We will note your history in detail including Menstrual history, Coital history, Medical & Surgical History. We will review your previous reports and past treatments. We therefore recommend that you carry your previous reports and treatment details with you when you visit us. We will then do a basic evaluation to mainly check for 3 parameters:
Ovulation: This is done via transvaginal sonography, generally starting from day 11 of the menstrual cycle. This checks for growth and rupture of the follicle (egg). The patient will be advised timed intercourse depending on the day of her ovulation. If required, medication will be advised to induce ovulation.
Tubal Status: This is done either via HSG (hysterosalpingography) or Laparoscopy + Hysteroscopy or sonosalpingography.
Uterine cavity: The uterus is evaluated via transvaginal ultrasound to check the growth of the endometrial lining and to rule out abnormalities like fibroids or polyps. If required a hysteroscopy can be done to further examine and rectify a problem.