Investigations / Screening

Fertility investigations and screenings are important for individuals or couples who are experiencing difficulty conceiving or who are concerned about their reproductive health. These investigations aim to identify any underlying factors that may be affecting fertility.
  • A comprehensive medical history is obtained to assess factors such as menstrual history, previous pregnancies, sexual history, past surgeries, and any medical conditions or medications that may affect fertility.
  • A physical examination may be conducted to evaluate the reproductive organs, including the uterus, ovaries, and fallopian tubes, in both partners.
  • Ovulation assessment involves tracking the menstrual cycle to determine if ovulation is occurring regularly.
  • Methods for ovulation assessment may include tracking basal body temperature, using ovulation predictor kits, monitoring cervical mucus changes, or undergoing ultrasound scans to visualize follicle development.
  • Semen analysis is a key test to assess male fertility. It involves evaluating the quantity, quality, and movement (motility) of sperm in a semen sample.
  • The analysis may assess parameters such as sperm count, sperm morphology (shape), and sperm motility.
  • Hormone testing may be performed to assess levels of reproductive hormones that play a role in fertility, such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol, testosterone, and thyroid hormones.
  • Hormone testing may help identify issues such as ovulatory disorders, ovarian reserve (the quantity and quality of eggs remaining in the ovaries), or hormonal imbalances.
  • Ovarian reserve testing assesses the quantity and quality of a woman’s eggs (ovarian reserve). This may involve tests such as anti-Müllerian hormone (AMH) levels, antral follicle count (AFC) via ultrasound, or follicle-stimulating hormone (FSH) and estradiol levels on specific days of the menstrual cycle.
  • These tests provide information about a woman’s potential for conception and may help guide treatment decisions, particularly for assisted reproductive technologies (ART) such as in vitro fertilization (IVF).
  • Hysterosalpingography is a radiologic procedure that involves injecting a contrast dye into the uterus and fallopian tubes to evaluate their structure and detect any blockages or abnormalities.
  • HSG can help identify issues such as fallopian tube blockages, uterine abnormalities, or adhesions (scar tissue) within the reproductive organs.

Other Diagnostic Tests

Additional tests or evaluations may be recommended based on individual circumstances. These may include genetic testing, pelvic ultrasound, laparoscopy (minimally invasive surgery), or endometrial biopsy, among others.

The results of these tests can help identify factors contributing to infertility and guide the development of personalized treatment plans to improve the chances of conception. If you are experiencing fertility concerns, seek evaluation and guidance from us by scheduling an appointment.

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