Patient's question:
Hello, I have been with my boyfriend for over two years, but we haven't been able to get pregnant. I would like to ask what tests are usually required for infertility examinations. I don't feel comfortable asking the nurse at the hospital. Thank you. Also, my menstrual cycle has always been unstable.Doctor's answer:
Hello, pregnancy is a two-person matter, so the check-up should ideally be done together. Moreover, male check-ups are simpler with fewer items, while females have more, which can include the following:1) Four basic gynecological clinical examinations: These refer to basal body temperature measurement, vaginal smear examination, cervical mucus examination, and endometrial biopsy. These four basic examination methods are simple and can be performed in the outpatient department. Through these examinations, one can initially understand the ovarian function and the response of the reproductive organs and tissues to ovarian endocrine.
2) Tubal patency test: This includes the air insufflation test, fluid infusion test, and hysterosalpingography. It is generally scheduled 3 to 8 days after the menstrual period.
3) Post-coital test: This test is arranged during the ovulation period or 1 to 2 days before the rise in basal body temperature.
4) B-mode ultrasound examination: This examines the development, morphology, and position of the uterus and adnexa, as well as any lesions such as endometriosis, ovarian and fallopian tube tumors, uterine fibroids, etc.
5) Laparoscopic examination: During laparoscopic examination, treatment can be performed under direct vision. Therefore, laparoscopic examination is currently an important measure for diagnosing infertility. It can more directly observe whether there is adhesion in the abdominal cavity and the development of the uterus, ovaries, and fallopian tubes.
6) Hysteroscopic examination: This can directly observe the morphology of the cervical canal, uterine cavity, and bilateral fallopian tubes, and can also take live tissue samples for examination under direct vision.
7) Immunological tests: If immune infertility is suspected, blood tests for anti-sperm antibodies and cervical mucus anti-sperm antibodies can be conducted.