Thai
Thai
Thai
Thai
Thai
Thai
The examination to find the causes of infertility in women is an evaluation of the completeness and functioning of the reproductive system. The doctor will evaluate ovarian function, egg quantity and hormone levels, as well as examine abnormalities of the uterus and fallopian tubes, which are important factors for pregnancy. If an abnormality is found in any part, it may result in female infertility.
The doctor will ask about menstrual history, ovulation cycles, pregnancy history, surgeries, underlying diseases, and other factors that may be related to infertility, in order to use this information to plan further examinations.
Blood tests are performed to evaluate hormones related to ovarian function, such as FSH, AMH, and LH. Other hormones may also be tested as appropriate to assess ovarian function, ovarian reserve, and abnormalities in ovulation.
The doctor will perform a transvaginal ultrasound to evaluate the uterus, ovaries, and antral follicle count (AFC), as well as check for abnormalities such as ovarian cysts, uterine fibroids, endometriosis, or other abnormalities in the pelvic area.
This is a procedure in which contrast dye is injected into the uterine cavity and X-ray images are taken to examine the shape of the uterine cavity and assess whether the fallopian tubes are open or blocked. This is important information for treatment planning.
In cases where there is an indication, the doctor may use a small camera to directly examine the inside of the uterine cavity to look for abnormalities such as polyps, fibroids, adhesions, or a uterine septum.
The doctor will evaluate all test results together to identify factors that may be causing infertility and select an appropriate treatment approach for each individual, such as ovulation induction, IUI, IVF, or ICSI.
A problem in which an egg is not released from the ovary, causing irregular menstruation. This can be observed from menstrual cycles of less than 21 days or more than 36 days, resulting in a lower chance of pregnancy.
Problems such as narrowed or blocked fallopian tubes that cause problems with the transport of the egg or may result in an ectopic pregnancy. This also includes blocked fallopian tubes caused by inflammation or infection, pelvic surgery, and endometriosis.
Such as endometrial polyps, submucous myoma, and intrauterine adhesions. Before treating infertility, surgery should be performed first to increase the pregnancy rate.
One of the causes commonly found during infertility evaluation because the uterus and ovaries function abnormally. Therefore, the follicles in the ovaries may disappear quickly, or follicles may be present but unable to produce hormones. Premature menopause found in women aged less than 40 years.
A hormone test used to assess ovarian function and provide an indication of ovarian reserve. Abnormal FSH levels may suggest changes in ovarian function that could affect fertility.
A hormone test used to estimate ovarian reserve, or the number of eggs remaining in the ovaries. AMH can also provide helpful information when evaluating conditions such as Polycystic Ovary Morphology (PMOS) and reduced ovarian reserve.
A hormone test used to assess ovulation and the menstrual cycle. LH plays an important role in triggering ovulation. Abnormally high or low LH levels may be associated with hormonal imbalances or ovulation problems, including PMOS.
Hysterosalpingography (HSG) is performed to examine the inside of the uterus and fallopian tubes to determine whether there are any abnormalities. Abnormalities can be identified through X-ray images, such as polyps inside the uterus, an abnormal uterine shape, or blocked fallopian tubes. It can also detect adhesions around the fallopian tubes that may cause infertility.
Diagnostic Hysteroscopy is a procedure that allows the doctor to see inside the uterine cavity in women to check for abnormalities, such as tumors, polyps inside the uterine cavity, or a uterine septum.
Transvaginal Sonography (TVS) is an infertility evaluation used to identify abnormalities of the uterus and ovaries, such as cervical cancer, ovarian cysts, ovarian tumors, uterine fibroids, as well as masses within the pelvic cavity.
Such as cervical factor testing, Postcoital Test, Basal Body Temperature (BBT) Chart, and Sperm Function Tests, have no evidence of benefit for clinical management and are therefore not commonly used at present. Each infertility evaluation method has different costs and uses different techniques.
In general, if you have regular sexual intercourse without contraception and have not become pregnant, you should undergo an infertility evaluation, especially if you have been trying to conceive for a period of time. If you have irregular menstrual cycles or a history of problems involving the uterus or fallopian tubes, you should consult a doctor earlier to identify the cause and plan appropriate treatment.
The tests depend on each person’s medical history and risk factors. They may include hormone tests such as FSH, LH, and AMH, ultrasound of the uterus and ovaries, examination of the fallopian tubes and uterine cavity using HSG, as well as diagnostic hysteroscopy when considered necessary by the doctor.
AMH is a hormone used to help assess the remaining egg supply in the ovaries (Ovarian Reserve). Therefore, it is useful for evaluating ovarian function and planning infertility treatment. However, AMH alone cannot determine egg quality or confirm the ability to become pregnant.
Transvaginal ultrasound can be used to evaluate the uterus and ovaries, including abnormalities such as ovarian cysts, uterine fibroids, or abnormalities within the pelvic cavity. It can also be used to assess the number of small follicles in the ovaries to help evaluate Ovarian Reserve.
Treatment depends on the cause, age, duration of trying to conceive, and factors affecting both partners. The doctor may consider options ranging from medication and ovulation stimulation with IUI to IVF or ICSI, depending on each individual case.
