Infertility Investigations- Part-II

Infertility Investigations- Part-II

Investigating the female partner?

In the first part of the infertility investigations, we have discussed the root cause of the infertility issues and investigated the male partner. Today, we will let you know what you should be investigating about the female partner.

Has your doctor asked the below three questions while dealing with the infertility issues in women.

  • Are you ovulating?
  • Are her Fallopian tubes blocked?
  • Are there other factors preventing a pregnancy?

Investigating ovulation

If you are having regular periods, chances are that you are ovulating. However, if there is a doubt that you are not ovulating, an ultrasound scan need to be done in the middle of the cycle to establish whether you are ovulating or not. By ultrasound, the studies also likely reveal other causes for infertility like endometriosis.

Investigations for the Fallopian tube

The Fallopian tube transport the egg from the ovary to the uterus ( the womb). Following the vaginal intercourse, the tube is also the place where fertilisation occurs. If the tubes are blocked, the sperm and the egg cannot meet, thus, the egg cannot be fertilized and pregnancy may not occur.

Hysterosalpingography:(HSG) is an X-ray examination that investigates the shape of the uterine cavity and determines if the fallopian tubes are open or blocked. HSG is an important test of female fertility potential and is done immediately after a menstrual period. Radiographic contrast (dye) is injected into the uterus through a thin tube inserted through the cervix. An X-ray is then taken. The dye outlines the uterine cavity and Fallopian tubes. This shows whether the fallopian tubes are open or blocked.

Laparoscopy: is a procedure that gives more information than a hysterosalpingogram. It allows a surgeon to have a direct visualisation of the uterus, ovaries and tubes through a small telescope-like instrument that is inserted just below the umbilicus. In this procedure, a dye is pushed through the uterus and the fallopian tubes are checked to see if tubes are open or blocked. Laparoscopy is also the most common procedure that allows the direct diagnosis of endometriosis. Some problems, which could lead to infertility, can be corrected with laparoscopic surgery.

Hysteroscopy: is a procedure which lets the gynaecologist look at the lining of your uterus. Hysteroscope, a thin telescope-like device, is placed through the cervix. The uterus is distended with a liquid. If there is a minor problem like a polyp or a small fibroid inside the cavity of the uterus, which is causing infertility, it can be removed during hysteroscopy.

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