How is Female Infertility Investigated?
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Similar to any medical condition, a diagnosis can only be made after relevant investigations have been carried out. These investigations may consist of blood tests, imaging, or even procedures:
After taking down notes on your medical history, the gynaecologist or fertility specialist will perform a pelvic ultrasound scan to access your ovaries, uterus and other parts of the reproductive organs using sound waves.
During hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee), X-ray contrast is injected into your uterus and an X-ray is taken to detect abnormalities in the uterine cavity. The test also determines whether the fluid passes out of the uterus and spills out of your fallopian tubes. If abnormalities are found, you’ll likely need further evaluation. In a few women, the test itself can improve fertility, possibly by flushing out and opening the fallopian tubes.
The gynaecologist or fertility specialist may order some hormone blood tests, such as Anti Mullerian Hormone (AMH), Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Estradiol and so on. But, AMH proves to be one of the most promising indicators of a woman’s egg reserve and ovarian function for reproduction.
The investigations carried out would focus on evaluating the following :