 [ Symptoms ] my 10yr old son has patches on his back and stomach it may be ring worms [ Disease ] sometimes doctors can find the cause of a couple is infertility by doing a complete fertility evaluation this process usually begins with physical exams and health and sexual histories if there are no obvious problems like poorly timed intercourse or absence of ovulation tests will be needed for a man doctors usually begin by testing his semen they look at the number shape and movement of the sperm sometimes doctors also suggest testing the level of a man is hormones for a woman the first step in testing is to find out if she is ovulating each month there are several ways to do this at home or doctors can also check if a woman is ovulating by doing blood tests and an ultrasound of the ovaries if the woman is ovulating normally more tests are needed some common tests of fertility in women include hysterosalpingography in this test doctors use x rays to check for physical problems of the uterus and fallopian tubes laparoscopy during this surgery doctors use a tool called a laparoscope to see inside the abdomen using the laparoscope doctors check the ovaries fallopian tubes and uterus for disease and physical problems doctors can usually find scarring and endometriosis by laparoscopy