Note when performing female infertility tests

Infertility is a condition in which a couple does not get pregnant after 12 months of living together, having normal intercourse without using birth control. However, for the case of the wife over 35 years old, this period of not getting pregnant is only about 6 months and it is considered infertile and the couple should visit a doctor and do tests to evaluate fertility. produce.

The article is professionally consulted by Master, Resident Doctor Nguyen Thi Tam - Clinician - Reproductive Support Center - Vinmec Times City International Hospital.

Female infertility is a disease that can make a woman lose her fertility and motherhood. It has many causes, some of which are more common in the ovaries, uterus, and fallopian tubes. If the causes of female infertility are detected early and treated, the success rate will be higher.

A woman's fertility depends on the ovaries being able to release the ovum, the fallopian tubes open to receive the ovum and combine with sperm for fertilization. The fertilized egg must travel to the uterus and implant in the lining of the uterus in order to develop. Tests for female infertility work to try to find out if any of these processes are abnormal.

The first step in diagnosis and treatment is clinical examination to detect abnormalities of the genital tract such as inflammation, polyps, uterine fibroids, ovarian tumors... history of previous pregnancies, complications of previous pregnancies, menstrual history, menstrual disorders, ovulation disorders.
Blood count test excludes hemolytic anemia such as thalassemia, thyroid function, blood prolactin.
Survey of the uterus and fallopian tubes:
General gynecological ultrasound, survey ultrasound, uterine reconstruction to detect uterine polyps, uterine adhesions, uterine malformations... uterus – fallopian tubes with contrast for fallopian tube assessment. Evaluation of Ovarian Reserve: One of the checks to be done for couples with fertility problems is an assessment of ovarian reserve. Women who are elderly or have had previous ovarian surgery face an increased risk of decreased ovarian function or reserve. The most common evaluations are measurement of AMH levels and secondary follicle-count ultrasound on day 2 of the menstrual cycle.
In some cases of repeated implantation failure, the wife may be ordered to evaluate the uterine lining such as: Test for immunological analysis of the uterine lining (matrice lab) , evaluation of implantation book (ERA test), hysteroscopy, laparoscopy when indicated.
Exploratory Laparoscopy: Depending on your specific symptoms, your doctor may order hysteroscopy and laparoscopy. This is a targeted surgery to examine the uterus as well as to look at the ectopic, ovaries and fallopian tubes, to check if the fallopian tubes are not blocked.
Not everyone needs to have all or more of the tests listed above. Depending on the actual situation of the patient, the doctor will prescribe the appropriate test for each case.

Vinmec Fertility Support Center - Vinmec International General Hospital is the leading modern center in Vietnam built and applied a comprehensive medical examination and treatment process, combining both male and female obstetrics and gynecology. to come up with the optimal plan for each patient case. Up to now, Vinmec IVF fertility center has provided fertility support to over 1000 infertile couples with a success rate of over 40%. This rate is equivalent to developed countries such as the UK, USA, Australia, etc. With a high level of expertise and experience, Vinmec's team of experts is capable of implementing co-production. Comprehensive and comprehensive set of today's most advanced assisted reproductive techniques, helping to realize the dream of parenthood of hundreds of families across Vietnam.

Articles refer to sources: mayoclinic.org, webmd.com