If you've been trying to conceive for a long time without success, are having intercourse during fertile days, and OvuFriend regularly marks ovulation on your cycle, you may want to talk to your doctor about why you haven't been able to get pregnant. Also talk with your doctor if OvuFriend does not mark ovulation on your chart or marks it with a dotted line for a couple of cycles. (OvuFriend has marked the ovulation on my chart with a dotted line, what does it mean?) Don't wait too long, though, because these could be indicators of ovulation problems.
Whether to undergo diagnostic testing is a personal decision and one you'll make with your doctor. If you choose to proceed, most doctors will conduct the following tests:
- Gynecological examination
- Ultrasound examination
- Hormone level testing (FSH, estradiol, LH, progesterone, prolactin, TSH, testosterone - the hormones tested depend on the patient)
- HSG (Hysterosalpingography) - X-ray of the uterus and the ovaries in order to investigate the patency of the fallopian tubes and determine the shape of the reproductive organs
- USG monitoring of follicular growth - checking if the egg cells are maturing in the ovaries (how many there are and if there is a dominant follicle) and measuring endometrial thickness (if it is capable of supporting a possible pregnancy)
- Testing for viruses and infections that could possibly be preventing pregnancy
- Male semen analysis - including checking sperm count, their motility and morphology
Remember to bring with you the history of your cycles from OvuFriend (you may print it out in the Cycles Reviewer) when you visit your doctor. The information found there (i.e. the length of the cycles, occurrence of ovulation and fertile mucus, intensity of menstrual bleeding, spotting, or disturbing symptoms reoccurring during the cycle) may be very helpful in diagnostics and test selection.