Study and diagnosis of infertility

What is understood by infertility?

When a couple achieves gestation easily, but it is repeatedly interrupted before the fetus is viable, is considered infertile.

When should the infertility study begin?

After two previous spontaneous miscarriages, the infertility study should be done to discard factors that increase the risk of another gestational loss.

Which tests should be done?

The basic study consists in the following tests:

  1. Blood tests to determine:

    1. Karyotypes (the study of chromosomes in blood) in both the man and woman

    2. Study of thrombophilias in the woman (abnormalities in blood coagulation) both acquired and hereditary

    3. Leutic serology

  1. Hysterosalpingography or hysteroscopy (study of the uterine cavity)

  2. Study of the endometrium (internal mucosa of the uterus) performed by a small aspiration of this tissue during the gynaecologic exploration.

  3. Transvaginal gynaecologic echography (evaluation of the uterus and the ovaries)

Fortunately, most of the abnormalities that can be diagnosed by these studies may be treated. If it is not possible, the real knowledge of the clinical situation can orient the couple about the different possible alternatives.