Infertility can be described as the inability of a woman to conceive after one year of unprotected sexual intercourse after marriage. First of all make an appointment with your infertility specialist. Doctor will take the history of your medical health and habits, chronic illness or surgeries.
Your use of any medication
Use of caffeine, alcohols, cigarettes and drugs
Exposure to chemicals toxins or radiation in the home or at work
Your sexual habits
Your choice of under wear, if you are a man tight fitting briefs make scrotum warm and effect sperm production.
After that you have to give the blood tests which are basic investigation for infertility like CBC, Rubella, VDRL, RBS, TSH, S. Prolactin, ESR and serum analysis for husband. Doctor will do your physical examination to see any thyroid, breast hair growth etc. Pelvic examination is also important for evaluation along with PAP smear.
Fertility Tests that you can opt for :
There are numerous fertility tests. You should discuss your condition with your gynecologist and according to your speculated or confirmed cause of infertility, a test could be recommended.
Ovulation Test: If the evaluation is occurring or not. It is done by following methods:
Ovulation predictor kit
BBT (Basal Body Temperature)
Ovarian Function Test: These tests are done to see how the hormones function during ovulation cycle. This includes Day-3 FSH and E2 Estradiol levels of inhibition B. USG is done to confirm ovulation.
Luteal Phase Testing: This test includes S. Progesterone levels and endometrial biopsy. One or two days before the first day of period. But you have to exclude the pregnancy before doing it.
Post Coital Test: In this test receptiveness of cervical mucus is seen, mucus is taken from the cervix with some semen after intercourse and seen under the microscope for live sperms. If it is normal i.e. 10-15 sperms, it is a useful prognostic sign. If it is abnormal then antibody test on serum seminal fluid and mucus can be done. If semen analysis and above other test are normal then following test are normal then following test are done.
Hysterosalpingography (Tubal Patency Test): This is carried out during the 7 days after the menses have stopped.
Hysteroscopy: Hysteroscopy helps to identify and treat uterine conditions. It can be performed in operation theatre while you are awake under anaesthesia.
Laparoscopy: This is carried out if one or both tubes are blocked. To confirm the blockage sometimes there is spam at the utero-tubal junction and dye does not go into the tubes. This is most reliable method of tubal patency.
Laparoscopy With Hysteroscopy: This is done if cornual end is blocked and then you can cumulate the tubes. In this procedure you insert a very thin plastic wire type canule in the uterus and through cornual end it goes in the fallopian tubes till tubular end. If tubes are healthy thus they are opened up and patient can conceive.