When to go for infertility check-ups?

Written by Kang Jian Hua
Reproductive Center
Updated on March 23, 2025
00:00
00:00

The timing of infertility examinations cannot be generalized and should be determined based on the specific test and gender. For males, the primary tests include semen analysis and sperm morphology exams. These require the male to abstain from ejaculation for 2-7 days because if the abstinence period is too short, less than 48 hours, both sperm quality and semen volume may be low, which does not reflect the true level. Conversely, if the abstinence exceeds seven days, it can also affect the results of the test. For females, if undergoing a six-item hormone test, it is best conducted during days 2-5 of the menstrual cycle. For a fallopian tube patency test, it is safer to conduct it between days 3-7 after the menstrual period has ended. The exact timing of these tests should be advised by the attending physician.

Other Voices

doctor image
home-news-image
Written by Zhao Min Ying
Reproductive Medicine
1min 26sec home-news-image

Precautions for Infertility Examination

Infertility examinations primarily involve tests for both men and women. For men, the examination includes a semen analysis which requires abstinence for 2-7 days. Semen should be collected through masturbation, using a specialized semen collection cup provided by the laboratory. Ordinary condoms should not be used for semen collection. After collection, the semen must be kept warm and promptly delivered back to the laboratory. For women, the examinations include several aspects. First, during the menstrual period, blood is drawn on an empty stomach between the 2nd and 4th days to check hormone levels, and an ultrasound is used to assess the baseline state of the ovaries. Second, between the 3rd and 7th days after the menstrual period ends, when sexual intercourse is prohibited, tests are conducted to examine the uterus and fallopian tubes. These may include hysterosalpingography, hysteroscopy, or laparoscopy to evaluate the condition of the fallopian tubes. Third, monitoring ovulation with ultrasound begins from the 8th to 10th day of the menstrual cycle, tracking the development of follicles and the uterine lining until the follicle matures and ovulation occurs.

doctor image
home-news-image
Written by Zhang Xiu Rong
Obstetrics and Gynecology
56sec home-news-image

Is secondary infertility easy to treat?

If it is infertility, treatment is relatively difficult and generally not easy. First, for secondary infertility, it depends on the cause. If it's due to fallopian tube blockage, the extent of the blockage needs to be considered. If it is because the ovaries do not ovulate, then it is necessary to go to the hospital for endocrine testing. Treatment should be based on the results of the endocrine tests, and only when hormone levels are normal will there be normal ovulation and clear fallopian tubes. Without problems related to immunity, it is possible to properly prepare for pregnancy. Therefore, if it is secondary infertility, it is essential to go to the hospital for infertility-related examinations to identify any abnormalities and treat them accordingly. Both primary and secondary infertility are difficult to treat.

doctor image
home-news-image
Written by Zhao Li Li
Obstetrics
36sec home-news-image

Can fallopian tube cysts cause infertility?

If it has been confirmed that there is a fallopian tube cyst, further examination is still needed to determine whether the fallopian tube cyst affects normal conception. If the fallopian tube cyst causes narrowing or blockage of the fallopian tube lumen, it may decrease the likelihood of normal conception or increase the risk of ectopic pregnancy. If the cyst on the fallopian tube does not affect the spaciousness of the entire lumen or cause any blockage of the fallopian tube, it generally will not have any impact on normal conception.

doctor image
home-news-image
Written by Li Li Jie
Obstetrics and Gynecology
1min 5sec home-news-image

Can chronic bacterial vaginitis lead to infertility?

Long-term bacterial vaginitis can lead to infertility. If bacterial vaginitis occurs, a large number of bacteria proliferate in the vagina. When sperm enter, they may quickly die off. Even if they do not die, their quality is greatly reduced. Vaginitis results in a significant increase in vaginal discharge. The secretions contain a large number of white blood cells, which can hinder the survival of sperm, thus potentially causing infertility. Therefore, women must pay attention to personal hygiene. Once the inflammation of bacterial vaginitis becomes severe, it can spread to the uterine cavity and cause more serious diseases such as adnexitis and pelvic inflammatory disease. If not treated promptly, these can lead to infertility. It is important to develop good hygiene habits regularly.

doctor image
home-news-image
Written by Kang Jian Hua
Reproductive Center
57sec home-news-image

How to cure immune infertility

Immune infertility comes in many forms, such as anti-sperm antibody positivity and anti-endometrial antibody positivity, among others. The treatment for immune infertility commonly involves the use of isolating therapy, which entails using a condom during sexual intercourse. After using this method for three to six months, it can reduce further stimulation of the female by the sperm antigen, and once the antibody effect has dissipated, intercourse is timed with ovulation. At this time, conception is often possible. For immune infertility, some may choose intrauterine artificial insemination depending on the situation, which involves processing and separating the husband's semen outside the body to extract high-quality sperm for intrauterine insemination. Another method is anti-immune therapy, but the medications often have adverse side effects on the body.