Causes of infertility in women
Female fertility tests
If you are under 35 and you have been trying to conceive without using birth control for 12 months or longer, we recommend making an appointment with your GP or a fertility specialist. If you are over 35 we recommend seeking help after 6 months of actively trying to conceive. During your first appointment, you will be asked a range of questions. The following list gives you an idea of typical questions your GP or fertility specialist will ask.
- How long have you been trying to conceive?
- Have you had previous births and were there any complications during previous pregnancies?
- Have you had any miscarriages?
- Have you been using contraception and for how long?
- When did you stop using contraception?
- How often do you have sexual intercourse?
- Do you menstruate regularly?
- Have you done a recent cervical screening test?
- Have you had any sexually transmitted infections (STIs)?
- Which medical conditions do you have?
- Are you taking any medications and/or supplements?
- Do you smoke and/or take illicit drugs?
- How much alcohol do you consume?
- How much caffeine do you consume?
- Are you exposed to any chemicals or toxins on a regular basis?
- What’s your weight? BMI?
- Do you exercise?
- Are you stressed?
Blood tests will be done to check a range of hormones including FSH (follicle-stimulating hormone), LH (luteinising hormone) and your level of Anti-Mullerian hormone. The AMH blood test is a good indicator of your ovarian reserve.
Chlamydia may negatively affect your reproductive system. You will be asked to take a swab to collect some cells from your cervix or a urine test.
To check your ovaries, uterus and fallopian tubes, and ultrasound will be prescribed. Conditions such as fibroids or endometriosis may be detected, as well as signs for blocked or damaged fallopian tubes. If the ultrasound suggests possible blockage, you will be referred for a hysterosalpingo-contrast-ultrasonography (HyCoSy) or an X-ray.
If a problem is detected after doing the initial fertility tests, a laparoscopy may be recommended and prescribed, to examine your uterus, fallopian tubes and ovaries.
Importance of your medical history
Please note that the information provided is not medical advice. To obtain personalised information about suspected infertility, please contact your qualified fertility specialist.