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How Doctors Test For Infertility
A doctor can test for infertility in a number of ways. Making the decision to go to your GP, if you are having problems getting pregnant can be a big step.Firstly both partners need to agree, as it's not just the woman who will be tested.some people just don't want the invasive procedures to test for infertility, others are scared at what they might find. When you have made your choice to find out what's wrong, and what help is then available to you, it's handy to know what to expect.
Infertility testing - Taking the first step
Your doctor will want to ask some questions about your monthly cycle (is it regular, or irregular) This can help him to evaluate whether you are ovulating or not. He may then ask if there are any problems with sex, how often you are trying, and if there is any pain.This could be a sign of endometriosis, Or some STD's. He will ask whether you have had previous pregnancies in another relationship.He will examine you to see if he can feel if the ovaries and uterus are normal. He will also check for any swelling or painful area's. Your doctor will also need some details from your partner. He will need to tell the doctor about any trauma, infections or operations to the groin area. Both partners would also need to give an account of any smoking or drinking habits.
To test for infertility - The process
- HSG (Hysterosalpingogram) test. A small amount of dye is injected through the cervix, and then x-rays are taken. These will show the outlines of the uterus and tubes, and any blockages will be seen by the consultant.
- Pregesterone testing. This checks whether you have ovualted or not.
- LH/FSH test (these are the hormones that stimulate egg development and release). This is a blood test taken on the second day of your monthly menstrual cycle. It can tell the doctor whether there are eggs being developed and released by your ovaries.
- Semen Analysis test. This will tell the doctor whether your partners sperm is normal, and what the motility rate is.
- Rubella. This test will tell whether you have rubella immunity, by checking for antibodies.
There are also other tests for infertility that can be done under special circumstances. Tese include. - Hysteroscopy. IF there may an abnormality in the uterus, a small telescope can be passed through the cervix and the inside of the uterus can be viewed for problems.
- Thyroid function test. Certain problems can prevent ovulation.
- Laparoscopy. This can be done if the results of HSG test are inconclusive or more information is needed.
- Ultrasound scan.
- Post-coital test. Rather like a smear test, the consultant will take a small amount of mucus just after you have had sex. This will then be examined under a microscope. It can tell if your mucus is causing an inhospitable environment for your partners sperm.This test isn't used often now in the UK, as the results are not that accurate.
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