 19 (7): 1548–53. doi:10.1093/humrep/deh304. PMID 15205397.
^ Krock L (October 2001). "Fertility Throughout Life". 18 Ways to Make a Baby. NOVA Online. Retrieved 24 December 2006. Haines C (January 2006). "Your Guide to the Female Reproductive System". The Cleveland Clinic Women's Health Center. WebMD. Retrieved 24 December 2006.
^ ^a ^b ^c Brodin T, Bergh T, Berglund L, Hadziosmanovic N, Holte J (November 2008). "Menstrual cycle length is an age-independent marker of female fertility: results from 6271 treatment cycles of in vitro fertilization". Fertility and Sterility. 90 (5): 1656–61. doi:10.1016/j.fertnstert.2007.09.036. PMID 18155201.

EMsmile (talk) 13:22, 25 February 2021 (UTC)[reply]

Peer Review

I think the ordering is logical and methodical-- really clear. I would consider changing "women" and "men" to non-gendered references like "egg donor" and "sperm donor" to allow for more realistic and broad categories of identity.

As recent reviewers mentioned, although there is a male infertility wiki page, I would consider adding broader categories of testing but still obviously linking to the male infertility page as the main source of information.

I don't know if it's necessary to add a source to the topics of Three-dimensional sonography and Hysteroscopy but I did notice they were missing citations.

I really enjoy the cervical mucus picture.

Great work!

Jwctubahero (talk) 16:13, 16 September 2021 (UTC) Jwctubahero[reply]

I would also support the above comments by adding that you can also use the terms AMAB (assigned male at birth) or AFAB (assigned female at birth) if you would like to use non-gendered references.

No feedback on the actual content...everything looks great! Would maybe recommend adding some more wiki links in the X-ray hysterosalpingography and Hystero contrast sonography sections so that some readers can be redirected toward other terms/subjects of interest that will help them better understand those tests.

User: Matadorpachino22

WP:Student editors, Wikipedians have to follow the terminology used in reliable sources. See this discussion. Crossroads ^-talk- 04:09, 21 September 2021 (UTC)[reply]

Why the near exclusive focus on women?

This article elaborates heavily on fertility testing for females but only has a single paragraph and a link to separate articles for testing for males. Seems like an odd and unfitting way to organize information on this topic. Lameringuewrangler (talk) 19:00, 22 April 2023 (UTC)[reply]

[SchwartzEtAl821-1] ) Schwartz, Daniel, et al. "Donor insemination: conception rate according to cycle day in a series of 821 cycles with a single insemination." Fertility and sterility 31.2 (1979): 226-229. b) Schwartz, D., P. D. M. MacDonald, and V. Heuchel. "Fecundability, coital frequency and the viability of ova." Population studies 34.2 (1980): 397-400. c) Bremme, J. Sexualverhalten und Konzeptionswahrscheinlichkeit. Diss. Med Dissertation, Universität Düsseldorf, 1991. d) Weinberg, C. R., et al. "The probability of conception as related to the timing of intercourse around ovulation." Genus (1998): 129-142. e) Wilcox, Allen J., Clarice R. Weinberg, and Donna D. Baird. "Post-ovulatory ageing of the human oocyte and embryo failure." Human Reproduction 13.2 (1998): 394-397. f) Colombo, Bernardo, and Guido MasaroIo. "Daily fecundability: first results from a new database." Demographic research 3 (2000). g) Dunson, David B., Bernardo Colombo, and Donna D. Baird. "Changes with age in the level and duration of fertility in the menstrual cycle." Human reproduction 17.5 (2002): 1399-1403. h) Wilcox, Allen J., Clarice R. Weinberg, and Donna D. Baird. "Timing of sexual intercourse in relation to ovulation—effects on the probability of conception, survival of the pregnancy, and sex of the baby." N Engl J Med 1995.333 (1995): 1517-1521. i) Dunson, D. B., et al. "Assessing human fertility using several markers of ovulation." Statistics in medicine 20.6 (2001): 965-978. j) Dunson, David B., et al. "Day-specific probabilities of clinical pregnancy based on two studies with imperfect measures of ovulation." Human Reproduction 14.7 (1999): 1835-1839. k) Stanford, Joseph B., and David B. Dunson. "Effects of sexual intercourse patterns in time to pregnancy studies." American Journal of Epidemiology 165.9 (2007): 1088-1095. l) Frank-Herrmann, Petra, et al. "Determination of the fertile window: Reproductive competence of women–European cycle databases." Gynecological endocrinology 20.6 (2005): 305-312. m) Dunson, David B., and Clarice R. Weinberg. "Accounting for unreported and missing intercourse in human fertility studies." Statistics in Medicine 19.5 (2000): 665-679. n) Bilian, Xiao, et al. "Conception probabilities at different days of menstrual cycle in Chinese women." Fertility and sterility 94.4 (2010): 1208- 1211. o) Stanford, Joseph B., and David B. Dunson. "Effects of sexual intercourse patterns in time to pregnancy studies." American Journal of Epidemiology 165.9 (2007): 1088-1095. p) Lynch, Courtney D., et al. "Estimation of the day‐specific probabilities of conception: current state of the knowledge and the relevance for epidemiological research." Paediatric and Perinatal Epidemiology 20.s1 (2006): 3-12. q) Dunson, David B., and Clarice R. Weinberg. "Modelling human fertility in the presence of measurement error." Biometrics 56.1 (2000): 288-292. r) Wilcox, Allen J., Clarice R. Weinberg, and Donna D. Baird. "Post-ovulatory ageing of the human oocyte and embryo failure." Human Reproduction 13.2 (1998): 394-397. s) Kühnert, Bianca, and Eberhard Nieschlag. "Reproductive functions of the ageing male." Human reproduction update 10.4 (2004): 327-339. t) Stanford, Joseph B., George L. White Jr, and Harry Hatasaka. "Timing intercourse to achieve pregnancy: current evidence." Obstetrics & Gynecology 100.6 (2002): 1333-1341.

[who-2] World Health Organization (2015). Medical Eligibility Criteria for Contraceptive Use:Fertility awareness-based methods. Fifth edition. World Health Organization (WHO). hdl:10665/181468. ISBN 9789241549158.

[cdc-3] Curtis KM, Tepper NK, Jatlaoui TC, et al. (July 2016). "U.S. Medical Eligibility Criteria for Contraceptive Use, 2016" (PDF). MMWR. Recommendations and Reports. 65 (3): 1–103. doi:10.15585/mmwr.rr6503a1. PMID 27467196.

[4] Weschler (2002), p.52

[Reed2018-5] Cite error: The named reference Reed2018 was invoked but never defined (see the help page).

[6] MedlinePlus Encyclopedia: LH urine test (home test)

[7] Leridon H (July 2004). "Can assisted reproduction technology compensate for the natural decline in fertility with age? A model assessment". Human Reproduction. 19 (7): 1548–53. doi:10.1093/humrep/deh304. PMID 15205397.

[8] Krock L (October 2001). "Fertility Throughout Life". 18 Ways to Make a Baby. NOVA Online. Retrieved 24 December 2006. Haines C (January 2006). "Your Guide to the Female Reproductive System". The Cleveland Clinic Women's Health Center. WebMD. Retrieved 24 December 2006.

[Brodin2008-9] Brodin T, Bergh T, Berglund L, Hadziosmanovic N, Holte J (November 2008). "Menstrual cycle length is an age-independent marker of female fertility: results from 6271 treatment cycles of in vitro fertilization". Fertility and Sterility. 90 (5): 1656–61. doi:10.1016/j.fertnstert.2007.09.036. PMID 18155201.

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