Fertility Test in Women and Reproductive Organ Examination

The doctor will perform several fertility tests to identify various problems that may be the cause of infertility. In addition to examination of the reproductive organs, the doctor will also perform ovulation function tests and hormone tests to determine the cause of infertility.

Procedure for Examination of Reproductive Organs

Here are some methods of examining the female reproductive organs, including:

• Hysterosalpingography or HSG

  The first procedure that can be used to check the condition of the female reproductive organs is hysterosalpingography (HSG). This fertility test uses X-rays to take pictures of the inside of the uterus, fallopian tubes, and the surrounding area. Before this procedure is performed, a contrast fluid will first be injected into the uterus. This procedure aims to ensure that the uterus and fallopian tubes are in normal condition. In addition, this procedure can also be used to detect problems in the uterus that may be preventing fertilization from occurring, such as abnormal structures in the uterus and blockages in the fallopian tubes.

• Transvaginal ultrasound

  Another way that can be used to determine the condition of the female reproductive organs is a transvaginal ultrasound. This procedure is an image of the reproductive organs using an ultrasound device through the vagina. The organs that can be identified through this tool are the uterus, fallopian tubes, ovaries, cervix, and vagina. In addition to infertility reasons, transvaginal ultrasound can also be used for women who experience vaginal bleeding, ectopic pregnancy, pelvic pain, and check the position of the intrauterine device. This procedure can also help diagnose cancer of the reproductive organs, cysts, miscarriage, placenta previa, and birth defects in the fetus.

• Hysteroscopy

  To find out the condition of the inside of the female reproductive organs, hysteroscopy can also be done. This procedure is usually performed with a thin, flexible tube with a camera at the end that is inserted into the uterus. This tool will see the condition of the inside of the uterus and take tissue samples if needed. Hysteroscopy procedure is also considered appropriate to determine the cause of abnormal bleeding experienced by the uterus. Heavy bleeding that occurs during menstruation or bleeding after menopause can also be checked for causes through this method. Hysteroscopy can also detect the presence of fibroids, polyps, or uterine deformities.

• Laparoscopy

  In addition to the three procedures above, another procedure that can be used is laparoscopy. This procedure involves inserting a small camera into the abdomen through a small incision made in the abdomen. The point is to see the entire pelvis so that you can find out what causes infertility. Several causes of infertility, such as endometriosis, ovarian cysts, and adhesions caused by disease in the ovaries and fallopian tubes can be seen and treated. Laparoscopy can also be used to diagnose pelvic inflammatory disease conditions.

Examination of Ovulation Function and Hormone Levels

Before having a fertility test to check the female reproductive organs, also check your ovulation function and hormones. Ovulation is a phase in a woman's menstrual cycle related to the release of an egg. Fertilization occurs when this egg meets a sperm during its journey from the fallopian tube to the uterus.

Ovulation is controlled by various hormones. To detect whether a woman is ovulating can be done by detecting levels of progesterone, a hormone that indicates ovulation. Check LH hormone levelsluteinizing hormone) may also be needed because this hormone increases just before ovulation. In addition, the basal body temperature can also help. Other hormone tests, including thyroid hormone, may be necessary to check for other medical conditions related to infertility.

FSH hormone levelsFollicle-stimulating hormone) can also affect female fertility. In addition to checking levels through blood tests, CCCT tests with the drug clomiphene (clomiphene citrate challenge testing) is also possible.

Fertility tests are generally recommended by doctors for women who want to confirm and at the same time treat the causes of infertility and disorders of their reproductive organs. The fertility test itself is different from the fertile period test.

The fertile period test is used to find out when a woman is at the fertile period in her menstrual cycle. This needs to be known because that time is the most appropriate time to have sexual intercourse for couples who want to have children. In addition, there are other factors that can affect a woman's fertility, such as sexually transmitted infections such as chlamydia and trichomoniasis. You can consult an obstetrician to undergo various fertility tests above according to your condition.