Female infertility DiagnosticsAbout infertility
Infertility is diagnosed after 1 year of attempted conception without success in couples aged up to 35 years, or 6 month in couples where a women is more than 35 year old. There are a lot of factors, which can cause female infertility. Therefore only after an all-round examination we can evaluate the causes of female infertility.
Fertility test may include:
- Medical examination – the first contact with the patient, where we decide which test is the most appropriate in accordance with your medical history, the time of infertility, lifestyle and so on.
- Vaginal ultrasound – during this procedure we examine your ovaries, uterus and tubes. Ultrasound scan allows evaluate ovarian reserve through the follicles count, confirm the ovulation, predict the response to hormonal stimulation. Also it is possible to detect the presence of cysts and endometriosis signs on the ovaries which may cause infertility. During ultrasound scan, the lining of uterus is examined. The lining can be too thick or too thin, have different inclusions (polyps) which can cause infertility. Uterus is carefully examined for fibroids which can deform the uterus cavity.
- Hormonal examination – usually performed in the first days (2nd, 3rd or 4th) of the cycle. The most common hormones which have to be controlled, are: FSH, LH, AMH, Prolactyn, TRH, TRH-antibodies, TPO-antibodies. They influence the ovulation process, the implantation process, and can predict the response to hormonal stimulation.
- Hysterosalpingogram – this procedure allows us to examine permeability of tubes by injecting contrast fluid into the uterus under the control of X-rays or ultrasound. It allows us to determine if there are tube blockages which may stop sperm-egg interaction in normal conditions.
- Hysteroscopy – allows us to diagnose the inner part of uterus with a thin, flexible tube with a camera which is placed into uterus through the cervix. The doctor can see problems with the uterus, and take tissue samples if needed.
- Laparocopy - Small cuts are made in the abdomen and tools including a camera are inserted into the belly. This surgery can evaluate the entire pelvis and potentially correct problems, such as endometriosis.