Diagnosis of Female Infertilty
At Srushti Fertility Centre, we offer a comprehensive range of diagnostic tests to get to the root of infertility which then allows us to give you personalised, complete care. Some of the tests that you could undergo are described below.
- Day 2 analysis of hormones - FSH, LH and PRL - give us an overall idea about the hormonal profile for that particular menstrual cycle. E2 and Progesterone could be suggested for some women.
- A pelvic ultrasound is done to assess uterine size, myometrium and endometrial echo texture and also the ovarian structure and position. It can also indicate if the ovaries are normal or polycystic, and in a few cases of endometriosis, reveal endometriotic cysts that are near the ovaries.
- A vaginal examination helps to gauge cervical health and is a minimally invasive procedure that is done using a speculum. If necessary a Pap smear or a liquid based cytological smear may be performed to rule out cervical cancer.
- A Hysterosalpingography uses a contrast dye, which is injected into your uterus, and a series of X-ray images to determine if the uterine cavity is normal and whether the fluid passes out of the uterus and spills out of your fallopian tubes. If tubal blocks are found, you'll likely need further evaluation. In a few women, the test itself can improve fertility, possibly by flushing out and opening the fallopian tubes.
- Ovarian Reserve Testing helps determine the quality and quantity of eggs available for ovulation. Women at risk of a depleted egg supply, including women older than 35, may have this series of blood and imaging tests.
- Other hormone tests check levels of ovulatory hormones such as thyroid and pituitary hormones that control reproductive processes.
- Diagnostic Hysterolaparoscopy involves making a small incision beneath your navel and inserting a thin viewing device to examine your fallopian tubes, ovaries and uterus. It is used to identify endometriosis, scarring, blockages or irregularities of the fallopian tubes, and problems with the ovaries and uterus. Minor corrections for PCOS like ovarian drilling, fimbreal dilatation (block from the ends of the fallopian tubes), sub-serous fibroid removal, cauterisation for early stages for endometriosis and removal of adhesions, etc., can also be performed with laparoscopic surgery.
- The uterine cavity is examined with Hysteroscopy, using a scope that is introduced through the cervix into the uterus. Minor corrections like removal of flimsy adhesions (if any), removal of small polyps or fibroids and septum removal are also possible.
- Genetic testing helps determine whether there is a genetic defect causing infertility.