Patient's question:
We've been married for over a year and haven't had any children yet. This has been really frustrating for me, and I feel like I'm on the verge of losing my mind. Later, my husband and I went to the hospital for a check-up, and it was suggested that I might have uterine infertility, but further tests are needed. I feel very guilty towards my husband.Doctor's answer:
Hello, the following are the tests required for uterine infertility:1. Examination for organic lesions in the cervical canal:
(1) Vaginal examination: Observe the position, shape, size of the external os, amount and characteristics of secretions, and whether there are cervical erosion, polyps, etc. Pay attention to cervical motion tenderness and parametrial tenderness. Simultaneously perform a bacteriological examination of cervical mucus. When necessary, perform a smear or colposcopy.
(2) Probe examination: Simple and practical, it detects the direction, length, and proportion of the cervical canal to the cervix, as well as whether there are stenosis, adhesions, and the tightness of the internal os. For suspected abnormalities, further contrast examination should be considered.
(3) Contrast examination: Hysterosalpingography not only detects lesions of the uterus and fallopian tubes but also greatly benefits the study of infertility. When using oil-based contrast and ensuring that the contrast instrument does not affect the visibility of the canal, the length, shape, etc., of the canal can be well displayed. For intracervical polyps, congenital deformities, stenosis, adhesions, and uterine flexion, a clear diagnosis can be made.
2. Cervical mucus examination:
(1) Characteristic examination of cervical mucus: Observe the secretion amount, transparency, viscosity, and extensibility of cervical mucus. Using large forceps, take cervical mucus from the canal for examination, measure the stretchability, prepare a smear to check for ferning, and then combine with the cervical opening program for the Insler scoring method to reflect ovarian ovulation function. If observed continuously during the menstrual cycle and combined with basal body temperature, the accuracy is higher.
(2) Sperm-cervical mucus compatibility test.
3. Post-coital test (PCT): The PCT can determine whether the compatibility between sperm and cervical mucus is normal.