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The Infertility work-up

A couples' fertility journey will usually start with a visit to the doctor, either a Reproductive Medicine specialist or an OBGYN. The doctor will ask to number of questions to try to figure out what is making conception so difficult, and likely will then begin a battery of tests. In medical lingo, we refer to these tests as a "work-up."

Please feel free to click on the names or images of these tests to learn more details about them.

Preconceptual testing

Many fertility specialists will begin the evaluation with testing that likely be done once you become pregnant such as genetic and sexually transmitted disease screening.

 

Semen analysis

Since half all infertility is caused by issues with male partner, it is crucially important to evaluate him as well, and the semen analysis is how this is done.

 

 

Day 3 FSH

As women age, the numbers and quality of the remaining eggs diminish. For many years an FSH level drawn around day 3 of the cycle has been the gold standard to test for what we call ovarian reserve.

 

AMH

Antimullerian hormone is another blood test, now commonly used to estimate ovarian reserve as well.

 

HSG

A hysterosalpingogram (HSG) is a dye test used to determine if the fallopian tubes are open.

 

SHG

The sonohysterogram (SHG) or saline infusion sonogram (SIS) is an ultrasound test in which saline is injected into the the uterus to look for abnormalities

 

Day 20 Progesterone

The progesterone level peaks about a week after ovulation and measurement of these levels can be used to evaluate ovulation.