Doctors will do an infertility checkup. This involves a physical exam. The doctor will also ask for both partners’ health and sexual histories. Sometimes this can find the problem. However, most of the time, the doctor will need to do more tests.
In men, doctors usually begin by testing the semen. They look at the number, shape, and movement of the sperm. Sometimes doctors also suggest testing the level of a man’s hormones.
In women, doctors can check ovulation with blood tests. Or they can do an ultrasound of the ovaries. If ovulation is normal, there are other fertility tests available. Some common tests of fertility in women include—
- Sono Salpingography: Doctor injects saline through a catheter in to the uterus and ultrasound is done to check if it travels to fallopian tubes thus confirming the patency
- Hystero Salpingography: This is an X-ray of the uterus and fallopian tubes. Doctors inject a special dye into the uterus to see if the dye moves freely through the uterus and fallopian tubes. This can help them find physical blocks that may be causing infertility.
- Laparoscopy: The doctor does Laparoscopy with a small tool with a light by making a small cut in the lower abdomen and inserting the laparoscope. With the laparoscope, the doctor can check the ovaries, fallopian tubes, and uterus for disease and physical problems such as endometriosis.
- Hysetroscopy: Hystroscope is used to see inside of uterus for any polyps, adhesions, septas, etc.