In unexplained infertility the basic tests come back normal. The video explains what these tests can and cannot show.
In the video, Prof. Dr. İkbal Kaygusuz explains unexplained infertility. When couples who have not been able to conceive on their own seek help, the basic factors are investigated. Transvaginal ultrasound and blood tests are used to assess ovulation and ovarian reserve. For the male factor, a semen analysis (spermiogram) looks at sperm count, motility and structure. An X-ray of the uterus with contrast (HSG) checks whether the tubes are blocked and whether there is a polyp, fibroid, septum or adhesions in the uterine cavity.
In some couples, no cause is found after these investigations; this is called unexplained infertility. The video suggests that “infertility with no cause found” would be a more accurate term than “infertility of unknown cause”: HSG shows whether the tubes are open, but there is no test of how well they function; the regularity of the uterine lining can be seen, but whether it is ready to accept an embryo, or how the immune system prepares for this, is not examined.
The video also shares the observation that some couples who start treatment because no cause was found are able to conceive on their own, without any treatment, once they manage stress well.
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