Infertility tests are done to help find out why a woman cannot become pregnant. The tests help find whether the problem is with the man, the woman, or both. Tests usually include a physical exam, semen analysis, blood tests, and special procedures.
Fertility tests for women
Pelvic Ultrasound to discover abnormalities with the uterus, fallopian tubes and/or ovaries. Sonography can show evidence of pelvic scarring.
- PAP Smear Test
- Rubella Antibody Test
- Test for Chlamydia trachomatis
- Hysterosalpingogram (HSG) that evaluates the condition of the uterus and fallopian tubes.
- Blood test includes day 3
- FSH, LH, Prolactin
- Testosterone(Free and Total)
- Anti-Mullerian Hormone
- Free T3, Free T4 and TSH
Further specialised tests like:
- TORCH 8
- TB Culture
- GeneXpert TB Test
- Genetic testing (Chromosomal Karyotype)
- Procedures such as an endometrial biopsy, laparoscopy and hysteroscopy.
Fertility tests for men
- Semen analysis to check for abnormalities in the number of sperm concentration), motility (movement) and morphology (shape).
- Test for Chlamydia trachomatis, which, in addition to being a known cause of infertility in women, can also affect sperm function and male fertility.
- Blood test includes
- Follicle Stimulating Hormone (FSH)
- Luteinizing Hormone (LH)
- Testosterone (Free and Total)
- Estradiol and SHBG
Transrectal and Scrotal Ultrasound is done to look for evidence of conditions such as retrograde ejaculation and ejaculatory duct obstruction.
Depending on your history and test results, further specialised tests are recommended in certain cases like GeneXpert TB Test, Genetic testing (Chromosomal Karyotype), AFB culture, Testicular biopsy (to tell if sperm production is normal).