Diagnostic Tests for Female Infertility: An evaluation of a woman for infertility is appropriate for women who have not become pregnant after having 12 months of regular, unprotected intercourse. Being evaluated earlier is appropriate after six months for women who are older than age 35 or who have one of the following in their medical history or physical examination:
Any evaluation for infertility should be done in a focused and cost-effective way to find all relevant factors, and should include the male as well as female partners. The least invasive methods that can detect the most common causes of infertility should be done first. The speed and extent of evaluation should consider the couple’s preferences, the woman’s age, the duration of infertility, and unique features of the medical history and physical examination. The following tests may be recommended as part of your infertility evaluation:
Tests to find out the cause of infertility in women include: • Blood tests to check hormone levels and ovarian reserve include:
Other blood tests:
• Urinary Luteinizing Hormone (LH): Urinary LH testing helps define the times of greatest fertility: the day of the LH surge and the following two days. However, these tests can be expensive and should only be used by women with menstrual cycles that are consistently 25-35 days in length. Depending on your situation, your testing may include: • Hysterosalpingogram (HSG) • Transvaginal Ultrasonography • Sonohysterography
Rarely your testing may include: • Hysteroscopy • Laparoscopy