| Infertility Evaluation |
Many women who want to have a child are not able to do so. If you are trying to
have a child and can't, you may want to visit the staff at the Center for Women's
Health for an infertility evaluation. At the office tests can be performed to determine
what the problem might be.
If you have not been able to conceive after one year of trying, contact the Center for
Women's Health for an infertility evaluation.
Infertility Evaluation
The testing begins with a physical exam and health history. The health history will
focus on key points:
Infertility Testing
There are many ways to see if ovulation occurs. Some tests are done by the woman,
and others are done by the doctor.
Other tests, such as a Pap test and blood tests, may also be performed.
For more assistance with your infertility issues contact the Center for Women's
Health.
have a child and can't, you may want to visit the staff at the Center for Women's
Health for an infertility evaluation. At the office tests can be performed to determine
what the problem might be.
If you have not been able to conceive after one year of trying, contact the Center for
Women's Health for an infertility evaluation.
Infertility Evaluation
The testing begins with a physical exam and health history. The health history will
focus on key points:
- Menstrual Cycle Analysis - Review of the menstrual patterns, irregular
bleeding or painful periods.
Pregnancy History
- Disease History - A history of past diseases to determine if this has
contributed to difficulties in getting pregnant. Sexually transmitted diseases
(STDs), cancer, and other factors might cause for fertility problems.
- Birth Control - Reviewing previously used methods of birth control to
determine if this is preventing you from getting pregnant.
Social History - Any environmental exposures or social habits (such as
smoking, drug or alcohol abuse) which could contribute to the infertility.
Physical Exam - Evaluation of the uterus, tubes, ovaries, for physical
problems preventing pregnancy.
Infertility Testing
There are many ways to see if ovulation occurs. Some tests are done by the woman,
and others are done by the doctor.
Urine Test. A way to predict ovulation is by using a urine test kit at home. This
test measures luteinizing hormone (LH), a hormone that causes ovulation to
occur. If the test is positive, it means ovulation is about to occur. Sometimes
these kits are used with basal body temperature charts.
Basal Body Temperature. After a woman ovulates, there is a small increase in
body temperature. To measure basal body temperature, a woman takes her
temperature by mouth every morning before she gets out of bed and records
it on a chart. This record should be kept for 2–3 menstrual cycles to see if
ovulation occurs.
Blood Test. After a woman ovulates, the ovaries produce the hormone
progesterone. A blood test taken in the second half of the menstrual cycle can
measure progesterone to show if ovulation has occurred.
Endometrial Biopsy. The lining of the uterus (endometrium) changes at
ovulation. Sometimes a biopsy (a sample of the tissue) is done in this area to
find out whether and when ovulation has occurred. A small plastic tube is
inserted into the vagina and through the cervix. A sample of the lining is taken
to check for ovulation and tissue response. Luteal phase dysfunction is
diagnosed if the histological findings lag behind the expected cycle duration by
more than two days. It should be noted that endometrial biopsy is used less
frequently with the advent of modern ultrasonography and other noninvasive
tests.
Other tests, such as a Pap test and blood tests, may also be performed.
For more assistance with your infertility issues contact the Center for Women's
Health.
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