Infertility Testing
How an infertility couple is investigated ?
- The most important is history and physical examination of both the partners.
- Assessment of ovulation
- This is best done by Ultrasound when patient is to be put under treatment
- Assessment of Ovarian Reserve
This is to be done to see woman’s remaining egg supply. The various methods of ovarian reserve testing are :
- Day 3 FSH, LH and Estradiol Levels
- AMH
- Ultrasound to assess ovarian volume and Antral follicle counts.
- Blood tests
- These depend upon Individual case. Most common are day 3 FSH (Follicle Stimulating Hormone), LH (Luteinizing hormone), Prolactin, Estradiol, TSH (Thyroid Stimulating Hormone). Other basic Blood tests are also done.
- Semen Analysis
- This is the simplest and the most important test.
- Tubal patency test or HSG
- HSG or hysterosalpingogram is also known as dye test. It is done between Days 6-11 of the cycle. It is done in order to assess the anatomy of endometrial cavity and the patency of tubes.
- Laparoscopy and Hysteroscopy
- This is a diagnostic process to find out the exact condition of the uterus, tubes and the pelvis. It is used when other investigations like ultrasound and HSG doesn’t give a clearer view. These endoscopic techniques can be used to correct underlying disorders when present like adhesions, endometriosis, fibroids, Polyps etc.
