{"id":70974,"date":"2020-04-24T20:06:27","date_gmt":"2020-04-25T02:06:27","guid":{"rendered":"https:\/\/americanpregnancy.org\/?p=242"},"modified":"2022-06-10T07:45:35","modified_gmt":"2022-06-10T13:45:35","slug":"fertility-test-for-women","status":"publish","type":"post","link":"https:\/\/americanpregnancy.org\/getting-pregnant\/fertility-test-for-women\/","title":{"rendered":"Fertility Test for Women"},"content":{"rendered":"<p>When a couple has been unsuccessful at achieving pregnancy after one year, both partners need to go through a comprehensive physical and medical assessment. Fertility test for women and a semen analysis should start immediately. \u00a0Because male factors account for approximately <strong>50% of all infertility cases<\/strong>,\u00a0it is important to examine both partners for possible <a title=\"Infertility\" href=\"https:\/\/americanpregnancy.org\/infertility\/\">infertility<\/a> issues.<\/p>\n<p>At-home semen analysis kits are available to help encourage <a title=\"Male Fertility Testing\" href=\"https:\/\/americanpregnancy.org\/infertility\/male-fertility-testing\/\">male fertility testing<\/a>. \u00a0The option of at-home kits allows men to be more comfortable with testing\u00a0in the privacy of their own home.<\/p>\n<h2>Fertility Testing for Women<\/h2>\n<p>The first step in diagnosing female fertility is a comprehensive appointment with your fertility physician. During this appointment, your medical history and lifestyle will be discussed extensively. Topics such as <a title=\"Overview: Types of Birth Control\" href=\"https:\/\/americanpregnancy.org\/preventing-pregnancy\/types-of-birth-control\/\">birth control<\/a> use, <a title=\"Menstruation: A Journey Through Your Cycle\" href=\"https:\/\/americanpregnancy.org\/womens-health\/menstruation\/\">menstrual<\/a> and pregnancy history, current and past\u00a0sexual practices, <a title=\"Medications\" href=\"https:\/\/americanpregnancy.org\/medication\/\">medications<\/a> used, surgical history, other health issues\u00a0and what your lifestyle is like as well as your work\/living environment\u00a0will all be discussed.<\/p>\n<p>A thorough physical exam will also be done. Areas such as your thyroid, breasts, and hair growth will be looked at. A pelvic exam is also an important part of female fertility testing, along with a <a href=\"https:\/\/americanpregnancy.org\/womens-health\/pap-smear\/\">pap smear<\/a>.<\/p>\n<p>After this first appointment, your physician may want to proceed with some\u00a0initial testing. This initial testing will evaluate things such as if <a title=\"Understanding Ovulation\" href=\"https:\/\/americanpregnancy.org\/getting-pregnant\/understanding-ovulation\/\">ovulation<\/a>\u00a0is occurring, when it should be occurring, ovarian function, and uterine\u00a0function during the ovulation process.<\/p>\n<p>Ideally, you will have already begun <a title=\"Ovulation Calendar: How To Track Ovulation\" href=\"https:\/\/americanpregnancy.org\/ovulation-calendar\/\">tracking your ovulation<\/a> through <a title=\"Fertility Awareness: Natural Family Planning (NFP)\" href=\"https:\/\/americanpregnancy.org\/preventing-pregnancy\/natural-family-planning\/\">fertility\u00a0awareness<\/a> or a fertility\u00a0monitor. This will provide your reproductive specialists with valuable\u00a0information about your ovulation. Usually one of the first questions regarding\u00a0female fertility is whether you are ovulating or not.<\/p>\n<p><strong>Ovulation evaluation may be broken down into types:<\/strong><\/p>\n<ul>\n<li><strong>Ovulation testing<\/strong>&#8212; to confirm if ovulation is occurring\u00a0by looking through your temperature charts, using ovulation predictor\u00a0kits and <a title=\"Blood Test\" href=\"https:\/\/americanpregnancy.org\/prenatal-testing\/blood-test\/\">blood tests<\/a> and <a title=\"Ultrasound: Sonogram\" href=\"https:\/\/americanpregnancy.org\/prenatal-testing\/ultrasound\/\">ultrasound<\/a>.<\/li>\n<li><strong>Ovarian function tests<\/strong>&#8211;These tests are looking to\u00a0see how the hormones are functioning and working during your ovulation\u00a0cycle. Tests include the Day 3 FSH (measuring follicle stimulating hormone),\u00a0Day 3 Estradiol (measuring estrogen), ultrasound (to confirm ovulation\u00a0occurred) and blood tests to determine the levels of inhibin B.<\/li>\n<li><strong>Luteal Phase testing<\/strong>&#8211; Testing will evaluate progesterone\u00a0levels, more extensive hormone testing, and possibly an endometrial biopsy\u00a0( see below for more info on this procedure.)<\/li>\n<li><strong>Hormone tests: <\/strong>Most all of this testing will revolve\u00a0around thorough hormone tests.<\/li>\n<\/ul>\n<p><strong>These hormone tests include the following:<\/strong><\/p>\n<ul>\n<li>Luteinizing Hormone<\/li>\n<li>Follicle Stimulating Hormone<\/li>\n<li>Estradiol<\/li>\n<li>Progesterone<\/li>\n<li>Prolactin<\/li>\n<li>Free T3<\/li>\n<li>Total Testosterone<\/li>\n<li>Free Testosterone<\/li>\n<li>DHEAS<\/li>\n<li>Androstenedione<\/li>\n<\/ul>\n<p><strong>The following tests are also commonly used in the first evaluated cycle:<\/strong><\/p>\n<ul>\n<li><strong>Cervical mucus tests:<\/strong> This involves a post-coital\u00a0test (PCT) which determines if the sperm is able to penetrate and survive\u00a0in the <a title=\"Cervical Mucus and Your Fertility\" href=\"https:\/\/americanpregnancy.org\/getting-pregnant\/cervical-mucus\/\">cervical mucus<\/a>. It also involves bacterial screening.