An infertility evaluation typically includes a series of physical examinations and diagnostic tests aimed at uncovering the reason behind the difficulty in conceiving.
Nevertheless, infertility is often treatable even without a definitive diagnosis, underscoring the effectiveness of modern fertility treatments in overcoming barriers to conception.
Infertility is diagnosed through a combination of laboratory tests, imaging studies, and specific procedures. Imaging tests and diagnostic procedures help evaluate the structure and function of the reproductive organs. Laboratory tests typically analyse blood or semen samples to assess hormonal levels and reproductive health.
Hormonal assessments: Progesterone levels, thyroid function tests, prolactin levels, and ovarian reserve testing.
Imaging studies: Ultrasound exams, hysterosalpingography (HSG), sonohysterography, hysteroscopy, and laparoscopy.
Ovulation tracking: Monitoring basal body temperature (BBT) at home to assess ovulation patterns.
A woman’s temperature increases around ovulation and stays elevated for the rest of her menstrual cycle. To track ovulation, you must take your temperature by mouth every morning before leaving bed. You record your temperature on a chart for two or three menstrual cycles.
Charting monthly temperature changes can confirm ovulation but cannot predict it. Some women also monitor their cervical mucus while charting BBT. Just before ovulation, a woman’s cervical mucus becomes thin, slippery, and stretchy. Cervical mucus monitoring is a natural way to help a woman identify her most fertile days.
A urine test determines when and if you ovulate by detecting luteinising hormone (LH) levels. A surge in the level of LH triggers the release of an egg. If the test result is positive, it suggests that ovulation will occur in the next 24–48 hours. It gives you an idea of the best time to have sex to try to get pregnant.
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