Womens Health
  • Reproductive Health
    • All
    • Cancer
    • Gynecology
    • Infections

    Endometrial Carcinoma-Symptoms and Treatment Options

    Treatment Overview For Cervical Cancer

    Preparing For Your Visit To The Gynecologist

    Elective Termination Of Pregnancy

    Advances In Gynecological Surgery

    Lifelong Infection

    Pelvic Inflammatory Disease

    Your First Visit To The Gynecologist

    When A Tampon Becomes Deadly

  • Birth Control
    • All
    • Birth Control Options
    • Birth Control Pill
    • Mirena And IUD

    The IUD As Emergency Contraception

    Uterine Perforation Risk From Mirena

    The Risks Of Unapproved IUD’s

    Maybe It’s Time To Switch?

    The Pill And Your Bones

    The Benefits And Demerits Of The Pill

    Pill Causes Triple Negative Breast Cancer

    Is The Pill Passé?

    Indiana Women Say Yaz Is Bad

  • Fibroids
    • All
    • Fibroid Treatment
    • Fibroids And Fertility
    • Uterine Fibroids

    What About Homeopathy?

    Fibroids And Getting Pregnant

    Can Herbs Make A Difference?

    Chinese Fibroid Treatment

    On Pins And Needles With Fibroids

    Infertility In Indian Women

    Preserving Your Fertility

    More Options

    Miscarriage Risk

  • Pregnancy
    • All
    • Labour And Delivery
    • Postpartum And Baby Care
    • Pregnancy Health
    • Pregnancy infections
    • Pregnancy Symptoms

    Listeriosis And Pregnancy

    Mercury And Omega-3s

    Understanding Blood Pressure

    Is Alcohol Consumption Safe?

    Baby, You Move Me

    Weighing In

    Pregnancy Fatigue

    Harmful  Cravings

    Harmful Cravings

    PIH Or Preeclampsia

  • Infertility
    • All
    • Alternative Treatments
    • Drugs And Treatments
    • Infertility and Emotions
    • Infertility Causes
    • IUI
    • IVF

    Tough IUI Decisions

    Traveling Abroad For IUI

    Fertility Matchmaking

    Assume The Position

    Choosing Between IVF And IUI

    Pelvic Inflammatory Disease and Infertility

    What You Need to Know About IVF

    Thinking About Infertility Long Before It’s Baby Time

    IVF Step By Step – Step Three

  • Menstrual Cycle
    • All
    • Menstruation Cycle
    • Menstruation Problems
    • PMS

    The Menstrual Cycle As Fertility Marker

    Charting Your Cycle

    More Severe Menstruation Symptoms

    Can I Get Pregnant During My Period?

    Menstruation And Fertility

    Regular Or Irregular -What Does It Mean?

    Different kinds of irregular menstrual cycles.

    Food Cravings

    Changes To Your Cycle

No Result
View All Result
  • Reproductive Health
    • All
    • Cancer
    • Gynecology
    • Infections

    Endometrial Carcinoma-Symptoms and Treatment Options

    Treatment Overview For Cervical Cancer

    Preparing For Your Visit To The Gynecologist

    Elective Termination Of Pregnancy

    Advances In Gynecological Surgery

    Lifelong Infection

    Pelvic Inflammatory Disease

    Your First Visit To The Gynecologist

    When A Tampon Becomes Deadly

  • Birth Control
    • All
    • Birth Control Options
    • Birth Control Pill
    • Mirena And IUD

    The IUD As Emergency Contraception

    Uterine Perforation Risk From Mirena

    The Risks Of Unapproved IUD’s

    Maybe It’s Time To Switch?

    The Pill And Your Bones

    The Benefits And Demerits Of The Pill

    Pill Causes Triple Negative Breast Cancer

    Is The Pill Passé?

    Indiana Women Say Yaz Is Bad

  • Fibroids
    • All
    • Fibroid Treatment
    • Fibroids And Fertility
    • Uterine Fibroids

    What About Homeopathy?

