Consultation & Diagnosis
Couples who are having difficulty getting pregnant can meet with our doctors who can perform various fertility tests to diagnose infertility problems and recommend the appropriate course of fertility treatment.
The first step in obtaining infertility therapy is we review your history, do a thorough physical examination, followed by recommendations and fertility testing. These include clinical and laboratory testing to decifer the cause of the infertility. There are many reasons why couples or individuals have trouble conceiving, including; male and female factors.
Male factors such as low sperm volume, low sperm count, low sperm motility and more importantly poor sperm morphology. Male erectile dysfunction, male hormonal imbalance, Infectious disease, genetic factors and abnormalities in reproductive organs and varicocele may be the contributing factors in male infertility
Female contributing factor may include; Hormonal imbalance, lack of proper ovulation, anatomical anomalies, uterine factors, immunological deficiencies, endometriosis and infectious diseases, biological aging and genetic factors.
Through comprehensive fertility testing we can isolate the problem and suggest appropriate courses of treatment. A couple of these tests are:
- Semen Analysis by World Health Organization (WHO) technique and Kruger Strict Morphology Criteria
- Semen Culture
- Comprehensive Male Hormonal Profile if needed
- Ultrasound analysis of male genitalia and Doppler blood flow study
- Comprehensive Female Hormonal Profile
- Hysterosalpingogram (HSG) or Hyesterosonogram
- Assessment of Uterine factors
- Endometriosis work up
- Possible immunological factors
- Ultrasound testing of Pelvic organs and Doppler blood flow study
How Is A Uterus Evaluated For Infertility?
There are multiple ways to assess the uterus in an infertility patient.
Ultrasound is capable of providing images of the uterine wall and endometrial lining as well as the ovary.
Sonohysterogram or saline infusion during a sonogram allows the assessment of the uterine cavity, the space inside the uterus. This can reveal polyps, fibroids or sometimes scar tissue inside the uterus.
Hysterosalpingogram or HSG is a procedure where a small amount of dye that is opaque on x-ray is inserted in the cervix. This allows the assessment of the uterus as well as the fallopian tubes. If the tubes are open there will be spillage of the dye.
Hysteroscopy is where a hysteroscope (a telescope-like instrument) is passed through the cervix. It is performed under sedation. This allows our surgeons to visualize the uterine cavity, and diagnose the following conditions:
- Endometrial polyps, a small growth of the tissue in the lining of the uterus, which can be removed during hysteroscopy.
- Fibroids are benign growth that can be visualized and removed from the uterine cavity.
- Scar tissue or adhesions inside the uterus can be visualized and cut during hysteroscopy.
- Septum or tissue dividing the uterine cavity into two can also be removed during the hysteroscopic procedure.