Diagnosis of Female Infertility

Diagnosis a woman’s infertility starts with a check on her medical history, as well as a physical exam. Other tests can also be provided by the obstetrician-gynecologist, which includes these following procedures.

Endometrial biopsy – A medical exam involving removing of cells from the inner membrane of a woman’s uterus. This is to verify ovulation, as well as inspect the lining of the uterus.

Hormone testing – Levels of female hormones are measured at certain times during a menstrual cycle. It aims to determine whether a woman’s infertility is hormonal by nature.

FSH and estrogen measurement – The doctor may assess a woman’s ovarian reserve by measuring her estrogen and "follicle-stimulating hormone" (FSH), which is secreted by both men and women for reproduction purposes.

Measurement of progesterone – Determining the level of progesterone during the second half of menstrual cycle helps determine ovulation.

Measurement of thyroid function – Thyrotropin, also known as the "thyroid-stimulating hormone" (TSH), is secreted in the pituitary gland and regulates the endocrine function of the thyroid gland. The doctor may also measure the level of this hormone to consider how optimal a woman is for conception.

Laparoscopy – A laparascopy or pinhole surgery is a modern surgical technique that operates in the abdomen through small incisions. Once incision is performed, a telescopic lens system connected to a video camera is inserted to the hole to inspect the organs on the pelvis to check their normalcy.

Pap test – The Papanikolaou test (or pap smear) is a medical screening method designed to detect signs of infection in the cervix.

Pelvic examination – The doctor could also conduct a pelvic exam by examining the female pelvic organs, including the vagina, for abnormalities or infections.

Special X-rays – Specialized X-rays are used on the patient to check for abnormalities and other tell-tale signs of infertility.