Self Assessment

Please answer the following simple questions to receive a recommendation on your next steps.

Self Assessment

Please answer the following simple questions to receive a recommendation on your next steps.

Fertility Self Assessment Tool *

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Question 1

How long have you been trying to get pregnant?

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less than 6 months
more than 6 months, less than 1 year
more than 1 year


Question 1 Information

How long have you been trying to get pregnant?

Eighty percent of women conceive within one year of unprotected sexual life. As age advances, over 35 years old for example, fertility starts declining so this cut-off limit becomes six months. Here you need a consulation with a doctor.

Question 2

What is your age?

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under 32
32 to 35
over 35

Question 2 Information

What is your age?

In women, fertility declines more quickly with age. This decline becomes rapid after the age of 35. A range of factors cause this, especially the decline in the quality of the eggs being released by the ovaries.

Question 3

Are you overweight?

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No
Mildly overweight
Acutely overweight

Question 3 Information

Are you overweight?

Being overweight can stem from various reasons e.g. PCOS, hereditary, sedentary lifestyle etc. It can be categorized as per body mass index (BMI). It causes hormonal imbalance in the body which affects fertility. Lifestyle changes and some therapy is required to balance hormones which would help the woman to get pregnant.

Question 4

Do you smoke?

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No
Yes, occasionally (2 cigarettes per day)
Yes, heavy smoking (more than 2 cigarettes per day)

Question 4 Information

Do you smoke?

Smoking badly affects sperm count, mobility and sperm morphology. Moreover, smoking increases the incidence of infertility in females as well.

Question 5

How often do you have unprotected sex during fertile period?

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Every day
Every alternate day
Very few days

Question 5 Information

How often do you have unprotected sex during fertile period?

Most fertile time of the month?

When a woman ovulates, an egg is released from her ovaries into the fallopian tubes. This is where conception will occur if the egg is fertilised by sperm.

If you are a woman who has regular periods, call the first day of your period day one. Typically you will ovulate between day 10 and day 16. If you have unprotected sex across these days, you give yourself the best chance of conception.

Don't let the timing of ovulation become a source of stress. You only need to know the exact day of ovulation if you want to time intercourse to the day. If you have sex every day across the days you may be ovulating, you have the best chance of becoming pregnant.

Question 6

Do you have regular periods?

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Yes
Occasionally irregular
Always irregular

Question 6 Information

Do you have regular periods?

A period is a bleed from the uterus (womb) that is released through the vagina. It happens approximately every 28 days, though anywhere between 24 and 35 days is normal.

Periods are part of the female reproductive cycle.

Every month the lining of the womb thickens in preparation for receiving a fertilised egg. But if the egg is not fertilised, hormonal changes signal to this lining to break down. A period bleed is made up of this lining, and a small amount of blood from the vessels present in this lining. The irregular, scant or absent periods may lead to abnormal endometrial lining and problem in conceiving.

Question 7

Do you have amenorrhea/tuberculosis at present or in the past?

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No
Had in past
Yes, at present

Question 7 Information

Do you have amenorrhea/tuberculosis at present or in the past?

Amenorrhea could be primary or secondary. It can be caused by many different conditions. Tuberculosis is one of the causes. Reproductive system tuberculosis hampers the endometrial lining and blocks tubes, which significantly affects fertility. Consult a doctor to treat amenorrhea.

Question 8

Have you ever been diagnosed PCOS (polycystic ovarian syndrome)?

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No
Doubtful
Yes

Question 8 Information

Have you ever been diagnosed PCOS (polycystic ovarian syndrome)?

The most common cause of ovulation problems, leading to failure to become pregnant, is polycystic ovarian syndrome (PCOS). This is a condition associated with multiple cysts in the ovaries and failure to ovulate regularly. These patients need assistance to make them ovulate and to get pregnant.

Symptoms can also include light, irregular or absent periods, weight gain, acne, and excessive hair growth.

The symptoms of this condition can be improved by losing excess weight through a healthy diet and exercise.

Medicines or surgery can also help women with PCOS to ovulate, and achieve pregnancy.

Question 9

Do you have any fertility male/female problem in your family?

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No
Yes -in distant relatives
Yes -in siblings/mother/father

Question 9 Information

Do you have any fertility male/female problem in your family?

Subfertility or infertility may run in the family. Knowing the specifics of family fertility problems may help in determining the action required for the couple to get pregnant.

Question 10

Have you had an ectopic pregnancy or any other pelvic surgery?

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No
I don't know / other surgery
Ectopic pregnancy yes

Question 10 Information

Have you had an ectopic pregnancy or any other pelvic surgery?

Ectopic pregnancy is where a fertilised egg implants, and starts to develop, outside the womb. These pregnancies can not continue to birth. Around 1 percent of pregnancies are ectopic pregnancies.

Left untreated, an ectopic pregnancy can be fatal for the mother. But the number of ectopic pregnancies that result in death is extremely small. Ectopic pregnancy can be treated with surgery to remove the developing egg, or sometimes with medicines.

If you have had a previous ectopic pregnancy, your chance of having another rises from around 1 percent to 8 percent and previous surgery for ectopic / removal of tube reduces the chances of conception.

Question 11

Do you have any pelvic inflammatory disease (PID) / sexually transmitted infection (STI)?

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No
I don't know / had in the past
Yes

Question 11 Information

Do you have any pelvic inflammatory disease (PID) / sexually transmitted infection (STI)?

PID/Sexually transmitted infections such as Chlamydia and gonorrhea can damage a woman's fallopian tubes and the male reproductive system, which can result in difficulty becoming pregnant.

Question 12

Do you suffer from severe period pains (dysmenorrhea) or endometriosis?

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No
Yes, sometimes / I don't know
Yes / take medication to stop pain

Question 12 Information

Do you suffer from severe period pains (dysmenorrhea) or endometriosis?

Period pain can have many different causes. Relating to fertility, endometriosis is the most significant cause. Endometriosis significantly affects ovaries and tubes, depending on its severity. In severe endometriosis, in vitrio fertilisation (IVF/IVF-ICSI) may remain the only option for the woman to get pregnant.

Result

It is common for it to take longer than 6 months to get pregnant and in the majority of cases this does not indicate any problem.

After the age of 35, fertility problems become more common.

It can help if you have sex more often during the most fertile part of your monthly cycle. At least every other day is recommended.

It you have any concerns you should arrange to see your GP.

You may want to seek the advice of a Fertility specialist to determine if your health conditions are impacting your fertility. If so, click on the Find Clinic button below.

Result

Based on some of your responses, you may want to seek the advice of a Fertility specialist to determine if your health conditions are impacting your fertility.

If so, click on the Find Clinic button below.

It you have any concerns you should arrange to see your GP.

*References: RESOLVE and NHS Choices

Merck Fertility Booklet

Merck (Pty) Ltd

Contact Us

+27 11 372 5035

medinfo@merckgroup.com

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Longmeadow Business Estate,
Modderfontein, 1645,
South Africa