<\/li>\n<li><strong>Ultrasound tests: <\/strong>This is used to assess the thickness\u00a0of the lining of the uterus (endometrium), to monitor follicle development\u00a0and to check the condition of the uterus and ovaries. An ultrasound may\u00a0be conducted two to three days later to confirm that an egg has been released.<\/li>\n<\/ul>\n<p>If both the semen analysis and the above testing return normal results,\u00a0there is also additional testing that your fertility specialists may recommend.<br \/>\n<strong>These tests include any of the following:<\/strong><\/p>\n<ul>\n<li><strong>Hysterosalpingogram (HSG):<\/strong> This is an <a title=\"X-Rays During Pregnancy\" href=\"https:\/\/americanpregnancy.org\/pregnancy-health\/x-rays-during-pregnancy\/\">x-ray<\/a> of your\u00a0uterus and fallopian tubes. A dye is injected through the cervix into\u00a0the uterus and fallopian tubes. The dye enables the radiologist to see\u00a0if there is a\u00a0blockage or some other problem.<\/li>\n<li><strong>Hysteroscopy: <\/strong>This is a procedure that may be used\u00a0if the HSG indicates the possible presence of abnormalities. The hysteroscope\u00a0is inserted through the cervix into the uterus, which allows your fertility\u00a0specialist to see any abnormalities, growths, or scarring in the uterus. \u00a0The hysteroscope allows the physician to take pictures which can be used\u00a0for future reference.<\/li>\n<li><strong>Laparoscopy: <\/strong>This is a procedure done under <a title=\"General Anesthesia\" href=\"https:\/\/americanpregnancy.org\/labor-and-birth\/general-anesthesia\/\">general\u00a0anesthesia<\/a>, that involves the use of a narrow fiber-optic telescope<br \/>\nunder. The laparoscope is inserted into a woman\u2019s abdomen to provide\u00a0a view of the uterus, fallopian tubes, and ovaries. If any abnormalities\u00a0such as <a title=\"Endometriosis\" href=\" https:\/\/americanpregnancy.org\/womenshealth\/endometriosis.html\">endometriosis<\/a>, scar tissue or other adhesions are found, they\u00a0can be removed by a laser. It is important to confirm that you are not\u00a0pregnant before this test is performed.<\/li>\n<li><strong>Endometrial biopsy:<\/strong> This is a procedure that involves\u00a0scraping a small amount of tissue from the endometrium just prior to menstruation. \u00a0This procedure is performed to determine if the lining is thick enough\u00a0for a fertilized egg to implant in and grow. It is important to confirm\u00a0that you are not pregnant before this test is performed.<\/li>\n<\/ul>\n<p>These tests are not mandatory and your fertility specialists will know\u00a0which tests to recommend in your situation.<\/p>\n<p>Our <a href=\"https:\/\/americanpregnancy.org\/resources\/fertility-products-resource-guide\/\"><strong>Ultimate Fertility Resource Guide<\/strong><\/a> provides the information you need on fertility, tips on how to get pregnant faster, and how to boost fertility through sometimes simple tweaks to your lifestyle and approach. The guide is easy to read and meant for anybody wanting to increase their ability to conceive. It&#8217;s a free download and includes coupon codes for essential products. Even free Nightfood Nighttime Ice Cream.<\/p>\n<p class=\"citation-date\"><!--more--><\/p>\n<p><strong>More informative articles:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/americanpregnancy.org\/getting-pregnant\/infertility\/\"><strong>Infertility 101: What You Need to Know First<\/strong><\/a><\/li>\n<li><strong><a title=\"Female Infertility\" href=\"https:\/\/americanpregnancy.org\/infertility\/female-infertility\/\">Female infertility<\/a> <\/strong><\/li>\n<li><a href=\"https:\/\/americanpregnancy.org\/infertility\/infertility-medications\/\"><strong>Infertility Medications<\/strong><\/a><\/li>\n<li><strong><a href=\"https:\/\/americanpregnancy.org\/getting-pregnant\/ovulation-faq\/\">Ovulation: Frequently Asked Questions<\/a><\/strong><\/li>\n<\/ul>\n<hr \/>\n<p class=\"citation-heading\">Compiled using information from the following sources:<\/p>\n<p class=\"citation-source\">1. RESOLVE: The National Infertility Association<\/p>\n<p class=\"citation-url\"><a title=\"The National Infertility Association\" href=\"https:\/\/www.resolve.org\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.resolve.org<\/a><\/p>\n<p class=\"citation-source\">2. American Society for Reproductive Medicine (ASRM)<\/p>\n<p class=\"citation-url\"><a title=\"American Society for Reproductive Medicine (ASRM)\" href=\"https:\/\/www.asrm.org\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.asrm.org<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When a couple has been unsuccessful at achieving pregnancy after one year, both partners need to go through a comprehensive physical and medical assessment. Fertility test for women and a semen analysis should start immediately. \u00a0Because male factors account for approximately 50% of all infertility cases,\u00a0it is important to examine both partners for possible infertility [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":8441,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[56,50,6624],"tags":[],"faq-categories":[8401],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.11 (Yoast SEO v20.11) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fertility Test for Women | American Pregnancy Association<\/title>\n<meta name=\"description\" content=\"When a couple hasn&#039;t achieved pregnancy after one year, it&#039;s time for fertility testing. 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