What tests are needed for female infertility?

Patient's question:

What tests are needed for female infertility?

Doctor's answer:

Tests for female infertility:
1. Determining ovulation and predicting the ovulation period: This is assessed through basal body temperature measurement, cervical mucus examination, or hormone testing.
2. Endocrine function tests: Serum estrogen and progesterone levels are measured at different times during the menstrual cycle to evaluate ovarian function, such as polycystic ovary syndrome (PCOS). Basal metabolic rate is measured to assess thyroid function. Adrenal function tests and serum prolactin levels are also conducted.
3. External and internal reproductive system examinations: To preliminarily assess the size and position of the uterus, as well as whether there are any masses, tenderness, or inflammation in the uterus, fallopian tubes, or ovaries.
4. Tubal patency tests: This includes tubal patency testing ( or ) and hysterosalpingography (HSG). These tests primarily evaluate whether the fallopian tubes are open and whether the uterus and fallopian tubes are developing normally, as well as whether any abnormalities exist. These tests also have a therapeutic effect on mildly blocked fallopian tubes (e.g., mild adhesions).
5. Endometrial biopsy: This helps assess the functional state of the endometrium while also ruling out intrauterine lesions, such as tuberculosis or uterine fibroids.
6. Immunological tests: To determine the presence of antisperm antibodies, antiendometrial antibodies, and other immune-related factors.

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