Causes from Woman

Infertility in woman can be caused by hormonal disorders or problems with reproductive system.

Hormone levels that inhibit development, release of an egg, or placement of a fertilized egg inside the uterus.  

  • Overweight (can cause a problem when ovulating)
  • Uterine congenital anomalies or tumors
  • Quality of cervical mucus is either poor or bad
  • Endometriosis
  • Adhesives associated with previous surgeries or infections
  • Previous pelvic infection
  • Thyroid etc. endocrinal diseases
  • Genetic diseases
  • Drug addiction

Of the female tests, scheduled hormonal analysis investigates ovarian reserve, whether an ovulation has occurred, and pathologies preventing ovulation. In basal hormonal evaluation made at the 2nd or 3rd day of menstruation, blood levels of FSH, LH, E2, Prolactin, and TSH hormones are checked. The response of ovaries to medication is also assessed by these hormones. The blood level of progesterone checked at the 21st day of menstruation is used to see whether the patient has ovulated.

Ultrasonography: Structure of uterus and ovaries, and the relationship in between are evaluated. Ultrasonography can detect whether endometrium is okay; its thickness; presence of any formations (myomas) taking up space in the uterus; hydrosalpinx, masses appearing filled with fluid and causing swelling of oviducts such as tuboovarian abscesses. Furthermore, ovarian cystic formations with characteristic appearance and endometriomas can be detected.    

“Ovarian reserve” is evaluated by ultrasonography performed at the 2nd or 3rd day of the menstruation. The treatment and the drug dose are determined based on hormonal analyses.

In addition, monitorization of development of the egg (folliculometry) during treatment period is possible with ultrasonography.

Hysterosalpingography (Radiography of Uterus): HSG is a radiological examination of tubas and inside the uterus by injecting a contrast agent. HSG shows the length and curves of uterine tubes, and whether they are opened. In addition, it provides information about uterine pathologies such as uterine developmental anomalies, endometrial polyps, and intrauterine adhesives.

Hysteroscopy: A procedure to evaluate inside the uterus from cervix using an instrument called hysteroscope consisted of a lighted tube and lens. This procedure performed under either local or general anesthesia can detect formations taking up space, e.g. intrauterine myomas and polyps, and adhesives. It can be diagnostic, or identified pathologies can be treated at the same session. 

Laparoscopy: A procedure in which a small incision (1 cm) is made inside or below the navel to access the intraabdominal area under general anesthesia by inserting a thin instrument called laparoscope (similar to a telescope) consisted of a lens and lighting system. Although this procedure requires anesthesia and some mild complaints occur later on, it is safe in general and healing period is short.

It is both diagnostic and therapeutic. It is often performed to evaluate the tubal function and tuba-ovarian relationship in infertile woman. Furthermore, it is used for diagnostic and therapeutic purposes in unexplained infertility, tumors suggestive of uterine anomalies or ovarian tumors.

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The information on this website is not intended to replace any medical advice given by physicians with access to your detailed medical history.