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Infertility Workup

At the initial office visit the doctor will ususually take a detailed history of both partners’ past health. Information gathered will include childhood illnesses, medications used, past hospitalizations or operations, prior tests, procedures and treatments, exposure to environmental toxins,

and a family history.
Next, the doctor will usually perform a physical examination on the woman who plans to become pregnant. This examination may include a transvaginal sonogram to evaluate the pelvic organs. 

 

Finally a diagnostic plan is made and often includes the following steps of an infertility work-up:

  1. An assessment of ovulation and ovulation tests (usually by menstrual history, basal body temperatures, and ovulation kits)
  2. Hormonal Evaluation (FSH, Estradiol, Testosterone, DHEAS and 17-hydroxyprogesterone levels, Thyroid stimulating hormone (TSH), clomiphene citrate challenge test (CCCT), oral glucose tolerance test )
  3. Semen Analysis
  4. Post-coital Test
  5. Saline Sonohysterography
  6. Hysterosalpingogram
  7. Endometrial Biopsy
  8. Sonogram
  9. Laparoscopy
  10. Hysteroscopy

The results of these tests will find over 80% of the problems associated with infertility. If you have kept information on your menstrual cycles and ovulation in most cases it should not take longer than 4-6 weeks to get these tests done/

 


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