Infertility Workup

If you are unable to achieve pregnancy after one year of regular, unprotected intercourse, then there is a possibility of infertility. This is why evaluation is best initiated sooner in patients who have risk factors for infertility, or if you are over 35 years of age. A history and physical examination can help direct the evaluation.

Evaluation of the uterus and fallopian tubes can be performed in women with no risk of obstruction. If you have a history of endometriosis, pelvic infections, or ectopic pregnancy, evaluation is highly recommended.

The leading cause of female infertility

Can usually be broken down into ovulation disorders, uterine abnormalities, tubal obstruction and peritoneal factors. While cervical factors have also been thought to play a minor role in infertility, they are rarely the sole cause. An evaluation of cervical mucus can be unreliable; therefore, the investigation is not entirely helpful with the management of infertility.

An infertility workup is a process we use to focus on ovarian reserve, ovulatory function and structural abnormalities. A workup will also include a look at menstrual history, timing and frequency of intercourse, previous use of contraception, previous pregnancies and their outcomes, pelvic infections, medication use, occupational exposures, substance abuse and any earlier surgeries on reproductive organs.

You may have a general physical exam, including a regular gynecological exam. But there are also specific fertility tests including:

  • Hysterosalpingography
  • Ovulation Testing
  • Ovarian reserve testing
  • Other hormone testing
  • Imaging testing

Each individual

Will have a different combination of issues and obstacles that will be causing their infertility. We tailor our services to suit each individual with their treatments depending on the cause of their infertility, how long they have been infertile, the patient’s and partner’s ages and personal preferences.

Unfortunately, not all causes of infertility can’t be corrected.