Female Infertility Management
Investigation to exclude female infertility issues
Fertility for women relies on the ovaries releasing healthy eggs. The reproductive tract must allow an egg to pass into the fallopian tubes and join with sperm for fertilization. The fertilized egg must travel to the uterus and implant in the lining. Tests for female infertility try to find out if any of these processes are impaired. You may have a general physical exam, including a regular gynecological exam. Specific fertility tests may include:
- Ovulation Testing. A blood test measures hormone levels or an ovulation test kit is given to determine whether you’re ovulating
- Hysterosalpingography (HSG). It evaluates the condition of your uterus and fallopian tubes and looks for blockages or other problems. X-ray contrast is injected into your uterus, and an X-ray is taken to determine if the cavity is normal and to see if the fluid spills out of your fallopian tubes.
- Ovarian Reserve Testing. This testing helps determine the quantity of the eggs available for ovulation. This approach often begins with hormone testing early in the menstrual cycle.
- Another Hormone Testing. Other hormone tests check levels of ovulatory hormones, as well as pituitary hormones that control reproductive processes.
- Imaging Tests. A pelvic ultrasound looks for the uterine or ovarian disease. Sometimes a sonohysterogram, also called a saline infusion sonogram, is used to see details inside the uterus that are not seen on a regular ultrasound.