- History: sexual history is very important for diagnosis of Infertility.
- Breast exam: Breasts are checked for development, any discharge, (galactorrhea).
- Laboratory tests: Blood tests are required for hormonal assay, complete blood count, to check for presence of any infections, ovarian reserve (test called as AMH- Anti Mullerian Hormone) and thyroid functioning.
- Sonography: Pelvic ultrasound is done to check abnormality of female reproductive organs.
- Laparoscopy: An instrument called as Laparoscope which is fitted with thin lighted camera is inserted in abdomen through small incision. It helps to view uterus, fallopian tubes and ovaries to check for endometriosis, blockage, or any abnormalities of these organs.
- HSG (Hysterosalpingography): Dye is injected using an instrument inside uterus through vagina. Then X Rays are taken which shows the structure of uterus and to determine any blocked fallopian tubes if the due doesn’t spill out into abdominal cavity.
- Hysteroscopy: Tiny lighted camera fitted tube is inserted into the vagina to look for any problems in cervix, uterus.
- Genetic testing: can be done to determine genetic causes of Infertility in some cases.
- Evaluation of male partner: It is an important step to determine and treat infertility. Mostly a semen analysis is done and evaluation of sexual dysfunctions is done.
