Testing and Evaluation

Basic infertility evaluation and testing

Fertility problems may involve many factors, some of which can be difficult to detect. Our physicians are committed to finding answers in your specific situation.

As part of the basic infertility evaluation, you and your partner will be asked a series of specific questions, and a variety of tests and procedures will be conducted. This will enable our highly trained staff and expert physicians to determine the best plan of action based on your specific test results. Testing and evaluation options include:

Hormone studies

Hormonal studies help identify hormonal imbalances that may impair your fertility. Hormones control every step in achieving pregnancy, from stimulating the development of an egg to ovulation and implantation of a fertilized egg in the uterus. Each hormone that plays a role in conception must be produced in a specific amount at a precise time in your menstrual cycle.

These studies measure the levels of certain hormones produced by your body during your cycle. You are likely to have a series of simple blood tests at various points during your cycle. These tests may help determine your diagnoses as well as identify the best treatment options.

Ovulation

Ultrasound can help monitor your ovulation and diagnosis conditions. This is also used to examine the thickness and pattern of your uterine lining, monitor cycles during which you are taking drugs to stimulate the follicles in your ovaries to produce multiple eggs and assist in retrieving eggs during in vitro fertilization.

Hysterosalpingogram (HSG)

HSG is a simple technique that requires a dye in order to outline, photograph and study the inside of the uterine cavity and the fallopian tubes. The study is performed after complete cessation of menstrual bleeding and before ovulation.

Semen analysis

A semen analysis includes a determination of sperm count (total number of sperm), motility (percent of moving sperm), morphology (percent of normal shaped sperm) and an estimation of the quality of sperm movement. Antisperm antibody testing may also be indicated.

Genetic testing – preimplantation genetic diagnosis

Preimplantation genetic diagnosis or “PGD” has been in existence for over 10 years, but only in the last three or four years has it become an increasingly sought-after means to evaluate human embryos in vitro. PGD is designed to evaluate either the genetic or chromosomal status of early stage embryos in vitro. Indications for PGD include recurrent pregnancy loss, known heritable disorders (Duchenne muscular dystrophy, cystic fibrosis, tay sachs disease, sickle cell disorder, x-linked disorders), advanced maternal age, prior birth of a child with Down syndrome and determination of the sex of each embryo.