If it is more than a year since trying to get pregnant, it is a sign that you should go directly to a fertility specialist and to do some fertility tests.
- Preparing For Your First Fertility Clinic Visit
- What tests should be included in the initial infertility?
A fertility specialist will check some aspects of your health, your husband’s health and once convinced, he will proceed with several investigations (usually progressive) to have the medically correct and clear picture of your infertility issues. Through these reports, he will be able to tell, who needs treatment and of what kind.
Before conducting tests for the initial evaluation of infertility, your doctor will ask you a set of questions to find the causes of infertility. The questions will concern your medical history, surgical, gynecology and obstetrics, as well as questions related to lifestyle.
If you’ve been to other doctors and specialists regarding your fertility, it is important to take all the reports of previous investigations with you, when changing your practitioner.
After the follow-up questions, he will then ask you for a complete physical examination that includes a pelvic ultrasound. Ultrasound help uncovers anomalies of the uterus, fallopian tubes, and / or ovaries.
After this ultrasound, next is an evaluation of ovarian reserve. This is a very important rating that determines a woman’s egg reserve. This is done by blood tests and ultrasound. The blood test is done for FSH, LH, and AMH hormone levels. Whereas, ultrasound is done for the assessment of ovarian volume and the number of antral follicles.
Then, evaluation of ovulation is conducted. This can be done in a variety of ways. According to medical studies, about 25% of all cases of infertility are due to an ovulatory disorder. A common type of ovulatory problem that is known as a polycystic ovarian syndrome, is treated effectively with medication.
A few are conducted on male partners as well. The primary test is semen analysis. Semen analysis test is a very important and should be done early in the evaluation process. If a defect is discovered in the sperm testing, the male partner is asked for therapy and other treatments. On an average, about 25% of all infertility cases are caused because of a defect in sperm.
Next up is blood tests. Depending on the situation the couple, doctors may ask them to go for several blood tests or woman. If there is a history of recurrent miscarriages (2 or more), the doctor may also advise tests like lupus anticoagulant (LAC) and anticardiolipin (ACL), and other tests.
Hysterosalpingography or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and fallopian tubes. HSG is usually set between 6 and 13 days cycle after menstruation and before ovulation.