The basic workup of the infertile couple consists of a semen analysis, detection of ovulatory function by various methods, and evaluation of tubal patency by hysterosalpingogram (HSG). Further evaluation of pelvic anatomy, either by laparoscopy and/or hysteroscopy may be considered as a part of the basic workup if there is an abnormality on HSG or later if no cause for infertility can be found. Purely diagnostic laparoscopy for the infertile woman is being used less frequently as more couples are advanced on the ART earlier in the evaluation.
he evaluation consists of a detailed history, physical examination, assessment of ovulation, semen evaluation, as well as uterotubal assessment. In addition, follicle-stimulating hormone (FSH), and estradiol levels obtained on the third day of the menstrual cycle maybe useful in women older than 35.
Fertility in men requires normal functioning of the hypothalamus, pituitary gland, and testes. Therefore, a variety of different conditions can lead to infertility. The evaluation of male infertility may point to an underlying cause, which can guide treatment. A health care provider usually begins with a medical history, physical examination, and a semen test. Evaluation of infertility in men involves :
Although a variety of tests are available for evaluating female infertility, it may not be necessary to have all of these tests. Health care providers usually begin with a medical history, a thorough physical examination, and some preliminary tests. Evaluation of infertility in women involves :