The female infertility diagnosis starts with an overview, which mainly involves a general gynecological examination, and then a history of disease and issues related to the menstrual cycle, sexual habits, and medications that women use. If a woman’s menstrual cycle lasts more than a month or absents, it can certainly be said that she has rare ovulation. Common causes of rare ovulation are stress, eating disorders (anorexia nervosa, bulimia) excessive physical exertion, sudden weight loss, malnutrition, obesity, etc.
Hormonal disorders can slow down or block completely the maturation and release of the egg cell causing menstrual disorders. The symptoms that can show hormonal disorders are unexpected weight gain or loss, constant fatigue, increased prevalence of malnutrition, hair loss, acne, pain in the pelvic due to the existence of ovarian cysts.
Symptoms of polyps or fibroid tumors can be abundant and prolonged menstrual bleeding, pain in the small pelvis, and enlargement of the uterus.
Disorders of the cervical form and uterine cavity disorders obstruct the attachment of the embryo and normal development of the fetus so they may be the cause of miscarriage and fetal loss.
Evaluation of ovarian function, egg conductivity and uterine condition can be done in different ways. Ultrasound is the most appropriate method, cheap, non-invasive and highly reliable.
Ultrasound examination is performed in the second or third cycle, of menstruation and on the same day blood is given for the evaluation of female hormones. Within the status of hormonal testing thyroid and adrenal gland hormones. Through the ultrasound followed the growth, maturation, and quadriceps of the follicles (ovulation).
The condition of the egg conductor is determined by gynecological ultrasound examination, hysterosalpingography (HSG) where the fluid enters the uterus and through x-ray determine whether the fluid has reached the conduction egg.
It is possible to determine whether there is a blockade of the egg conductor and where it is located. The existence of endometriosis or scarring can be determined with laparoscopy as well as uterine defects and egg conductor. The uterine condition can be evaluated by ultrasound examination, where it is taken into report the characteristics of the mucous membranes of the uterus, HSG, hysteroscopy and laparoscopy.