Examinations
The process of properly exploring the woman’s scope for becoming pregnant may take two to three months, i.e. at least two full menstrual cycles.
During each cycle, the woman will be examined at the following times:
A menstrual cycle is calculated from the first day of bleeding until the last day before the next menstruation.
Blood tests accompany these examinations.
Scanning and ultrasound scans
Scanning and ultrasound scans are carried out before the 6th day of the cycle, when the Fallopian tubes are resting, and low levels of all hormones are being produced. The scan, which is conducted using ultrasound equipment examines the shape, size, location, muscular support and mucous mem-
branes inside the uterus, and the position, structure, size of the ovaries and the follicles they contain. Most women are menstruating at the time of the scan and although in our experience they associate this with discomfort, there is no need, however, as this is a familiar requirement for the examination. After this examination, a new appointment is arranged for the next examination.
Ovulation
The next stage of the examination process is the mid-cycle scan and blood test, which monitors the development of the egg and ovulation. A sample of cervical secretion is taken that is used to study whether sperm cells can penetrate the secretion. During the period leading up to this scan, the LH level is also measured to map hormonal changes up to ovulation. This is accomplished using an ovulation test at home (urine dip sticks). Another appointment is then arranged.
After ovulation
Approx. 7 days after the ovulation, the woman is scanned to see whether the egg has loosened. A blood test is also taken to determine progesterone levels. Sometimes the egg fails to loosen (ovulate),
> Female
which is called LUF syndrome. At this point the male partner submits a sperm sample for a “swimming test” (penetration test), which determines whether the sperm can move in the secretion.
Sonohysterogram or x-ray of the Fallopian tubes
If there is any uncertainty when interpreting the results, the examinations are repeated in the subsequent cycle, possibly accompanied by a hormone supplement. The examination may also be supplemented by a sonohysterography or an x-ray of the Fallopian tubes. The sonohysterography involves an injection of sterile liquid with a local anaesthetic effect into the uterus and Fallopian tubes. The examination is carried out in the familiar surroundings of the clinic. The x-ray examination is conducted by injecting an x-ray contrast medium into the uterus and Fallopian tubes. The examination shows whether there is free passage through the Fallopian tubes and is carried out at a hospital or x-ray clinic.
More specific information is available on the menstrual cycle?
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