    Fibroids And Getting Pregnant

    Can Herbs Make A Difference?

    Chinese Fibroid Treatment

    On Pins And Needles With Fibroids

    Infertility In Indian Women

    Preserving Your Fertility

    More Options

    Miscarriage Risk

  • Pregnancy
    • All
    • Labour And Delivery
    • Postpartum And Baby Care
    • Pregnancy Health
    • Pregnancy infections
    • Pregnancy Symptoms

    Listeriosis And Pregnancy

    Mercury And Omega-3s

    Understanding Blood Pressure

    Is Alcohol Consumption Safe?

    Baby, You Move Me

    Weighing In

    Pregnancy Fatigue

    Harmful  Cravings

    Harmful Cravings

    PIH Or Preeclampsia

  • Infertility
    • All
    • Alternative Treatments
    • Drugs And Treatments
    • Infertility and Emotions
    • Infertility Causes
    • IUI
    • IVF

    Tough IUI Decisions

    Traveling Abroad For IUI

    Fertility Matchmaking

    Assume The Position

    Choosing Between IVF And IUI

    Pelvic Inflammatory Disease and Infertility

    What You Need to Know About IVF

    Thinking About Infertility Long Before It’s Baby Time

    IVF Step By Step – Step Three

  • Menstrual Cycle
    • All
    • Menstruation Cycle
    • Menstruation Problems
    • PMS

    The Menstrual Cycle As Fertility Marker

    Charting Your Cycle

    More Severe Menstruation Symptoms

    Can I Get Pregnant During My Period?

    Menstruation And Fertility

    Regular Or Irregular -What Does It Mean?

    Different kinds of irregular menstrual cycles.

    Food Cravings

    Changes To Your Cycle

No Result
View All Result
No Result
View All Result
Home Infertility Infertility Causes

Infertility Testing: Getting Help for Fertility Problems

by admin
06.01.2021
in Infertility Causes
0
0
SHARES
9
VIEWS
Share on FacebookShare on Twitter

Are you and your partner having troubles conceiving? If so, you may be considering going for infertility testing. But what can you expect during your appointment and what types of tests might you have to do? Gain a better understanding of the infertility testing process with this article.

History, Examinations and Testing

Before any testing is carried out it is important that your doctor takes a detailed history and performs an examination.

In the discussions which take place, your doctor will want to establish important facts, such as your ages, how long you have been trying, how often you have intercourse, if there is any problem with normal intercourse (eg. psychosexual, impotence or penetration problems), and whether either of you have had any pregnancies in previous relationships. Irregular periods may suggest that ovulation is not taking place every month or if they are particularly painful and intercourse is uncomfortable, this might suggest endometriosis. Previous pelvic (PID) or chlamydia infection may be significant with regards to tubal blockage, as might previous pelvic surgery.

On the male partner’s side, it is important to know if there have been any operations or trauma to the testes or a significant infection, such as mumps as an adult, which can be associated with a low sperm count. For both partners documentation of alcohol and smoking habits is important, as both of these are associated with reduced fertility.

Examination of the woman will include an internal to check that the uterus & ovaries feel normal and to see if there is any particular tenderness or painful areas. Swabs are sometimes taken to rule out infection. Many men are surprised when asked to be examined in an infertility clinic, but it can be helpful. Most clinics, however, do not routinely examine the male partner unless the semen analysis turns out to be abnormal.

Essential Examinations

All couples will need to undergo the following testing:

Hysterosalpingogram (HSG)

This test is carried out in the x-ray department of the hospital and is a screening test to check if the tubes are blocked. A speculum is passed (like when having a smear test) and a small amount of dye is injected through the cervix. A series of x-rays are taken which show the outline of the uterus and if the tubes are open, dye will be seen flowing through.

Day 2 LH/FSH

This is a blood test that checks whether there is a good reserve of eggs in the ovary and that the hormonal system leading to their release is intact. It is taken on the second day of the cycle (day 1 is the first day of a period). LH and FSH are hormones that stimulate egg development and release. High levels of LH are also found in polycystic ovary syndrome, which is a common cause of anovulatory infertility.

