Before you can get pregnant, your uterus, fallopian tubes and ovaries all need to work right. Your doctor may suggest different procedures that can check the health of these organs.
Depending on the individual couple’s situation, various blood tests on either the female or the male may be needed. Blood tests that might be needed include Day 3 Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Estradiol (E2) AMH, Prolactin, Testosterone (T), Progesterone (P4), 17-hydroxyprogesterone (17-OHP), thyroxin (T4), Thyroid Stimulating Hormone (TSH).
If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests.
AMH (Anti-Mullerian Hormone) testing helps determine fertility potential and ovarian reserve. AMH levels can give an idea of how well the ovaries function. This is called their ovarian reserve. Very low levels can suggest low ovarian reserve. You may get a blood test to check your levels of follicle-stimulating hormone, or FSH, which triggers your ovaries to prepare an egg for release each month. High FSH can mean lower fertility in women. The FSH blood levels get checked early in your menstrual cycle (often on day 3).
Hysterosalpingogram (HSG): The HSG is one of the primary tests used to reveal tubal or uterine problems contributing to infertility. Also called a “tubogram,” this is a series of X-rays of your fallopian tubes and uterus. The X-rays are taken after your doctor injects liquid dye through the vagina. As the dye moves through the organs, the physician can assess the condition of the cervical canal, uterus and fallopian tubes.
Another method uses saline and air instead of dye and an ultrasound. The HSG can help you learn if your fallopian tubes are blocked or if you have any defects of your uterus. The test is usually done just after your menstrual period.
Sonohysterogram (SHG) This is a procedure which evaluates the uterine cavity for polyps, fibroids or scar tissue. A catheter is placed into the uterus and sterile saline is injected while transvaginal ultrasound visualizes the cavity.
After the testing is done, about 85% of couples will have some idea about why they’re having trouble getting pregnant.