Screening for female infertility

The specific examinations for female infertility are as follows: 1. history taking: all the patient’s menstrual history, current medical history, marital history, past history, personal history and family history related to infertility should be asked; 2. physical examination: the patient’s physical development and nutritional status should be observed; 3. gynecological examination: the development of the vulva, the distribution of pubic hair, abnormal fluid discharge and secretion should be examined. The examination should check the size, shape, position and mobility of the uterus, and whether there are any masses, tenderness and nodules in the adnexa, to exclude whether the patient has organic lesions or inflammation, because these can also lead to infertility; 4. Next is ultrasound to monitor the follicles, and transvaginal ultrasound is generally recommended routinely. If you are not having sex, you can do rectal ultrasound to see if the size of the follicles are polycystic and how thick the endometrium is. There is also a hormone level test to be done, usually in women with abnormal ovulation and high fertile age. If these tests are also normal, a tubal patency test will be done. The main test is a tubal imaging, which is done 3-7 days after menstruation to see if the fallopian tubes are blocked.