Fertility tests for women
Women who have been trying to conceive but have failed to get pregnant despite successful attempts of intercourse need to undergo fertility tests. The diagnostic tests determine the fertility quotient of a woman and simultaneously can detect the underlying causes of infertility.
We provide you a list of fertility tests that are conducted by doctors for this purpose.
Ovulation testing can be done at home with the help of an ovulation prediction kit. Rise in luteinizing hormone (LH) levels before ovulation shows positive test results. Imbalance in LH hormone would indicate a negative test which further calls for hormonal blood test (prolactin, follicle stimulating hormone, etc.) for fertility check.
Anti-Mullerian Hormone (AMH) test
Anti-mullerian hormone is a substance produced by the granulosa (small) cells in ovarian follicles. A blood test is done for quantitative analysis of AMH which represents the ovarian reserve. Too low AMH level indicates lower oocyte production while too high AMH values may denote poly cystic ovarian syndrome. The optimal range of AMH for a fertile female lies between 28.6 pmol/L to 48.5 pmol/L.
Clomiphene citrate challenge testing (CCCT)
The clomiphene citrate challenge test (CCCT) is another test for assessing ovarian reserve. It is performed by measuring FSH and estradiol levels on day 3 of your cycle after administering 100 mg of clomiphene citrate on 5 through 9 days of the cycle. FSH and estradiol is again measured on day 10. High FSH level on cycle day 10 is negative indicator.
Hysterosalpingogram (HSG) is an x-ray perfomed to examine the uterus and fallopian tubes. A thin tube (tubogram) is inserted through the vagina into the uterus which is filled with a contrast dye. Fluroscopy is done while the dye moves through the uterus and fallopian tubes. The images depict complications like presence of blockage, adhesive tissues, scarred tissues, tumours, injury and various other problems that prevent fertilization or implantation of the embryo.
Cervical mucus test and postcoital test
Cervial mucus and postcoital (cervical mucus after sex) tests are done to diagnose complications in the cervical mucus that might be hindering pregnancy. The test determines abnormal cervical mucus which can lead to incompatibility between the sperm and the cervical mucus. As a consequence, sperm becomes immobile and dies, preventing fertilization.
Transvaginal ultrasound is performed which involves insertion of the ultrasound device through the vagina into the pelvic organs. The sound waves reflected from the reproductive organs like ovaries and uterus helps doctor determine presence of ovarian cysts, ovarian size (presence of follicles), fibroids, polyps, etc.
Hysteroscopy is a technique wherein a hysteroscope - a thin, lighted (a camera is attached at one end) tube that is inserted into the vagina to examine the cervix and inside of the uterus. During this procedure, your doctor can view the uterine cavity and diagnose the underlying problems that might be causing infertility. The complication could be uterine fibroids, polyps, scar tissue, etc.
It’s an effective diagnostic as well as a treatment option for pelvic abnormalities responsible for infertility. Laparoscopy is a minimally invasive procedure done under general aesthesia for the purpose of inspecting the fallopian tubes, ovaries, and the uterus. Surgical removal of scarred tissues, blockages, polyps, etc. can be performed with laparoscopy.
The lining of the endometrium is crucial for the implantation of the embryo. A small sample of tissue is scrapped from the endometrial lining just prior to menstruation to determine if it’s thick enough to harbour the embryo. Endometrial biopsy can also help to diagnose hormonal, uterine and other types of hormonal disorders that could be causing infertility.
Written by: healthplus24.com, team
Date last updated: Feburary 06, 2014