Ovarian disorders account for approximately 30-35% of female related infertility. Testing is aimed at giving us information on whether or not you are ovulating; if so, how well do you ovulate or what is the egg quality. Some women may have regular, ovulatory periods, but the egg quality may still be reduced. This is a natural phenomenon.
Issues with the fallopian tubes may account for approximately 30% of female infertility problems. Common problems we see are related to tubal blockage or scarring from previous, sometimes undiagnosed, pelvic infection, abdominal infections like appendicitis, prior surgeries, prior ectopic pregnancy, or endometriosis. Prior tubal ligation (tying of the tubes) for contraception would also fall under this category.
The uterus is lined by a specialized layer of cells called the endometrium. It is to this lining that embryos implant and begin to develop in pregnancy. It is critical to thoroughly evaluate the uterine cavity for potential defects or obstacles to implantation of the embryo. Examples of such would be uterine scar tissue (from previous pregnancies or procedures), polyps (benign glandular growths), fibroids, or other structural defects in the uterus. Depending on your specific situation, the evaluation may include the following tests: