Patient's question:
Which tests should infertile women check? Should they have an ovarian examination? How is the ovarian examination performed? Is it harmful to the body?Doctor's answer:
Hello, the main examination items for female infertility include the following:1) Ovarian function tests to determine whether the ovaries ovulate and the status of the corpus luteum function. Confirmation can be achieved through basal body temperature measurement, cervical mucus smear examination, vaginal cytology, diagnostic curettage, or endometrial biopsy.
2) Tubal patency tests If no abnormalities are found in the male partner and the female ovulates, this test can be performed. Common examination methods include tubal contrast and tubal fluid infusion.
3) Post-coital test This test can be conducted if no abnormalities are found in the above examinations. It is performed during the predicted ovulation period to assess the penetration ability of sperm into cervical mucus, as well as to evaluate the characteristics of cervical mucus, semen quality, and the success of intercourse.
4) Cervical mucus and semen compatibility test The test is conducted during the predicted ovulation period. Under microscopic observation, the penetration ability of sperm is assessed. If sperm can pass through the mucus and continue to move forward, it indicates normal sperm motility and cervical mucus characteristics, with no anti-sperm antibodies present in the mucus.
5) Laparoscopic examination If all the above tests are normal, laparoscopic examination can be performed to directly observe any abnormalities or adhesions in the uterus, fallopian tubes, or ovaries. Approximately 20% of patients may discover previously undiagnosed conditions through laparoscopy.
6) Hysteroscopic examination Hysteroscopy can identify conditions such as uterine adhesions, submucosal fibroids, polyps, or uterine malformations, making it a valuable tool for infertility examinations.