Diagnosis of Unexplained Infertility

Arriving at a Diagnosis of Unexplained Infertility

First, our fertility specialists will meet with the couple (or individual) to discuss the medical, surgical, and sexual history of both partners.

If needed, we will perform a physical exam on the female patient, looking for structural issues and other indicators of reproductive system problems. We test for female infertility due to ovulation issues through the use of ovulation predictor kits and timed blood tests that detect important reproductive hormones.

We may also utilize a transvaginal ultrasound to evaluate your ovaries. The doctor may recommend an X-ray test of the fallopian tubes and uterus (called a hysterosalpingogram) that uses a radiographic dye solution to help image the tubes and uterine cavity.

To test for male infertility, we perform a semen analysis that provides information about the sperm count, the sperm movement and the sperm shapes.

If none of the above gives us an indication of the cause of infertility, we will likely diagnose unexplained infertility and discuss treatment options.

How Do I Know if I’m Experiencing Infertility?

It may be time to meet with a fertility specialist if:

• You have had difficulty conceiving on your own after one year of trying (six months if you are age 35 or older)
• You have suffered multiple pregnancy losses
• You are a woman experiencing abnormal menstrual cycles