Approximately twelve percent of women between the ages of 15-44 in the United States experience difficulty trying to conceive and carrying an unborn baby to term. Scheduling an appointment with your OBGYN or even an infertility clinic is beneficial. Infertility occurs due to numerous factors, which is why it’s crucial to be knowledgeable with the tests that you should consider.

 

Thyroid

According to research from The Obstetrician & Gynecologist, 2.3 percent of women who experienced issues with infertility had an underlying overactive thyroid (hyperthyroidism). Menstrual irregularity is also linked with hyperthyroidism. Underactive thyroid (hypothyroidism) also plays a role in infertility, affecting menstrual and ovulation cycles. Thyroid tests are done via a blood test, testing TSH, T3, T4, and TPO.

Follicle Stimulating Hormone

FSH (follicle stimulating hormone) testing is to check the ovarian reserve, including how many egg is left and quality of the egg(s). Typically, this testing occurs around day 3 of a cycle.

Luteinizing Hormone

LH (Luteinizing hormone) is a vital hormone that is important when it comes to reproduction and fertility. This hormone is produced by the pituitary gland. Menstrual and ovulation cycles are regulated by the luteinizing hormone. LH is typically checked halfway through a cycle (day 14 of a 28-day cycle) and is done via bloodwork.

Laparoscopy

This is a surgical procedure that is performed to check for endometriosis or pelvic scarring. Additionally, this procedure allows the doctor to see the uterus, ovaries, and fallopian tubes to ensure everything looks okay. Usually this is done through a small incision through the belly button.

Hysterosalpingogram

This testing is a type of x-ray to look further at the uterus and fallopian tubes. A hysterosalpingogram consists of radiographic dye being placed into the uterine cavity. Several x-rays will be taken. If the fallopian tubes are open, the dye will flow freely through the tubes and the dye will be visible within the abdominal cavity. However, if the fallopian tubes are blocked, the dye will remain in the fallopian tubes or uterus, depending on the blockage and location.

Hysterosonography

A hysterosonography test is a bit more complicated than a normal ultrasound. This type of ultrasound consists of putting saline in the uterus during an ultrasound exam. The reason for the test is to reveal any structural abnormalities. Fibroid tumors is one of the common abnormalities found on the test.

 

Genetic Testing

This test is usually recommended if a woman has multiple miscarriages. The test is useful for determining if a genetic defect is present that could be potentially causing infertility.

 

Pap Smear

Although anyone can get this test done, it’s equally important for someone who is trying to conceive. A papsmear will reveal certain types of cancers, STDs, and will allow the doctor to see how healthy the cervix is. This test should be done on a regular basis as suggested by the doctor.

Other Blood Work

Additional blood work may be beneficial, depending on the individual. The blood tests include:

  • Estradiol
  • Serum progesterone
  • Testosterone
  • Estrogen

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