If you are trying to conceive but are not succeeding, there are several tests and evaluations you can consider to determine the cause of fertility problems. It is important to note that fertility testing and treatment can be complex, and it is advisable to consult with a fertility specialist or gynecologist to determine the right course of action for you and your partner.
Laboratory tests can be helpful in determining the cause of fertility problems. Here are some common laboratory tests that may be recommended if you are having trouble getting pregnant:
- Hormone levels:
- Follicle stimulating hormone (FSH).
- Luteinizing hormone (LH)
- Prolactin
- Estradiol
- Progesterone
- Testosterone (for both women and men)
- Thyroid hormones (TSH, T3, T4)
- Anti-Müllerian Hormone (AMH) - This can assess egg reserve.
- Blood glucose levels: Diabetes can affect fertility.
- Thyroid function tests: Problems with the thyroid gland can affect fertility.
- Prolactin test: Elevated prolactin levels can affect ovulation.
- Genetic testing: In some cases, genetic screening can be useful to look for genetic causes of fertility problems.
- Ovarian reserve testing: This includes tests such as measuring AMH levels and counting antral follicles via ultrasound to assess egg reserve.
- Infection testing: Infections can affect fertility. Tests such as chlamydia and gonorrhea tests can be performed.
- Immunological tests: Some immune disorders can cause fertility problems. Immunological tests may be helpful.
It is important to note that the specific tests recommended depend on your medical history, symptoms and previous examinations. A fertility specialist or gynecologist can guide you in determining which laboratory tests are relevant in your situation and how they can help identify the cause of your fertility problems.