by Isabel Tagge

* Question: How do you test for infertility?

Before taking any fertility tests, a doctor will give you an examination in order to rule out initial fertility problems. The doctor will generally begin by giving you a physical examination. He will also want to know your partner's and your sexual and medical histories.

After completing the medical examinations, your fertility specialist will run a few tests. Generally, the semen specimen tests undergone by men evaluate his sperm based on the volume per ejaculation, movement (or motility) and shape. Some doctors will also give hormone and other tests.

For a woman, the fertility specialist will try to determine whether or not she is ovulating properly every month. In order to determine this, she will need to either take her temperature and record it every morning along with cervical mucous texture using a home kit for testing ovulation. To check whether or not ovulation is occurring, you may need to take some additional tests. These tests may include blood tests to determine hormone levels and an ultrasound for checking the ovaries.

* Question: What medicines are used to treat infertility in women?

The medication Clomiphene Citrate is often suggested for women who are experiencing problems with ovulation. It is also common for this drug to be used for women who may be experiencing Polycystic Ovarian Syndrome or other disorders that inhibit ovulation.

hMG (human menopausal gonadotropin) is the drug commonly used by women who are not ovulating correctly due to complications with pituitary glands. hMG acts directly on the ovaries to stimulate|to help stimulate ovulation.

In addition to hMG, women experiencing infertility problems may be prescribed medications such as gonadotropin-releasing hormone (Gn-RH) and follicle-stimulating hormone (FSH). You will most likely receive these medications in the form of an injection.

Metformin is generally used to treat women with high levels of male hormones which interfere with ovulation. Metformin may be combined with FSH.

Another commonly prescribed medicine, Bromocriptine is prescribed for women who have problems ovulating caused by high levels of prolactin, the hormone responsible for lactation.

* Question: Will my insurance plan cover treatment of infertility?

Even though there are insurance plans that cover infertility treatments, such coverage is generally dependent on where you live and the type of insurance policy you have. Presently, there are 12 states that have enacted laws requiring insurance providers to cover some form of infertility diagnosis and treatments, either fully or partially. These states are:

- Arkansas

- California

- Connecticut

- Maryland

- Rhode Island

- Connecticut

- Massachusetts

- Montana

- New York

- Arkansas

- Arkansas

- Hawaii

Laws passed in each of these states may differ in their requirements as well as in the kinds of treatments that must be covered. If you would like additional information regarding insurance coverage for diagnosing and treating infertility, look up the website of the American Society for Reproductive Medicine and click on the State Infertility Insurance Laws link.

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