A way to know the root cause of trouble in conception
You should probably anticipate answering a lot of questions. In order for your doctor to get the full story of why you may be having trouble conceiving.
Infertility workup can be done through various ways as mentioned below.
Lets know more about these...
Birth control history
Current sexual patterns
Other significant health problems
and many more...
Some of the proven ways to get confirm/rule out infertility in an aspiring parents
There are series of careful PHYSICAL EXAMINATION available which doctors have recommended to have clear picture of infertility cases.
Hair distribution/ patterns on the face and body – indicating a possible increase in male hormones which could affect your fertility
Breast examination – the doctor will examine the size and shape of your breasts and squeeze them to see if any liquid comes out which may indicate the presence of increased prolactin
Pelvic examination – to inspect the cervix looking for signs of unusual growths sores discharge or infection
Pap smear – is done to check for cervical cancer and cervical mucus is examined for possible infections.
Tests for determining the cause of infertility
These tests are broken into 5 categories: ovulation, ovarian function, luteal phase, cervical mucus and reproductive organ testing.
Ovulation - Basel Body Temperature (BBT) Charts: This is an easy way to track your ovulation at home. .This is indicated by a spike in your normal body temperature.
Ovulation Kits: These are designed to help you predict the time you will ovulate they measure the LH level in your urine.
Blood Tests and Ultrasound: Blood tests measure levels of estrogen and LH with LH Surge. ultrasounds track follicular growth.
Ovarian Function Tests: Day 3 FSH: This is a blood test taken on day 3 of your period. It measures the level of the hormone FSH. An increase in FSH may indicate a decrease in the production of good-quality eggs and embryos.
Day 3 Estradiol Tests: This blood test measures the amount of estrogen in your blood. A high level of estradiol may indicate poor egg quality.
Inhibin B levels: A blood test to determine if inhibin B is being produced at too low a level is conducted.
Luteal Phase Testing: Plasma progesterone level: A blood test in the last part of your cycle high levels of progesterone indicate that ovulation has occurred.
Hormone tests: serum prolactin: androgen and thyroid-stimulating hormone.
Endometrial biopsy: Performed after day 21 the test involves taking a small piece of tissue from the uterine lining. This test determines if the lining is thick enough for a fertilized embryo to implant. The results will indicate endometrial development.
Evaluate the Cervical Mucus: Postcoital test (PCT): Performed mid-cycle shortly after intercourse this test evaluates the quality and quantity of cervical mucus and documents the presence of live motile sperm in the mucus.
Hysterosalpingogram (HSG): An HSG is an x-ray procedure performed in the first half of the cycle using water or oil-based dye to identify any structural abnormalities in your uterus or fallopian tubes.
Hysteroscopy: A hysteroscope is a tiny telescope mounted with a fiber optic light it is used to examine uterine abnormalities (if your HSG indicated uterine abnormality).
Laparoscopy: A surgical procedure performed under general anesthesia it is performed around or before ovulation. This procedure allows the doctor to get a clear view of your pelvic cavity including; ovaries outsides of fallopian tubes and the uterus. In addition
if endometriosis or adhesions are found a laser can be used to remove them.
Sonohystogram: A ultrasound using saline to inflate the uterine cavity to allow for a careful examination of the uterus.
Ultrasound: Either abdominal or vaginal ultrasound can be used to visualize the uterus and ovaries. Vaginal ultrasound is more sensitive to detect fibroids or ovarian cysts.
Our Medical Specialists
A team of qualified doctors dedicated to the best health care treatment and provide comprehensive services under one roof