Infertility tests at our Dubai fertility center are used to help find why a woman cannot get pregnant. These tests help the fertility specialist determine whether the problem is related to a male factor or female factor or both.
Should I be tested?
Many women use fertility awareness methods to find the best time to get pregnant. A woman is most fertile during ovulation and 1-2 days before ovulation occurs. A woman should keep a record of her menstrual cycle, including ovulation. Consider having testing for you or your partner if:
- You are in your mid 30s or older, have not been using birth control for 6 months, and are not able to get pregnant.
- There is a physical problem, such as no ovulation, not being able to ejaculate, or having irregular menstrual cycles.
- You are in your 20s or early 30s, have not used birth control for 12 months or more, and cannot conceive.
Do fertility tests cost a lot?
Infertility tests are quite expensive, and they can be stressful. Before undergoing testing, talk with your partner about how much testing you are willing to do, and make a decision together regarding what you wish to spend.
What are the benefits of fertility tests?
Fertility tests can find exactly what is causing the problem, and you may be able to be treated during the tests. A blocked fallopian tube can be opened during a hysterosalpingogram. When tests do not uncover the cause of infertility, the fertility specialist may recommend assisted reproductive therapies that can help.
What tests are done first?
Both partners will undergo a comprehensive medical history, which involves questions about your sex life, history of sexually transmitted infections, medication use, substance/drug use, and birth control methods. The doctor will check the woman’s menstrual cycle also. The woman must also undergo a Pap test and pelvic examination. For men, the physical includes a testicular examination.
Both partners have certain hormonal tests including luteinizing hormone (LH) and progesterone levels. For women, LH is evaluated to see if a woman is ovulating, and for men it could show a pituitary problem. Thyroid function tests assess for gland dysfunction, and prolactin levels are checked. Prolactin is a hormone that helps regulate the woman’s menstrual cycle. For men, a semen analysis checks for the number of sperm (sperm count), the number of sperm that move normally (motility), and if the shape appears normal.
What tests are done if the initial testing does not find a cause?
For the woman, a pelvic ultrasound is used to check the structure and size of the uterus and ovaries. It is also used to check ovarian reserve, which is a woman’s egg supply. This involves counting the number of follicles in both ovaries during a certain time of the cycle. A hysterosalpingogram is a special x-ray that looks inside the uterus and fallopian tubes. This is used to assess for blockages and growths. Another procedure used for female infertility is the laparoscopy, which involves making a small incision so a scope can be inserted into the pelvic region.
For the man, a transrectal and scrotal ultrasound is used to assess for certain medical conditions, including retrograde ejaculation and ejaculatory duct obstruction. A testicular biopsy involves surgical removal of samples from the testicle using a needle. The result of this biopsy will tell if sperm production is normal. If it is, the man’s problem could be related to a blockage or other problem with sperm transport.