Fertility Testing for Women
History and Physical Examination
At your initial fertility consultation, we will review your medical history and conduct a basic physical exam.
Hormone Blood Tests – AMH & “Day 3s”
To help your physician understand the quantity and quality of eggs remaining in your ovaries (i.e., “your ovarian reserve”), your care team will perform blood tests to evaluate various hormones: anti-Müllerian hormone (AMH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), and estradiol (E2). FSH, LH, and E2 may collectively be referred to as “Day 3” blood tests for a fertility workup, as they are drawn on the third day of a woman’s menstrual cycle. These hormones are also monitored during your treatment cycle to help guide the course of treatment.
To evaluate your uterus and ovaries, we will perform an internal ultrasound. This test helps determine your ovarian follicle count (a marker of your ovarian reserve of eggs), as well as diagnose ovarian cysts, fibroids, polyps, or malformations. Transvaginal ultrasounds are also used to monitor your treatment cycle when taking medications that stimulate the follicles in your ovaries. During transvanginalultrasound, a wand is inserted into the vagina and moved around gently, which may cause a feeling of pressure or very mild discomfort.
Hysterosalpingogram – HSG
A hysterosalpingogram (HSG) is an x-ray of the uterus following injection of dye through the cervix. This test is used to reveal any blockages in the fallopian tubes or any uterine abnormalities. During the procedure, it is common to experience menstrual-like cramps or minor short-term discomfort. Women with blocked fallopian tubes, however, may report more intense pain. An HSG is typically performed by a radiologist at an outside facility.
A counseling session can be conducted even before you begin trying to conceive. Preconception counseling starts with the health and wellness of the mother. Smoking cessation, initiation of prenatal vitamins, and identifying an optimal dietary and exercise regimen are great first steps. Genetic testing can identify if the mom or couple are at risk of passing on a heritable condition to the baby. A basic preventative session will ultimately create a healthier mom and the opportunity to have a healthier pregnancy and a better reproductive outcome.
Before you even begin trying to conceive, we can conduct a preconception counseling session. Starting with your health and wellness, our first steps may include initiating prenatal vitamins, talking about smoking cessation, and identifying the best individualized diet and exercise plan. Genetic testing can identify if the mom or couple are at risk of passing on a heritable condition to the baby. A basic preventative session will ultimately create a healthier mom and the opportunity to have a healthier pregnancy and a better reproductive outcome.
To detect if you have a hormonal imbalance that may prevent pregnancy due to low progesterone (i.e., a “luteal phase defect”), we can perform an endometrial biopsy by scraping a small amount of tissue from the endometrium shortly before the start of menstruation.
The post-coital test is a quick and painless procedure that evaluates how the cervical mucous and sperm interact. A couple should abstain from intercourse for 2 days before ovulation, and then have intercourse 2-8 hours prior to the office visit for the post-coital test. A needleless syringe is used to remove some mucous from the cervical opening then placed under a microscope to look for the presence or absence of swimming sperm.
To evaluate how your cervical mucus and sperm interact, we perform a quick and painless procedure called a post-coital test. Before ovulation, you should abstain from intercourse for two days. Then, two to eight hours prior to your office visit for the post-coital test, you should have intercourse. For the test, a needleless syringe will remove some mucus from your cervical opening. That mucus will then be placed under a microscope and we will look for the presence or absence of swimming sperm.
Basal Body Temperature Charting
Your body's temperature at complete rest is called “basal body temperature.” When ovulating, your basal body temperature rises slightly, making it easier to detect ovulation. “Charting” involves taking your temperature with a thermometer every morning after you wake up and recording the results. When your temperature goes up 0.5 degrees, you are in the process of ovulating.
RMA of New York Team
Why RMA of New York: Fertility Testing
RMA of New York is run by doctors. Compassionate, industry leaders, practicing medical excellence, prioritizing patient-centric, individualized care, and developing techniques that have driven innovation in the field, since the early stages of reproductive medicine. For the past 20 years, RMA of New York has successfully facilitated the births of thousands of healthy babies for patients across the New York area.
As the Division of Reproductive Endocrinology and Infertility of the Icahn School of Medicine at Mount Sinai, our team is dedicated to scientific discovery, medical excellence, and compassionate, patient-focused care. We are proud to be a member of the Department of Obstetrics, Gynecology, and Reproductive Science at the Mount Sinai Health System.
Genetic Causes of Infertility
Infertility is defined as the inability to conceive after twelve months of unprotected intercourse …Read More
Ep 103: Fertility Care For All with Dr. Brent Monseur
The expense of infertility treatment is a costly one. It is even more costly when you are an …Read More
Sperm Donor Cost - What You Need to Know
Whether you’re in a heterosexual or same-sex relationship, or you’re single and want a child of …Read More