Female Diagnosis

Even after unprotected sexual activity for at least a year, are you still having trouble getting pregnant? Don't worry. Many underlying reasons are responsible for infertility. The most common underlying reasons for infertility are abnormalities of the

  • Uterus
  • Fallopian tubes
  • Uterine cavity

A doctor conducts several processes for female diagnosis to identify these causes. Make an appointment with skilled and experienced doctors at Apollo Fertility Centre, Banjara Hills.

Ultrasound-Sonohysterogram (SHG)

A sonohysterogram, or SHG, is an examination of the uterus and the cavity containing the uterine lining (endometrium) cavity. The ultrasound with the saline fluid provides a closer look at the uterine cavity and ovaries.

The endocrinologist carries out this test to check for anomalies inside the uterus. Infertility, recurrent miscarriages, and irregular uterine bleeding are all caused by these disorders. The assessment outlines the uterine cavity to identify the abnormalities in the uterus. It is done by inserting a tiny catheter into the womb and discharging a small amount of fluid into the catheter.

Endocrine Assessment

The first assessment for women having trouble getting pregnant is an endocrine evaluation. It is a kind of blood test used to identify infertility and endocrine abnormalities. Doctors perform endocrine assessments to:

  1. Determine the patient's body's levels of hormones, such as
  • oestradiol
  • progesterone
  • prolactin
  • luteinizing hormone
  • anti-Müllerian hormone (AMH)
  • follicle-stimulating hormone (FSH)
  1. Ensure that the endocrine system is in good shape.
  2. Identify the root cause of an endocrinological problem.
  3. Confirm an earlier diagnosis.

Ovarian Reserve Testing

Age affects a woman's capacity to become pregnant—the likelihood of becoming pregnant declines, and the likelihood of miscarriage increases as a woman ages. Because egg production declines with age, it is more challenging for women over 35 to get pregnant.

To determine a woman's ovarian reserve levels before she undergoes in vitro fertilisation (IVF), the doctor suggests ovarian reserve testing (ORT).

An ordinary blood test called an ORT helps to measure the hormone levels of substances like follicle-stimulating hormone (FSH) and anti-Müllerian hormone (AMH). The likelihood of becoming pregnant increases with ovarian reserve.

Tubal Assessment-Hysterosalpingogram

A hysterosalpingogram (HSG) is a tubal examination used to map the uterus' internal structure and determine whether the fallopian tubes are blocked.

The doctor inserts a small tube into the cervix or vagina during the HSG procedure. The dye is then put into the tube after that. If the dye goes through the tube, there is no obstruction. However, if the dye does not travel through the tube, the fallopian tubes become obstructed.


A doctor may recommend a hysteroscopy to assess the reproductive health of women experiencing bleeding or severe cramping. The doctor uses a hysteroscope to look for any irregularity in the uterus.

The doctor places a hysteroscope within the vagina during the surgery. A hysteroscope is a short tube with tiny light at the end. This provides a clear image of the vagina and cervix, which aids in the identification of the causes of severe bleeding and cramping.


A method called HyCoSy/HyFoSy uses ultrasonography to check women for obstructed fallopian tubes. The doctor advises it as a secure method of determining whether the uterus and ovaries are abnormal.

A foamy gel is inserted through a catheter that is inserted into the vagina during the surgery. If the gel spills over both fallopian tubes, the tubes are not blocked. However, if the gel does not spill, it can be a sign of tubal obstruction. Upon completing the HyCoSy/HyFoSy, the doctor may assist you with an immunological investigation.

Immunological Investigation

Immune rejection of male sperm by a woman's body leads to immunological infertility. Anti-sperm antibodies generated by the female immune system are due to immunological reactions. In the following situations, immunological investigations help diagnose the causes behind

  • Multiple miscarriages
  • Failure of IVF
  • Unexpected difficulties while trying to get pregnant
  • Previous immunity disorders
  • History of thyroid disease
  • Placenta-related problems, like early birth or fetal growth restriction


There are several methods to determine the underlying reasons for infertility in females. These factors could be immune system diseases, repeated miscarriages, closed fallopian tubes, heavy bleeding between periods, and fetal growth restriction. The doctor carries out these procedures to detect and address these underlying problems. If it has been more than a year since you last tried to conceive, see a doctor.

Request an appointment at

Apollo Fertility Centre in Banjara Hills, Hyderabad

Call 1860 500 4424 to book an appointment.

1. What are the most common underlying causes of infertility?

The most common underlying causes of infertility are abnormalities of the • Uterus • Fallopian tubes • Uterine cavity

2. How do doctors test for female fertility?

You'll receive a pelvic exam from your physician. He might also do a blood test(endocrine assessment) to assess your hormone levels and use an ultrasound (SHG) to examine your uterus and ovaries.

3. What tests confirm female infertility?

The following tests may confirm female infertility: • Sonohysterogram(SHG). • Endocrine Assessment. • Ovarian Reserve Testing. • Hysteroscopy. • Immunological Investigation. • HyCoSy/HyFoSy. • Tubal Assessment-Hysterosalpingogram.

4. What is the purpose of female diagnosis?

A doctor conducts several procedures for female diagnosis to identify the underlying causes of infertility, fallopian tube obstruction, or repeated miscarriages.

5. What hormones are tested for female fertility?

The following hormones are tested for female fertility: • progesterone, • estrogen, • anti-Müllerian hormone (AMH), • follicle-stimulating hormone (FSH).

Book an Appointment




Ovulation Calculator