Will I need more tests?


Primarily Before infertility testing, your doctor works to understand your sexual habits. Once they are clear she may make recommendations to improve your chances of getting pregnant. Even after this, In some infertile couples, there could be cases where no specific cause is found and its better known as unexplained infertility.

Infertility evaluation can be a bit expensive, and also involves sometimes uncomfortable procedures. Below are few tests for Males and Females. The list is not exhaustive yet a general guide for couples looking for some clarity.


Tests for women

Fertility for women depends on the ovaries releasing healthy eggs. Once the eggs are released, The reproductive tract must allow an egg to pass into the fallopian tubes. From there it should join with sperm for fertilization. The fertilized egg must travel to the uterus. After that it must implant in the lining.

Tests for female infertility try to find out if any of these processes are non-functional.

The tests usually start with a Physical exam or a Gynaecological exam. Your doctor may also give your specialized tests.

 Specialized fertility tests may include:

  • Ovulation testing.A blood test measures hormone levels to determine whether you’re ovulating.
  • Ovarian reserve testing.This testing helps determine the quantity of the eggs available for ovulation. This approach often begins with hormone testing early in the menstrual cycle.
  • Imaging tests.Pelvic ultrasound looks for uterine or ovarian disease.
  • evaluates the condition of your uterus and fallopian tubes and looks for blockages or other problems.
  • Other hormone testing.Other hormone tests check levels of ovulatory hormones that control reproductive processes

Depending on your situation, rarely your testing may include:

  • Your doctor may request a hysteroscopy to look for uterine diseases. During the procedure, your doctor inserts a thin, lighted device through your cervix into your uterus to view any potential abnormalities.
  • This minimally invasive surgery involves making a small incision beneath your navel and inserting a thin viewing device to examine your fallopian tubes, ovaries and uterus. A laparoscopy may be used to identify
    • Endometriosis
    • Scarring
    • blockages
    • Irregularities of the fallopian tubes

Tests for men

Male fertility requires that the testicles produce enough healthy sperm. Once the sperm is ejaculated effectively into the vagina and it must travel safely to the egg. Tests for male infertility attempt to determine whether any of these processes are non-functional.

You may have a general physical exam, including examination of your genitals. Specific fertility tests may include:

  • Semen analysis.Your doctor may ask for one or more semen specimens. Semen is generally obtained by masturbating or by interrupting intercourse and ejaculating your semen into a clean container. A lab analyses your semen specimen. In some cases, urine may be tested for the presence of sperm.
  • Genetic testing.Genetic testing may be done to determine whether there’s a genetic defect causing infertility.
  • Testicular biopsy. A testicular biopsy may be performed to identify abnormalities contributing to infertility.
  • In certain situations, imaging studies such as a MRI or vasography may be performed depending on the situation.
  • Hormone testing.You may have a blood test to determine your level of testosterone and other male hormones.
  • Other specialty testing.In rare cases, other tests to evaluate the quality of the sperm may be performed, such as evaluating a semen specimen for DNA abnormalities.

Your doctor will decide which tests you will have and when to best determine the outcome of Fertility.