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Basics of Infertility Testing
When a couple is not successful at achieving pregnancy after a full year of unprotected intercourse, both partners should undergo a thorough assessment. Over Three million couples in the U.S. are evaluated for infertility yearly.
At the first appointment, the fertility specialist will review the patient’s comprehensive medical and surgical history and lifestyle habits including any previous fertility testing and treatments. A physical exam is conducted which includes a pelvic ultrasound to check for uterine and ovarian problems.
After the initial visit, the fertility specialist will schedule testing for sperm and egg quality, ovulation, tubal patency, and uterine shape.
Evaluation of the number and quality of your eggs is referred to as ovarian reserve testing.
Ovarian reserve testing is done to assess a women’s ability to produce eggs that will ultimately produce a healthy baby. The 3 most common blood tests for egg quality are FSH, estradiol and AMH. The AMH level is the best predictor of success with fertility therapy.
Often a transvaginal ultrasound is performed to assess ovarian reserve. Next, tests to assess the uterus shape and fallopian tubes are performed. A Hysterosalpingogram (HSG) is a special imaging procedure of the uterus and fallopian tubes.
For men, a semen analysis is the most important test. The sample is examined for sperm count, motility and percentage of sperm with a normal shape. If the semen analysis is abnormal, pregnancy may still be possible through intrauterine insemination or in vitro fertilization.
If sperm abnormalities are detected, the semen analysis will be repeated in four weeks to determine if the abnormalities are permanent or temporary.
After the basic tests are done sometimes a laparoscopy or hysteroscopy is needed, which assesses the uterus and tubes thoroughly.
Once the basic testing is complete the fertility doctor will present options available to achieve conception. About 15% of couples will have all of the testing with no obvious cause for their infertility. Don’t despair though, if an obvious cause cannot be found, those with unexplained infertility have high rates of success with fertility therapy.
The US Fertility Network partners with the best centers nationwide, who offer top notch assisted reproductive technologies with Board Certified experts providing highly skilled, compassionate care.
To find top fertility centers for treatment, call us at (877) 977-2959 today!
