The basic infertility evaluation for women includes a medical history and a physical examination. Additional testing to further refine the diagnosis is often completed as well.
The evaluation typically starts with a careful history of each woman's symptoms and previous experiences. This can include:
Next, a physical examination is performed to evaluate the pelvic organs and assess potential hormonal problems.
Finally, additional hormonal testing or ultrasounds may be required to evaluate ovulation and ovarian age. An X-ray of the uterus and tubes, called a hysterosalpingogram or HSG test, may be completed to assess uterine or tubal status.
Surgical procedures — such as a laparoscopy, which uses tiny incisions and a scope to view the interior organs, or hysteroscopy, an endoscopic inspection of the uterus — may be indicated to evaluate the structure of the uterus or fallopian tubes in more detail.
Reviewed by health care specialists at UCSF Medical Center.