Infertility physical examination: Difference between revisions
Jump to navigation
Jump to search
Hudakarman (talk | contribs) |
|||
| Line 4: | Line 4: | ||
{{CMG}} {{AE}} {{NS}} | {{CMG}} {{AE}} {{NS}} | ||
==Overview== | |||
Physical examination plays an important role in detecting infertility. A detailed history and physical, along with imaging and blood tests can identify the cause of infertility in most cases | |||
==Physical Examination== | ==Physical Examination== | ||
*Infertility testing involves a complete medical history and physical examination of both partners. | *Infertility testing involves a complete medical history and physical examination of both partners. | ||
Latest revision as of 07:38, 23 January 2021
|
Infertility Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Infertility physical examination On the Web |
|
American Roentgen Ray Society Images of Infertility physical examination |
|
Risk calculators and risk factors for Infertility physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Sanjana Nethagani, M.B.B.S.[3]
Overview
Physical examination plays an important role in detecting infertility. A detailed history and physical, along with imaging and blood tests can identify the cause of infertility in most cases
Physical Examination
- Infertility testing involves a complete medical history and physical examination of both partners.
- Blood and imaging tests will be done[1]
- In women, this may include:
- Blood tests to check hormone levels, including progesterone and follicle stimulating hormone[2]
- Checking body temperature first thing in the morning to check if the ovaries are releasing eggs
- FSH and clomid challenge test
- Hysterosalpingography (HSG)
- Pelvic ultrasound
- Laparoscopy
- Luteinizing hormone urine test (ovulation prediction)
- Thyroid function tests
- Tests in men may include:
- Sperm testing
- Testicular biopsy (rarely done)
Some important findings in physical exam might be
Head and neck exam
- Exophthalmos might indicate hyperthyroidism
- Webbed neck is seen in Turner's syndrome
- Epicanthal folds in eyes and low set ears are seen in Down's syndrome
- Neck swellings in thyroid pathology
Chest and abdomen exam
- Thorough breast exam might reveal swellings or nipple discharge
- Any palpable swellings in the abdomen
Gynecological exam
- Pattern of distribution of pelvic hair
- If there is presence of any clitoral enlargement
- Any external signs of sexually transmitted infections
- Cervical motion tenderness
- Presence of fibroids
- Septate vagina
References
- ↑ Hwang K, Lipshultz LI, Lamb DJ (2011). "Use of diagnostic testing to detect infertility". Curr Urol Rep. 12 (1): 68–76. doi:10.1007/s11934-010-0154-0. PMC 3079371. PMID 21088937.
- ↑ Sigman M, Jarow JP (1997). "Endocrine evaluation of infertile men". Urology. 50 (5): 659–64. doi:10.1016/S0090-4295(97)00340-3. PMID 9372871.