Session 1: Primary investigation of the infertile couple

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3. Female infertility diagnostics and treatment.

The causes for female infertility can be classified in 5 equal groups:

  • anovulation
  • uterine tubes factor
  • endometriosis
  • unexplained infertility
  • a combination of the above

The primary evaluation of the woman consists of the following:

  • 1 - 2 months – at a maximum – measuring the body temperature in the morning
  • HSG (Hysterosalpingography)
  • A serum progesterone analysis, once, on day 20 to 23 in the menstrual cycle
  • A sperm specimen from the man
  • A serum FSH and a serum LH analysis, once, on day 3 to 5 in the menstrual cycle
  • Occationally also diagnostic laparoscopy is needed to evaluate the peritoneal surface and anatomy of the genitals.

            This includes laparoscopy for 

On the basis of these tests the patients can quickly be catalogued and referred.














Confirming patency of the tubes

Endometriosis

Endometriosis

Endometriosis with dense adhesion formation

Endometriosis


 
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