I was googling Kelsey
Tests -
Hysterosalpingogram (HSG): This test is carried out in the x-ray department of the hospital and is a screening test to check if the tubes are blocked. A speculum is passed (like when having a smear test) and a small amount of dye is injected through the cervix. A series of x-rays are taken which show the outline of the uterus and if the tubes are open, dye will be seen flowing through.
Day 3 LH/FSH: This is a blood test that checks whether there is a good reserve of eggs in the ovary and that the hormonal system leading to their release is intact. It is taken on the second day of the cycle (day 1 is the first day of a period). LH and FSH are hormones that stimulate egg development and release. High levels of LH are also found in polycystic ovary syndrome, which is a common cause of anovulatory infertility.
Progesterone Test: This will check if ovulation has taken place. It should be taken 7 days before a period, so for a 28-day cycle it is done on day 21. If a period doesn't come 6-8 days after the test, then it will need to be repeated. A level of 30 nmol/l or more suggests ovulation has occurred.
Semen Analysis: A sample of semen is needed to check the total count, whether the sperms look normal, and if they are motile. It is important to abstain from sex for a few days before the test and to ensure that the sample is transported to the lab without delay when produced. If the first test is low or borderline, a second sample is requested to see if this was a one-off result - was this the best or worst? More details about abnormalities of the semen analysis are discussed in Male Infertility.
Rubella antibody levels: These are checked to see that immunity is present, as this is a good time to repeat the immunisation if not, rather than risk infection during pregnancy, which can cause fetal defects.
Other Examinations
If the standard battery of tests come back abnormal in some way, further tests may be carried out. These tests can include:
Pelvic Ultrasound Scan: Many units now carry this out as a part of the initial examination process to check that the uterus appears normal and whether the ovaries have a polycystic appearance. An internal or transvaginal scan is most accurate.
Diagnostic Laparoscopy and Dye Test: If there is a significant degree of pain with intercourse or painful periods then a laparoscopy might be suggested instead of an HSG. This involves a general anaesthetic and small telescope look through the umbilicus into the pelvis to see if there is anything causing the pain, such as endometriosis. At the same time some dye is injected to check the patency of the tubes. This is also done if an HSG suggests that there might be a problem with the tubes, as an HSG alone can't give all the information and the 'blockage' may just be due to spasm of the tube or inadequate pressure when injecting the dye when you are awake.