There are various causes of infertility which may be related to female, male or a combination of male and female factors. Female causes are usually related to the woman’s age, issues with ovulation or pelvic anatomy, such as endometriosis or polycystic ovarian syndrome (PCOS).
Following your initial consultation with your fertility specialist, you can expect that several investigations will be arranged. These may include blood tests and a pelvic ultrasound for the female and semen analysis for the male.
This may include:
> a urinary ovulation detection kit,
> a mid-luteal (one week after ovulation) blood test to measure progesterone level, and
> an ultrasound scanning to assess follicle growth.
Ultrasound scanning can also be used to assess the lining (endometrium) of the uterus and to diagnose the presence of any polyps or fibroids.
Your fertility specialist may also recommend a blood test for AMH to provide an estimate of your ovarian reserve.
During a laparoscopy, a small-diameter telescope (laparoscope) is passed through an incision in the umbilicus to view the uterus, Fallopian tubes, ovaries and pelvic cavity. Tubal patency can also be checked by injecting dye through the uterus.
Hysteroscopy uses a similar small telescope (a hysteroscope) to assess the uterine cavity for polyps, fibroids, adhesions or congenital anomalies.
Diagnosing & Treating Infertility
Common causes of infertility, and how it can be diagnosed and treated. Also, when should you seek help from a Fertility Specialist.
If you have been trying to conceive for twelve months or more without success (or six months if you are over 36) we recommend a fertility assessment with a Nairobi IVF fertility specialist.
Meet our fertility specialists
Find out more about IVF costs