In testing for fertility, we look at ovarian function, sperm function, the fallopian tubes, and the uterus:
Ovarian function: Women are born with all of the eggs they're going to have for their lifetime. We evaluate ovarian function by combining ultrasound and hormone blood tests. This lets us know the ability of the ovaries to produce eggs and to respond to stimulation.
Fallopian tube testing: A hysterosalpingogram (HSG) is an x-ray done by injecting dye through the cervix. The dye fills the uterus and tubes. Depending on findings and medical history, laparoscopy may be indicated to give additional information about pelvic factors that may affect fertility. Many problems can be treated at the same time.
Uterine testing: The HSG x-ray outlines the shape of the inside of the uterus. A SonoHSG, done by injecting water at the time of ultrasound, can give information about the uterus, but not the tubes. Hysteroscopy, done by passing a small telescope through the cervix, allows direct visualization of the uterus.The Endometrial Function Test (EFT) and Endometrial Receptivity Assay (ERA) give us information about the ability of the uterine lining to allow an embryo to implant.
Male fertility testing: The sperm count with strict morphology tells us about the number of sperm, sperm movement, and the shape of sperm (morphology).
Once we know the results of these tests, we can determine the cause(s) of infertility and decide which treatment path to follow.
If you have been trying for pregnancy for 12 months, for 6 months if you're 35-39, or if you're 40 or over, you should begin testing to see what can be done to help you conceive.
Please let us partner with you to determine the cause of infertility and your best treatment options. Contact us or make an appointment for a consultation.