Category Archives: infertility testing

How to explain the unexplainable.

We have been lumped into this “diagnosis” of unexplained infertility for five months(unofficfolly for nine.) infertility of any kid is frustrating and devastating. And I’m not claiming any dx is worse than the other. But what I find so infuriating about unexplained is, the unexplained  may very well be explainable. Meaning we’re sitting here thinking there is no reason for our inability conceive, but with further invasive testing, we may be able to find our reason. However this further testing is intact a treatment. I stumbled upon this article on Unexplained Infertility which clarified quite a bit for me.

There are several issues unexplained could actually be.

1)It could infant be a form of male factor. The sperm appear normal on a slide under a microscope, but actually struggle to fertilize the egg.

2)It could be an egg issue. There are several issues here. Maybe the outside of the egg doesn’t harden fast enough, thus letting more than one sperm in resulting in infertility. Or maybe it is too hard in the first place, so it doesn’t let sperm in. Or maybe it let’s sperm in, but then hardens to the point that idevelopment multiplying.

How are these diagnosed? Through IVF. Though observing the fertilization of egg and sperm. So through IVF, we may actually get Some explanation or sorts.

The article also discusses how Expectant management is a valid form of treatment, stating that “Most patients with unexplained infertility will conceive within six to seven years.”(Unexplained Infertility) I had read read in another article is was three years, so this article stating its double that is a bit disheartening.

I have read numerous studies and scholarly articles on unexplained infertility(ya know the kind that take 45 minutes to read because they’re speaking what seems like a different language) and by far this is the best article I have read on explained infertility and it’s prognosis.

More reason to SHG

A study published in the Journal of the Society of Laparoendoscopic Surgeons preformed by Uchenna C. Acholonu, Jr., MD, James Silberzweig, MD, Daniel E. Stein, MD, and Martin Keltz, MD found:

  hysterosalpingography (HSG) sonohysterography (SHG)
Sensitivity 58.2% 81.8%
Specificity 25.6% 93.8%
Accuracy 50.3% 75.5%


In addition, anecdotally, most everyone I’ve read about online says that the SHG is much less painful than the HSG.

Guess what I’m going ask my RE about tomorrow?!