Infertility Initial Investigations

Further investigations

Female

If all hormonal blood test are within normal parameters then the possibility of blocked tubes resulting in infertility will need to be explored.

Hycosy-Hystero Contrast Sonography

This investigation checks the patency of the fallopian tubes and the uterus. It is performed mid cycle around Day 14. The procedure involves a speculum being passed so that the cervix can be clearly seen. The vagina is then cleaned. A fine catheter is passed through the cervix into the uterus. Sometime this can cause the uterus to spasm which is similar to a period pain. The speculum is then removed. A vaginal ultra sound probe is then used in conjunction with the procedure. A fluid is injected into the catheter which is then seen passing into the uterus and through the tubes. If the fallopian tubes are blocked then this fluid will not be seen to pass through and out of the tubes. This in turn could be diagnosed as the reason for infertility.

HSG-Hystero-Salpingogram

This investigation checks the patency of the fallopian tubes and the uterus. The procedure involves a speculum being passed so that the cervix can be clearly seen. A fluid is then injected into the catheter is then seen passing into the uterus and through the tubes. A series of x-rays are then taken whilst the fluid passes up through the uterus and into the fallopian tubes.

For both of these procedures it is likely that antibiotics and a long acting analgesic should be prescribed by your clinic/doctor.