At your first examination, your doctor examines your medical history and performs a physical examination. If your partner's semen analysis is normal, your doctor will recommend tests and diagnostic procedures based on your age and general health. While some procedures are performed in your doctor's office, others may need to be performed in the hospital.
Medical history
Your doctor will ask you various questions about your medical history. Be sure to mention any previous surgeries, pregnancies and curettages, sexually transmitted diseases or other pelvic infections. You will also be questioned about your menstrual periods and the frequency of sexual intercourse.
Physical examination
Your doctor will perform a general examination. Your breast development, fat and hair distribution will be examined as these are indicators of the activity of hormones. A pelvic exam will examine your ovaries for any developmental defects or signs of infection.
Reproductive tests
Depending on your age, health, and general examination, your tests will start from the simplest to the least invasive. These tests may be repeated to confirm your diagnosis.
Blood tests
Some blood tests can detect previous pelvic infections and your ovarian, pituitary and thyroid hormone levels can be determined by measurements taken during your menstrual period.
Postcoital test (post-coital test)
Your cervical mucus secretion is tested very soon after sexual intercourse, usually within about 12 hours. This indicates the quality of the mucus as well as the swimming capacity of the sperm in the mucus. This test is usually done a day or two before ovulation, these days the cervical secretion is most suitable for the passage of sperm.
HSG
Hysterosalpingography is used to show a blockage in the tubes or any problems inside the uterus. -ray imaging. X-ray images are taken after the opaque substance is administered through the cervix. This test is usually done at the end of menstruation and before ovulation.
Inner uterine wall (endometrium) biopsy
With uterine inner wall biopsy, it is checked how the inner wall of the uterus responds to hormones. This test also determines whether progesterone is preparing the uterus for implantation of the fetus. It is looked at. At the same time, it is checked whether there is any inflammatory condition in the uterus. With the help of a small catheter inserted through the cervix, a thin tissue sample is taken for examination under a microscope. This test is usually done two to four days before your period.
Ultrasound
This imaging tool takes images of internal organs using high-frequency sound waves. This procedure can be applied at any time during the menstrual period, monitoring the development of follicles and ovulation. Ultrasound also examines cysts, fibroids, and the thickness of the inner wall of the uterus.
Hysteroscopy
It is possible to see the inner cavity of the uterus and the cervix with hysteroscopy. A small lighted instrument (telescope-hysteroscope) at the end of this device is sent through the cervical opening and is used to detect diseases in the uterus.
Laparoscopy
It is used to detect abnormal developments or adhesions in your reproductive organs. Your doctor examines your internal organs by inserting a lighted instrument (laparoscope) through a narrow incision in your abdomen. Since anesthesia will be used during this procedure, you will not feel any pain. This procedure can be applied at any time during the menstrual period.
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