Female Fertility Investigations

Fertility investigations aim to assess hormonal function, determine whether follicular maturation and ovulation occur normally and evaluate the structural condition of the reproductive organs.

The primary methods include blood tests and ultrasound examinations, but diagnostic information is also obtained during fertility treatments.

The most common hormonal blood test is AMH, which indicates the number of follicles, also known as ovarian reserve. Other blood tests provide insights into pregnancy likelihood: FSH and LH measure ovarian function, TSH assesses thyroid function, and excessive prolactin secretion can inhibit ovarian activity. Progesterone is measured in the luteal phase and at the beginning of pregnancy. Common blood tests also include ferritin level assessment.

Ultrasound examination is the most important method for studying the structure and function of the female reproductive organs. It allows monitoring of follicular growth and ovulation and counting the number of available follicles (Antral Follicle Count, AFC). Fallopian tube patency testing (hydrosonography, salpingosonography) is a fundamental infertility investigation.

Ovulation can be assessed using home tests, ultrasound, or a blood test (progesterone).ertility is at its peak between the ages of 20 and 30. A significant decline in fertility occurs after the age of 37, as both the quantity and quality of eggs decrease.