Comprehensive infertility testing for both men and women can help you maximize your chance of achieving success in the shortest time necessary. Women age 35 and under who have been trying to conceive for one year without success should seek the assistance of a fertility specialist. Women over age 35 who have been trying to conceive for six months without success should also see a fertility specialist.
Infertility testing or work-up is performed by either your OBGYN, Urologists and or fertility specialists. At RMANJ we can usually complete an infertility work-up in 30-days or less. Certain hormones such as follicle-stimulating hormone (FSH), anti-mullerian hormone (AMH), and estrogen (estradiol E2) can provide important clues about female fertility especially egg quality and quality. For men, a semen analysis can provide a critical understanding of sperm motility or morphology.
Infertility testing for women may include:
Checking your anti-mullerian hormone (AMH), follicle-stimulating hormone (FSH), and estradiol (E2). Your levels of these hormones will help to determine your ovarian reserve (the number of eggs that you have remaining) and can also tell us when your treatment should begin and if it is working. These are determined with a standard blood test.
Transvaginal ultrasoundcan also be used to determine quality and quantity of your eggs but can also identify the presence of uterine growths, problems related to the uterine lining, and ovarian cysts. For this procedure, a wand is inserted into the vagina and moved gently around the lower abdomen. You may experience a feeling of pressure or very mild discomfort.
A hysterosalpingogram (HSG), is a type of x-ray in which dye is inserted vaginally into the uterine cavity which is then x-rayed. It is used to reveal blockages in the fallopian tubes or other uterine abnormalities. You may experience mild cramping or discomfort from the dye insertion.
Infertility testing for men may include:
Sperm analysis, to test for shape and mobility (movement) of sperm
Semen analysis, to measure sperm count, semen volume and consistency, pH of semen, and white blood cell count. All of these factors can affect the ability of sperm to travel and fertilize an egg. Sometimes, low or nonexistent sperm counts are related to physiological problems that can be corrected with surgery.
Physical examinationand medical history evaluation to determine if lifestyle factors, medications, or genetics may be involved