Male & Female Fertility Testing

Fertility tests are an essential part of fertility evaluation and treatment. Through testing, your physician can get a better understanding of what could be preventing you and your partner from achieving pregnancy. These simple tests can be performed in a stepwise fashion and will evaluate egg quality, sperm quality, and reproductive anatomy. Once the eggs, tubes, uterus, and sperm testing is completed, a personalized treatment regimen can be created for you.

Fertility Testing for Women May Include

History and Physical Examination

A complete medical history and basic physical exam are performed at the initial infertility consultation.

Hormone Blood Tests (AMH & “Day 3s”)

Blood tests are performed to evaluate 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 important fertility markers that help your physician gain an understanding of your ovarian reserve, or the quantity and quality of eggs remaining in the ovaries. These hormones are also monitored during your treatment cycle to help guide the course of treatment.

Transvaginal Ultrasound

An internal ultrasound is used to evaluate a woman’s uterus and ovaries. This test helps evaluate ovarian follicle count (marker of ovarian reserve), as well as diagnose ovarian cysts or uterine pathology (fibroids, polyps, uterine malformations). Transvaginal ultrasound is also used to monitor your treatment cycle when taking medications that stimulate the follicles in your ovaries. During the ultrasound, a wand is inserted into the vagina and moved around gently, which may cause a feeling of pressure or very mild discomfort.

Hysterosalpingogram (HSG)

An x-ray of the uterus following injection of dye through the cervix 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.

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Preconception Counseling

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.

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Endometrial Biopsy

An Endometrial Biopsy involves scraping a small amount of tissue from the endometrium shortly before the start of menstruation to determine if a woman has a luteal phase defect which is a hormonal imbalance that may prevent sustaining a pregnancy due to low progesterone.

Post-coital Test

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.

Basal Body Temperature Charting

Basal body temperature is your body's temperature at complete rest. When ovulating the body basal temperature rises slightly making it easier to detect ovulation in an effort to increase the chance of getting pregnant. Charting involves using a thermometer to take your temperature every morning upon waking up and recording the results. When the temperature goes up 0.5 degrees, you are in the process of ovulating.

Fertility Testing for Men May Include

Semen Analysis

Typically the first test for diagnosing male infertility is a semen analysis, which evaluates the volume of ejaculate, the concentration or density of sperm, and the sperm motility and morphology (shape).

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History and Physical Examination

A complete medical history and physical exam are performed during an initial consultation with RMANY’s Urologist to determine if lifestyle, medications, or genetic factors may be impacting fertility.

Hormone Blood Tests (FSH, LH, Testosterone, E2)

Possible blood tests performed may include follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone total, and estradiol (E2). Testosterone level is quite important, as a low testosterone level may not only indicate low levels of sperm production, but may have significant implications for a man’s overall health.

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