Reproduction is a normal and natural process for most couples. However for some it’s a turbulent process. Usually when women under 35 can’t conceive for a year or more, or women above 35 can’t conceive for more than 6 months, it is recommended they get an infertility test done. Reproductive endocrinologists specialise in fertility testing. Fertility test for women figure out as to why a woman can’t get pregnant.
Here are 5 major fertility tests for women that determine the kind of problem they may be facing-
- Clomiphene citrate challenge test for ovarian reserve (CCCT) – The ovarian reserve is the capacity of the ovaries to produce egg cells that will fertilize and result in a successful pregnancy. CCCT is one of the most common fertility tests for women that is done when doctors suspect that the ovarian reserve is the cause of infertility. CCCT works as following-
- On the third day of your menstrual cycle the doctors will measure your FSH and estradiol level.
- From the fifth to the ninth day, you will have to take 100gms of the medicine Clomiphene Citrate.
- Finally, on the tenth day of your menstrual cycle your FSH and Estrdiol levels will be measured again.
- Hysterosalpingogram (HSG) – An HSG is an infertility test where the doctor examines the uterus and the fallopian tube from the inside through an X-ray. This fertility test for women is to determine if the cause of infertility is a blockage in the fallopian tubes.
The doctor injects a coloured dye in the uterine cavity. If the tubes are open the dye will fill the fallopian tubes or else they will spill into the abdominal cavity.
- Laparoscopy – Sometimes women are unable to reproduce because of abnormalities in the pelvic area. The process of laparoscopy is as follows-
- The assigned doctor will insert a laparoscope (a small fibre optic telescope) into the abdominal area.
- An incision of the size 0.5cm is made, through which the fallopian tubes, ovaries and the uterus can be inspected.
An advantage of this method is that the pelvic abnormalities can be viewed as well as treated. Moreover, the recovery from a Laparoscopy is easy and doesn’t leave behind any marks.
- Hysteroscopy – It is a fertility test for women who have unidentified uterine conditions as a cause for infertility. In a hysteroscopy the doctor puts in a hysteroscope in the uterus from the cervix. Through this fibre optical telescope the doctor then views your uterine cavity. He can detect any fibroids, polyps or a scar tissue. The doctor may or may not give you anaesthesia while performing a hysteroscopy.
- Endometrial biopsy – Disorders in your uterus, hormonal imbalance and menstrual irregularities also cause infertility. An endometrial biopsy will recognise such problems and the doctor will then treat you accordingly. Cramps, pain are common symptoms during and after this procedure.