What tests are needed for female infertility?

Patient's question:

What tests are done for female infertility? That is to say, what are the main aspects? Can you tell me more specifically?

Doctor's answer:

The items included in female infertility tests are:
1. Determining ovulation: This is assessed through basal body temperature measurement, cervical mucus examination, or hormone testing.
2. Reproductive system examination: In addition to general visual and tactile examinations, vaginal speculum examination and internal examination (bilateral or triple vaginal examination) are performed to preliminarily assess the general condition of the vagina, uterus, cervix, fallopian tubes, ovaries, and pelvic cavity. For example, the size and position of the uterus are checked for normality, whether there are masses, tenderness, or pain in the fallopian tubes, uterus, or ovaries, whether the uterus has elevation tenderness, and the mobility of the adnexa.
3. Endometrial examination: A biopsy may be necessary to assess the functional state of the endometrium. Postmenopausal bleeding tests are also a reliable method for determining ovulation or luteal function. At the same time, it can assess the size of the uterine cavity and rule out cavity lesions, such as tuberculosis or uterine fibroids.
4. Endocrine function examination: For example, serum estrogen and progesterone levels are measured at different times during the menstrual cycle to evaluate ovarian function; basal metabolic rate is measured to assess thyroid function; adrenal function tests and serum prolactin measurements are conducted, among others.

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