What tests should be done for infertile women

The tests required for infertile women are divided into physical examinations, ancillary tests, and invasive tests.

Infertility is called primary and secondary infertility when a woman has been sexually active without contraception for at least 12 months and has not become pregnant. Primary infertility refers to those who have never had a previous history of pregnancy, without contraception, and never become pregnant. Secondary infertility refers to those who have a history of previous pregnancy and have not been pregnant for 12 consecutive months without contraception. If male infertility is ruled out, the woman needs to be examined to find the cause and treat the symptoms. The first step is to take a detailed history of infertility, followed by a physical examination, including a general examination and a gynecological examination, to find out height, weight, body fat distribution, breast development, thyroid condition, and the presence of hirsutism, acne and acanthosis nigricans. The gynecological examination should examine the vulva and vagina in turn, as well as the position, size, texture and mobility of the uterus, any masses and pressure pain in the adnexa, any painful nodules in the rectal fossa, and any pressure pain and abnormal masses in the lower abdomen. Ancillary examinations for infertility include ultrasonography, hormone six measurement, tubal patency examination, and hysteroscopy and laparoscopy if necessary. Invasive tests for infertility, such as tubal imaging and hysteroscopy, need to be chosen according to the patient’s specific situation.

It is important to note that the test should not be preceded by sexual intercourse, vaginal blockage, or douching. The fertility test cannot be done in one visit to the hospital. It is also necessary to take blood from the hospital on the second or third day of menstruation for the appropriate sex hormone, immunological infertility and thyroid function six tests to understand the cause of infertility. After diagnosis, in terms of emotion, keep calm emotionally, otherwise it will aggravate the condition. If you don’t eat and sleep well, it will lead to menstrual disorders and affect ovulation. Secondly, strengthen exercise, especially in polycystic ovary syndrome, most patients are fat, so they need to exercise, and exercise can accelerate blood circulation. The improved blood supply to the pelvis is also beneficial to the endometrium and ovulation.

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