Fertility Testing for Women
One in eight couples struggle with infertility, therefore we recommend seeking the help of a fertility specialist as soon as you are concerned about your fertility. This is especially important for women who are 35 and older as fertility declines with age. We are dedicated to providing you with a comprehensive yet tailored diagnostic workup to determine the cause(s) of your infertility while not subjecting you to unnecessary and costly tests. Generally, there are three components that need to be tested, which are ovaries, uterus and fallopian tubes.
Typical diagnostic testing includes:
Ovarian Reserve Testing - Women are born with a finite number of eggs that steadily deplete as you age. It is critical to make an assessment of your ovarian reserve. This testing is done with a simple blood test and an ultrasound assessment of your follicle (egg) count. (AMH) is a good predictor of ovarian reserve or egg count. It is a simple blood test that can be obtained any day during your cycle. We evaluate your ultrasound findings in conjunction with your AMH levels.
Preconception Labs - thyroid testing, genetic screening, reproductive hormone testing and other recommended preconception labs.
Hormone Studies - Various hormones that control the function of your ovaries and uterus can be tested after a simple blood draw. Many of these can be done on the day of your initial consultation, while other tests need to be drawn on day 2 or day 3 of your menstrual cycle.
Ultrasound - Ultrasounds are a safe and painless way to gain important information about the status of your uterus and ovaries. These procedures can be performed in our office with one of the physicians or ultrasonographers who specialize in this type of imaging.
Hysterosalpingogram (HSG) - While an ultrasound can give us important information about your uterus and ovaries, it cannot provide all of the information we need. An x-ray test called a hysterosalpingogram (HSG) is often performed to give us valuable information about whether your fallopian tubes are open and also information about the lining of your uterus. This procedure is scheduled in the second week of your menstrual cycle and is performed at our in-house facility, The Breast and Imaging Center, or The Woman’s Hospital of Texas by one of our physicians or our physician assistant. Additionally, this test can be performed at one of several other hospitals around the city. This test requires that you take an antibiotic before the procedure, and we recommend taking a dose of ibuprofen before, as well, to make the test as comfortable as possible. We will give you the complete instructions for getting this test if it is recommended by your physician.
Sonohysterogram/Hydrosonogram - A sonohysterogram (SHG) is a specialized ultrasound procedure to obtain information about the lining of your uterus. We inject sterile water into the uterus to better visualize the inside of the uterus. This procedure can be performed in our office by one of our physicians or our physician’s assistant.