Patient's question:
I've been married for 5 years and have been trying to get pregnant without success. I went to the hospital for a check-up, and the doctor gave me a bunch of test orders. When I got the bill, it was thousands of yuan. I'd like to ask, what tests should be done for infertility?Doctor's answer:
General examinations for female infertility typically include:1. Assessing ovulation and predicting the ovulation period: Determined through basal body temperature measurement, cervical mucus examination, or hormone testing.
2. Endocrine function tests: Measuring serum estrogen and progesterone levels at different times in the menstrual cycle to evaluate ovarian function, such as polycystic ovary syndrome (PCOS); assessing basal metabolic rate to evaluate thyroid function; conducting adrenal function tests and serum prolactin measurements.
3. Internal and external reproductive system examinations: Preliminary assessment of the size and position of the uterus, as well as checking for masses, tenderness, or inflammation in the uterus, fallopian tubes, or ovaries.
4. Tubal patency tests: Including tubal patency testing ( or ) and hysterosalpingography (HSG) to determine whether the fallopian tubes are open and whether the uterus and fallopian tubes are developing normally, with or without abnormalities. These tests also have a therapeutic effect on mildly obstructed tubes (e.g., mild adhesions).
5. Endometrial biopsy: Evaluating the functional state of the endometrium while ruling out uterine cavity lesions, such as tuberculosis or uterine fibroids.
6. Immunological tests: Identifying the presence of antisperm antibodies or anti-endometrial antibodies.