What tests are needed for infertility?

May 17, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
For infertility, the following tests are required: semen analysis, six-item sex hormone testing, ultrasound examination of the reproductive system, tubal patency test, and chromosomal testing. After completing these examinations, if any discomfort or abnormal symptoms occur, it is recommended to seek medical attention promptly. It is advisable to undergo these tests at a正规 hospital to avoid potential adverse effects caused by inadequate cleaning and sterilization of equipment during the examination process.

Generally, infertility evaluations include semen analysis, six-item sex hormone testing, reproductive system ultrasound examination, tubal patency testing, and chromosome testing. After completing the above tests, if any discomfort occurs, it is advisable to seek medical attention promptly. The details are as follows:

1. Semen Analysis

This is a fundamental test in male infertility evaluation. By assessing parameters such as semen volume, sperm motility, and morphology, this test helps determine whether a man's fertility is normal. Abnormal semen—such as low sperm count or reduced motility—are common causes of male infertility.

2. Six-item Sex Hormone Testing

In women, normal hormone levels directly affect ovulation, endometrial condition, and overall reproductive function. Testing follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estrogen levels helps assess endocrine status and identify hormonal imbalances that may cause infertility. In men, the focus is primarily on testosterone levels, as testosterone is essential for maintaining male reproductive function. Abnormal testosterone levels can lead to impaired sperm production, decreased libido, and other issues affecting fertility.

3. Reproductive System Ultrasound Examination

Ultrasound imaging allows direct visualization of the structure and morphology of reproductive organs—such as the uterus, ovaries, and fallopian tubes in women, and the testes and epididymis in men. This examination helps detect organic abnormalities like uterine malformations or blocked fallopian tubes, which are common causes of infertility.

4. Tubal Patency Testing

The fallopian tubes are where sperm and egg meet and unite to form a fertilized embryo. If the tubes are blocked or adhered, sperm cannot reach the egg, resulting in infertility. Tests such as hysterosalpingography (HSG) can determine whether the fallopian tubes are open, allowing early detection and timely treatment of any issues.

5. Chromosome Testing

Chromosomal abnormalities are a significant cause of infertility. Such abnormalities may lead to abnormal development of sperm or eggs, thereby impairing fertilization and embryonic development. Chromosomal testing helps determine whether either partner carries chromosomal anomalies, assess potential genetic risks, and guide appropriate treatment strategies.

It is recommended to undergo these examinations at a正规 hospital to avoid potential health risks caused by inadequate cleaning or improper handling of medical equipment.