Diagnosis of female infertility
Female infertility is usually diagnosed and treated by Gynecologists or Gynecologists with a specialization in fertility treatments. During the first consultation, the doctor may ask you about your menstruation, pregnancy, medical history and try to more about any issues that you might have such as pelvic pain, unusual vaginal bleeding and abnormal vaginal discharge. The infertility specialist or the gynecologist is also likely to run a pelvic exam to determine the exact complication and the best line of treatment accordingly. There is a possibility that the doctor might ask you any of the following questions:
- How long have you been trying to conceive?
- How often do you and your partner indulge in unprotected sex?
- Do you have any history of miscarriages or abortions?
- Have you suffered from any sexually transmitted infections?
- Do you have abnormal vaginal bleeding or discharge?
It is important to understand that no can determine the line of treatment until both partners are thoroughly examined. After your consultation, the infertility specialist may ask you to undergo certain tests to know the exact cause of infertility and determine the best line of treatment.
Common tests to diagnose infertility in females include:
Blood tests – If you are not able to conceive, the infertility doctor will conduct blood tests based on your health history. The blood test determines your thyroid level and prolactin levels, including other problems, if any.
Laparoscopy – In laparoscopy, the doctor inserts a thin, flexible monitoring instrument with a camera attached to it at one end to view the reproductive organs and determine the potential problem.
X-ray hysterosalpingogram (HSG) – In this test, the doctor injects a dye into the cervix and monitors via X-ray how the dye moves through the fallopian tube. The test can best help diagnose any blockages in the fallopian tube.
Transvaginal ultrasound – This test is done to get detailed images of the uterus and the ovaries. The test is done by inserting an ultrasound wand into the vagina.
Hysteroscopy – In this test, a hysteroscope is inserted into the vagina through the cervix. The doctor moves the hysteroscope into the uterus to get a proper view of the organ.
Saline Sonohysterogram – Commonly known as SIS, this test helps look at the uterine lining and check for polyps and other structural abnormalities. In this test, the uterus is filled with saline water which allows the doctor to get a detailed image of the uterine lining.