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Female infertility Diagnosis

Diagnosis

The cause of female infertility can be difficult to diagnose. After a full evaluation, our physician will provide you with a reasonable idea of your chances of conceiving with various treatment options. Side effects, costs, the risk of multiple births, which is increased with some infertility treatments and expected success rates, are important factors and these will be clearly explained before embarking on a particular treatment plan.

Female infertility

    Diagnosis

    Hormonal profile

    Why are these hormone levels important?
    Hormones are crucial to a woman's reproductive health. The main hormones affecting the menstrual cycle and fertility are produced by glands in the brain and by the ovaries. Those hormones regulate menstruation, fertility, and sex drive (libido) - any one of which can be adversely affected if the production of these hormones goes out of balance. As most women approach mid-life, hormonal changes gradually cause reproductive organs to shut down, eventually leading to menopause.

    Who should be tested?

    You should strongly consider testing if you are a woman struggling with infertility, or if you are trying to conceive for 6 months without contraception. In addition, strongly consider testing if you are experiencing abnormal menstrual cycles, abnormal or heavy vaginal bleeding, fatigue, moodiness, low sex drive, loss of muscle tone or increased body fat.

    What does the test include?
    Day 2/3 FSH, LH & S Estradiol
    Thyroid Profile: T3 free, T4 free, and TSH
    Anti Mullerian Hormone
    Pelvic USG

    A pelvic ultrasound uses sound waves to make a picture of the organs and structures in the lower belly (pelvis).

    A pelvic ultrasound is done to look at the ovaries, uterus, cervix and diseased fallopian tubes of a woman (female organs).

    Hysterosalpingogram

    A hysterosalpingogram (HSG) is an X-ray test that looks at the inside of the uterus and fallopian tubes and the area around them.

    During a hysterosalpingogram, a dye (contrast material) is put through a thin tube that is put through the vagina and into the uterus. As the uterus and the fallopian tubes are hooked together, the dye will flow into the fallopian tubes. Pictures are taken using a steady beam of X-ray (fluoroscopy) as the dye passes through the uterus and fallopian tubes. The pictures can show problems such as an injury or abnormal structure of the uterus or fallopian tubes, or a blockage that would prevent an early pregnancy moving through a fallopian tube to the uterus. A blockage also could prevent sperm from moving into a fallopian tube and joining (fertilizing) an egg. A hysterosalpingogram also may find problems on the inside of the uterus that prevent a fertilized egg from attaching (implanting) to the uterine wall.

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