How is female infertility investigated?

Written by Zou Fu Hua
Obstetrics and Gynecology
Updated on March 04, 2025
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There are many tests to be done for female infertility. For example, during menstruation, a fasting blood test can be done to check for six sex hormones, including follicle-stimulating hormone, luteinizing hormone, prolactin, estrogen, testosterone, and progesterone. Between days 3-7 after menstruation ends, a fallopian tube hydrotubation and imaging can be performed, but intercourse must be avoided and there should be no gynecological inflammation to proceed with this examination. Additionally, routine vaginal secretion and mycoplasma infection tests can be conducted to check for any related issues. Moreover, around the tenth day of the menstrual cycle, a follicle monitoring ultrasound can be done to observe if there are dominant follicles and whether ovulation occurs. The male partner should also undergo some related tests. In summary, different tests can be conducted at different times for female infertility.

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Is infertility immunotherapy effective?

Infertility immunotherapy is effective, first looking at the cause of infertility. If infertility arises due to immune dysfunction, immunotherapy can be employed for targeted treatment at that time. If it is caused by fallopian tube blockage, tubal hydrotubation can be performed, followed by further fallopian tube treatment. Furthermore, if infertility is caused by anovulation of the ovaries, initially monitor the follicles via ultrasound. If indeed the follicles are not ovulating, medication can be used to stimulate ovulation. If infertility is caused by endocrine disorders, it is essential to regulate the endocrine system accordingly. Therefore, whether infertility immunotherapy is useful depends on the cause. If infertility occurs due to immune dysfunction, immunotherapy can be effective. If infertility is caused by other reasons, immunotherapy will be ineffective, hence it is crucial to evaluate the situation accordingly.

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Can biochemical energy eliminate infertility?

Having one biochemical pregnancy does not necessarily mean that the patient is infertile. Generally, after one biochemical pregnancy, with appropriate adjustment, it is possible to have a normal pregnancy next time. The causes of biochemical pregnancy result from natural selection, most commonly due to defects in the fertilized egg itself, insufficient function of the ovarian corpus luteum, abnormalities in the endometrium, underdeveloped uterus, or conditions such as uterine fibroids or endometrial tuberculosis. These factors can affect the implantation of the fertilized egg. It is advised to undergo thorough pre-pregnancy checks before attempting to conceive again.

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Infertility means.

The concept of infertility in medicine is defined as follows: both male and female partners have normal sexual relations without using any contraceptives, and if the female cannot become pregnant after a year, this condition is diagnosed as infertility. Previously, the time frame for diagnosing infertility was set at two years. However, due to the implementation of the two-child policy, the average age of both men and women tends to be higher, so it is generally limited to one year. If there is no pregnancy within this period, it is urgent to go to the hospital for diagnosis and treatment in order to identify the cause early and treat it accordingly, to avoid delaying the condition.

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Can uterine bleeding cause infertility?

Uterine bleeding can be normal or abnormal. Normal uterine bleeding refers to menstruation, which does not lead to infertility. Lack of uterine bleeding may indicate abnormal endocrine function, which could potentially cause infertility. However, if uterine bleeding occurs at times other than menstruation, it is considered abnormal uterine bleeding. There are various causes for abnormal uterine bleeding, and it can affect pregnancy. The most common reason for abnormal uterine bleeding is hormonal imbalance, which leads to irregular ovulation and may result in infertility.

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For female infertility, one should visit the department of gynecology.

Women who need infertility tests generally go to a hospital and visit either the Infertility Department or the Reproductive Medicine Department. Infertility is generally diagnosed when a couple has been married for over a year, both spouses have normal reproductive functions, have regular conjugal relations without contraception, and yet have not conceived. If infertility is confirmed, the male generally needs to undergo tests such as routine semen analysis, and checks for Mycoplasma and Chlamydia. The female usually needs to undergo tests for immunologic infertility, a sex hormone panel, ultrasound, hysterosalpingography, and follicle monitoring among other related examinations. These issues can generally be addressed by the infertility or reproductive medicine departments in local hospitals.