Ultimately, we will perform baseline tests for each partner, to evaluate female hormone levels and egg quality, and male sperm count. Potentially, other tests may be added to the workup based on you and your partner’s past history. Other tests may include:
• Genetic testing – to rule out genetic basis for a couple’s inability to achieve pregnancy or pregnancy loss.
• Auto-immune testing- to insure that the body is not trying to reject the pregnancy
• Thrombophilia testing- to allow effect of clotting issues on implantation
• Oral glucose tolerance test- this determines whether an abnormality of glucose metabolism can be the basis of fertility concerns.
• Androgen testing- to evaluate excessive male hormone production as a cause of infertility, especially when cycles are irregular
• Post coital testing
• Endometrial biopsy
• Semen analysis to evaluate ejaculate; the specimen is collected after 3 to 5 days of complete abstinence to determine volume and viscosity of semen and sperm count, motility, swimming speed, and shape.
• Baseline hormone testing on day 2-3 of the cycle to determine a woman’s ovarian reserve and baseline hormonal status. This includes estrogen, LH, FSH, TSH, Prolactin, DHEAS, inhibin-B, antimullerian hormone
• Cervical cultures to rule out infection.
• Hysterosalpingography (HSG) — X-ray procedure done with contrast dye that enables evaluation of potential transport from the cervix through the uterus and fallopian tubes.
• Hysterosonogram (saline infused sonogram) – an ultrasound test involving filling the uterine cavity with saline to evaluate for abnormalities.
• FemVue – a test to evaluate tubal function with turbid saline (bubbles) at time of hysterosonogram.
• Ultrasound to evaluate uterine health.
Given the importance of the ground covered during the work-up stage, we strongly encourage both partners to attend. Once your work-up is complete, our physicians will meet with you and your partner to discuss the findings and recommended treatment plan.