This may be due to a small tumour in the pituitary gland or the use of particular medications. The level of this hormone should be checked to see if the thyroid gland is underactive, which be linked with irregular periods. Women with ovulation problems or who have polycystic ovarian syndrome PCOS may have elevated androgen levels. Vaginal ultrasound An ultrasound gives good immediate information about the ovary.
Diagnostic laparoscopy A diagnostic laparoscopy keyhole investigation may be recommended but only if you have period pain, significant discomfort during penetrative sex, a history of recurrent pelvic infection, or you have had an ultrasound that suggests a pelvic problem. Taking these steps can help you cope:. Seek professional help if the emotional impact of the outcome of your fertility treatments becomes too heavy for you or your partner.
Depending on your age and personal health history, your doctor may recommend a medical evaluation. A gynecologist, urologist or family doctor can help determine whether there's a problem that requires a specialist or clinic that treats infertility problems. In some cases, both you and your partner may require a comprehensive infertility evaluation. Be ready to answer questions to help your doctor quickly determine next steps in making a diagnosis and starting care.
Infertility care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
This content does not have an English version. This content does not have an Arabic version. Diagnosis Before infertility testing, your doctor or clinic works to understand your sexual habits and may make recommendations to improve your chances of getting pregnant. Blocked fallopian tubes or an abnormal uterine cavity may cause infertility. Hysteroscopy Open pop-up dialog box Close.
Hysteroscopy During a hysteroscopy, your provider uses a thin, lighted instrument hysteroscope to view the inside of your uterus. Hysterosonography Open pop-up dialog box Close. Hysterosonography During hysterosonography his-tur-o-suh-NOG-ruh-fee , your doctor uses a thin, flexible tube catheter to inject salt water saline into the hollow part of your uterus. In vitro fertilization Open pop-up dialog box Close.
In vitro fertilization During in vitro fertilization, eggs are removed from mature follicles within an ovary A. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Infertility: An overview — A guide for patients. American Society for Reproductive Medicine. Accessed April 4, Jameson JL, et al. Female infertility: Evaluation and management. In: Endocrinology: Adult and Pediatric. Philadelphia, Pa: Saunders Elsevier; Accessed April 27, Clinical management of male infertility.
Accessed March 25, Speak with your doctor about instructions for transporting the sample to the office. Theoretically, it only takes one sperm to fertilize an egg, but the odds of one sperm reaching the egg are very low.
A urologist can suggest medical or surgical treatments to increase those odds, and men are advised to avoid smoking, excessive drinking and illegal drugs, maintain a healthy weight, and stay out of sources of excessive heat like tubs and saunas that can temporarily reduce sperm count. You should abstain from sex for at least two to five days before the analysis, but not longer than one week. Check with your doctor to see if there are any other recommendations specific to you.
After the infertility testing is done, your doctor will discuss the results with you and explain treatment. They just happen. The fact is that current technology does not have the tools for revealing the cause of your infertility. Even with the frustrating diagnosis, you will have options. Your doctor will prescribe individualized treatment for you and your situation. Fertility Testing.
What is Infertility and How is it Diagnosed? The short answer is that infertility is a medical condition. Table of Contents Jump to a specific section below. Table of Contents. Request a Consultation. Fertility Specialists vs Reproductive Endocrinologists -- Who should you see? Check for Fertility Treatment Insurance.
Ask these questions about fertility and infertility. Request a Fertility Consultation. Day 3. The LH Blood Test. Day Fertility Treatment Cost. Grants to Ease Infertility Costs. Cade Foundation. Baby Quest. Hope For Fertility Foundation. Starfish Fertility Foundation. Men Having Babies. Nest Egg Foundation. Financing offered through RMA of Connecticut. Core Values. It can check the condition and size of the ovaries during treatment for infertility. It can also be used to check a woman's egg supply ovarian reserve.
This is done by counting the number of follicles in both ovaries during a certain phase of the menstrual cycle antral follicle count. A hysterosalpingogram is an X-ray test that looks at the inside of the uterus and the fallopian tubes.
The pictures can show a blockage of the fallopian tubes that would prevent an egg from reaching the uterus or prevent sperm from moving into a fallopian tube to join fertilize an egg. This test may also see problems on the inside of the uterus that might prevent a fertilized egg from attaching implanting to it. A sonohysterogram is an ultrasound test that uses saline and ultrasound to look at the female reproductive organs.
Laparoscopy is a procedure to look at a woman's pelvic organs uterus, fallopian tubes, and ovaries using a thin, lighted scope that is put through a small cut incision in the belly. This procedure is used to find cysts , scar tissue adhesions , fibroids , and infections that can affect fertility.
Laparoscopy can also be used to treat conditions, such as endometriosis. Laparoscopy is usually done with general anesthesia. If a hysterosalpingogram, laparoscopy, or endometrial biopsy does not find a reason for your infertility, or if your infertility treatment has been unsuccessful, one or more of the following tests are sometimes used. Antibody blood tests may be done to find antisperm antibodies in blood, semen, or vaginal fluids.
Doctors question the value of antibody tests for finding the cause of infertility. Ultrasound uses sound waves to make a picture of structures inside the body. It may be done to see whether a problem in the testicles is causing a problem with the sperm. In rare cases, when men have no sperm in their semen, a testicular biopsy may be done to check the sperm in the man's testicles. Hysteroscopy is a procedure that looks at the lining of the uterus using a thin, lighted scope that is put through the vagina and cervix into the uterus.
Hysteroscopy is used to find problems in the uterine lining. Sometimes your doctor can use small tools during the procedure to take out growths or take samples of tissue biopsy or open a blocked fallopian tube.
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