Progesterone Test

This will check if ovulation has taken place. It should be taken 7 days before a period, so for a 28-day cycle it is done on day 21. If a period doesn’t come 6-8 days after the test, then it will need to be repeated. A level of 30 nmol/l or more suggests ovulation has occurred.

Semen Analysis

A sample of semen is needed to check the total count, whether the sperms look normal, and if they are motile. It is important to abstain from sex for a few days before the test and to ensure that the sample is transported to the lab without delay when produced.

If the first test is low or borderline, a second sample is requested to see if this was a one-off result – was this the best or worst? More details about abnormalities of the semen analysis are discussed in Male Infertility.

Rubella antibody levels

These are checked to see that immunity is present, as this is a good time to repeat the immunisation if not, rather than risk infection during pregnancy, which can cause fetal defects.

Other Examinations: For Special Circumstances

If the standard battery of tests come back abnormal in some way, further tests may be carried out. These tests can include:

Pelvic Ultrasound Scan

Many units now carry this out as a part of the initial examination process to check that the uterus appears normal and whether the ovaries have a polycystic appearance. An internal or transvaginal scan is most accurate.

Diagnostic Laparoscopy and Dye Test

If there is a significant degree of pain with intercourse or painful periods then a laparoscopy might be suggested instead of an HSG. This involves a general anaesthetic and small telescope look through the umbilicus into the pelvis to see if there is anything causing the pain, such as endometriosis. At the same time some dye is injected to check the patency of the tubes. This is also done if an HSG suggests that there might be a problem with the tubes, as an HSG alone can’t give all the information and the ‘blockage’ may just be due to spasm of the tube or inadequate pressure when injecting the dye when you are awake.

Post-Coital Test

This test involves an examination of the mucus around the cervix shortly after intercourse has taken place. It is like having a smear test, and under the microscope interactions between the sperms and cervical mucus are analysed. It is only rarely used now in the UK, as studies have found it to be poor at predicting infertility, it often gives inaccurate results and adds little to the information obtained by the above tests.

Hysteroscopy

If the HSG suggests that there is an abnormality of the inside of the womb, a hysteroscopy can be done for a closer look. A fine telescope is passed through the cervix and the uterine cavity visualised. Hysteroscopy can detect fibroids or congenital variations such as a double-womb, bicornuate (heart-shaped) uterus or a uterine septum.

Thyroid Function Tests and Prolactin

If a woman has irregular or infrequent menstrual cycles, or shows other signs of thyroid disease then it is important to exclude this.

Prolactin is a hormone that is normally involved in the production of breast milk and is released from a gland in the brain called the pituitary. An overactive pituitary gland can cause abnormally high levels of prolactin (hyperprolactinaemia) which prevents ovulation.

A blood test for prolactin levels should be done if cycles are infrequent or there is an unusual discharge from the breast.

For more information on fertility problems check out our pregnancy videos.

Previous Post

What causes female infertility?

Next Post

Pregnancy Tests: Natural Ways to Improve Conception

admin

Next Post

Pregnancy Tests: Natural Ways to Improve Conception

No Result
View All Result

Recent Posts

  • Endometrial Carcinoma-Symptoms and Treatment Options
  • PCOS and Insulin Resistance
  • Is There Life After Menopause
  • Tough IUI Decisions
  • The IUD As Emergency Contraception

Recent Comments

    Categories

    Recent News

    PCOS and Insulin Resistance

    12.10.2020

    Endometrial Carcinoma-Symptoms and Treatment Options

    13.10.2020
    • About Us
    • Conditions of Use
    • Privacy & Policy
    • Contact

    © 2020 Women's health

    No Result
    View All Result
    • Reproductive Health
    • Birth Control
    • Fibroids
    • Pregnancy
    • Infertility
    • Menstrual Cycle

    © 2020 Women's health