Is the womans reproductive tract normal so that egg and sperm can meet?
Ovulation is confirmed by a series of hormonal measurements. It should determine not only if a woman is releasing an egg but also how well she is ovulating. A semen analysis (or sperm count) is still the standard test to determine male fertility. The results depend upon the skill and experience of the laboratory, but it is the simplest test available. Other tests of sperm function are much more complicated and expensive. While a woman’s reproductive tract can be imaged in several ways, we are most interested in whether her fallopian tubes are ‘open’. The simplest way to do this is through the hysterosalpingogram (HSG or ‘dye’) test. It is also very good at picking up problems inside the uterus. The test is somewhat uncomfortable but relatively safe and should last no more than 15 min. A special type of vaginal ultrasound called a sonohysterogram is also being used for infertility evaluation. It involves injecting a fluid into your uterus while performing an ultrasound test. This proced
