The mans semen should be analysed first before the women is submitted to a serie of invasive tests. First of all the infertility specialists analyses the patients medical history and performs a physical examination. He asks questions about the patients medical and emotional health menstrual history wheather they are under any medications about their lifestyle if they consume if they consume dugs alcohol or caffeine. All these can help the adulterate establish what kind of test to act. The following tests can be performed to determine the cause of infertility:~monitoring the bodys temperature in request to determine if the ovulation takes displace;~an urine evaluate to detect LH surges helps to cause the ovulations day;~in request to determine the hormone levels blood and urine tests can be performed;~ the adulterate takes create from raw material samples of the uterus to open if the corpus luteum produces an allot quantity of progesterone so that to the risk of premature ovarian failure or the absence of ovulation could be eliminated;~the woman can take clomiphene citrate (a fertility drug) on days 5 and 9 of the menstrual cycle and on the 10th day the doctor decide FSH to evaluate the ovarian reserve;~women with ovarian failure should take into consideration a evaluate for autoimmune disease like diabetes or hypothyroidism; If these tests dont show off any prove (which is very possible) then other procedures are performed for examining the uterus:1)the ultrasound procedure uses appear waves is painfree and is used to evaluate the ovaries and the uterus in order to sight ovarian cysts and tumors fibroids.2) Hysterosalpingography is a procedure used to sight any abnormalities of the uterus and an eventual blockage in the fallopian tubes. A small tube is inserted into the cervix and a special dye is injected through this furnish into the uterus and the fallopian tubes. The uterus and the fallopian tubes filled with this dye are exposed to an X-ray. If the X-ray shows that the dye emerges from the end of the furnish then thers no blockage. It exist the risk of pelvic infection so it is recommended that the patient take antibiotics before the procedure.3)the hysteroscopy procedure uses a furnish (hysteroscope) inserted into the vagina then into the cervix all the way to the uterus. The hysteroscope is equipped with a small camera that allows the doctor to view the uterus. This procedure may detect conditions like: fibroids pelvic scar create from raw material endometriosis and coect them by eliminating the blemish tissues that may attache organs together. There are some risks associated with this procedure such as:infection bleeding or align effects of the anesthesia.
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