People often want to know “what sort of fertility testing and evaluations should I have performed so I can know what is going on and receive the best care?” Sometimes, people may even be a little scared of their fertility testing. Know however, that we are here to make sure your entire experience including your testing goes as smoothly as possible.
Standard Fertility Testing
Below is a list of the basic fertility testing that is usually completed before the start of your fertility treatment.
- Preconception blood work (yearly)
- CBC (complete blood count)
- CMP (complete metabolic panel)
- Cystic Fibrosis
- Fragile X
- TSH (thyroid)
- If you have recurrent pregnancy loss or continuous failed implantation, also included will be: Lupus, NKC (natural killer cells), Karyotype (male and female), ANA (antinuclear antibody)
Baseline and Cycle Monitoring
This testing is done prior to starting any treatment cycle to get a “baseline” of all your hormonal levels.
- FSH (follicle stimulating hormone): This test is typically performed on Day 3 of the patient’s cycle to ascertain if the ovaries are functioning properly. An increase of FSH could mean that the patient is perimenopausal. This test will also be done when you have a baseline ultrasound for injectable gonadotropins for Intra-uterine insemination or Invitro Fertilization.
- LH (lutenizing hormone)
- HCG (pregnancy hormone): This test will be done when you have a baseline ultrasound for injectable gonadotropins for Intra-uterine insemination(IUI) or Invitro Fertilization(IVF). It will also be ordered after an IUI or IVF cycle to assess whether pregnancy was achieved. Once pregnancy has been established, hCG levels might be monitored the first 2-3 weeks depending on the levels of hormone present.
- Progesterone: This test is performed when you have a baseline ultrasound for injectable gonadotropins for Intra-uterine insemination or Invitro Fertilization. It can also be performed during the midpoint of a patient’s cycle to help determine if the patient is pre-ovulatory or post-ovulatory. Progesterone levels are monitored during early pregnancy to insure that the patient is producing adequate progesterone, or if supplements are required.
- Estradiol: This test will be done routinely when you have a baseline ultrasound for injectable gonadotropins for Intra-uterine insemination or Invitro Fertilization. Estradiol levels will also be monitored approximately every 2 days during the stimulation stage of your cycle.
- TSH (thyroid)
- Physical exam and pelvic ultrasound
This infertility testing can be done at any time usually when determined it may be helpful by a physician
- Autoimmune testing for recurrent pregnancy loss (if necessary)
- Hysterosalpingogram/Saline Sonohysterogram (HSG/SHG / yearly) – to check the condition of fallopian tubes and uterus
- Hysteroscopy / Laparoscopy (diagnostic) –A surgical procedure done under anesthesia (general) to evaluate uterus for polyps, fibroids, endometriosis, and adhesions.
We offer most of these tests in-house and recommend you take advantage of our facilities for your testing. If you are from out of the area or for any other reason you feel like having the testing done at another facility, we are happy to work with you; all you will need to do is fax over all of your testing results to us or upload them to the patient portal.