Infertility
Alternative Names
Barren; Inability to conceive; Unable to get pregnantSymptoms
- A range of emotions by either or both members of the couple. In general, such reactions are greater among childless couples. Having at least one child tends to soften these painful emotions.
- Inability to become pregnant.
Exams and Tests
A complete history and physical examination of both partners is essential.
Tests may include:
- Blood hormone levels
- Cervical mucus to detect ovulation
- Endometrial biopsy
- Hysterosalpingography (HSG)
- Laparoscopy
- Luteinizing hormone urine test
- Pelvic exam
- Postcoital testing (PCT)
- Progestin challenge
- Semen analysis
- Serum progesterone
- Temperature first thing in the morning to check for ovulation (basal body temperature)
- Testicular biopsy (rarely done)
References
Speroff L, Fitz M. Clinical Gynecologic Endocrinology and Infertility. 7th ed. Lippincott Williams & Wilkins; 2004.
Stenchever A. Comprehensive Gynecology. 4th ed. St. Louis, Mo: Mosby; 2001:1204-1206.
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