Besides the laboratory tests carried out for infertility diagnosis in men and women, sometimes physical testing is also needed. While in most cases, a woman might be aware of infections, which might have caused damage to her fallopian tubes, in some cases, she might not be aware of them.

Like in the case of Chlamydia, which manifests no visible symptoms, but is capable of damaging fallopian tubes. This is why, while exploring causes of infertility, it is very important to investigate the condition of the tubes.

There are several methods of physical investigation, in both men and women. The Itoozhi Clinic for Reproductive Medicine encourages a thorough examination, so that the exact cause for the inability to conceive can be determined and the best treatment provided.

Physical Investigation Methods for Infertility Diagnosis:

Laparoscopy test:

In a laparoscopy, carried out under a general anaesthetic, a viewing tube is inserted through a small incision in the woman’s abdomen. The abdomen is inflated with carbon dioxide, which makes it easier for the surgeon to check the uterus, ovaries and fallopian tubes for structural abnormalities, endometriosis and adhesions, as well as possibly repair any problems at the same time. Some surgeons also use a laparoscopy to assess whether the fallopian tubes are open. Dye is injected through the cervix and should flow out of the ends of the tubes; if it doesn’t, the tubes are blocked.

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X-ray Test (Hysterosalpingography):

Another standard test to assess whether the fallopian tubes are open is hysterosalpingography. Dye is injected through the woman’s cervix into the uterus. This dye shows up on X-rays, so a series of X-rays is taken to check the way it flows through the fallopian tubes and whether there are any blockages. Any problems show up immediately, which makes this a useful procedure, but it can cause mild to severe cramps. Another advantage of this test is that you avoid having to have a general anaesthetic and surgery; it is usually done in the hospital’s X-ray department and you can go home soon after the procedure.

Ultrasound Tests (Hysterosalpingo-Contrast Sonography:

A relatively new test for assessing whether the fallopian tubes are open is hysterosalpingo-contrast sonography. A contrast solution is injected through the cervix and ultrasound scanning allows its flow along the tubes to be traced. The procedure takes between 15 and 30 minutes and you can go home straight afterwards. However, it is not suitable for everyone and a laparoscopy may also be recommended for a full assessment of the pelvic cavity.

Ultrasound Scanning:

Ultrasound scanning is also sometimes used as a diagnostic test. An abdominal ultrasound can give a picture of a woman’s uterus and ovaries and show any fibroids, uterine abnormalities or polycystic ovaries. An ultrasound can also monitor whether eggs are developing and being released from the ovaries. One uncomfortable aspect of abdominal ultrasound is that a full bladder is necessary to allow the ovaries to be seen more clearly. Sometimes transvaginal ultrasound is used and in this case, a full bladder is not needed. In a man, an ultrasound can show whether the sperms are being stored and passed on through the system as they should be.

Surgical Exploration of the Testes:

This is done if no other reason can be found for a man’s infertility. It can check for blockages or infections, and a biopsy may be done to check whether sperms are being produced and are maturing properly. If the sperm-producing tubules and the sperm in them are normal but a semen analysis shows no sperm, the problem is likely to be a blockage. A vasogram may be performed to pinpoint the blockage: dye is injected and X-rays will outline the ducts and pinpoint any obstructions.

Endometrial Biopsy:

During an endometrial biopsy a small sample of the lining of the uterus – the endometrium – is examined to see whether the lining of her uterus can support a pregnancy.. There are several methods to extract the sample for the endometrial biopsy. A soft device shaped like a straw (pipette) could be used to suction a small sample of lining from the uterus (his method is fast and may cause some cramping); an electronic suction device (Vabra aspiration) could be used, although this method can be quite uncomfortable; or a spray of liquid (jet irrigation) could be applied to wash off some of the tissue that line the uterus. A brush may be used to remove some of the lining before the washing is done.

We have formulated certain styles of treatment based on our years of experience. Today Itoozhi Ayurveda is one of the leading ayurvedic hospitals in India. Feel free to contact us to know more about our Ayurvedic Infertility Treatment and Reproductive medicines.


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