Fertility Testing & Diagnosis

After your initial consultation with Dr. Blotner, he might request one or more fertility tests that will help determine the cause(s) of your fertility issues. Dr. Blotner will go over the results with you in the follow up appointment and devise the best fertility strategy for you and your partner.

 

Hormonal studies and ultrasound

Hormone studies help identify hormonal imbalances that may impair fertility. A simple blood test can provide important information regarding your egg reserve and fertility potential.

This blood test should be done on days 1-4 of your menstrual cycle, preferably on days 2-3. Day 1 is the first day of full flow; early spotting does not count.

An ultrasound may be needed to evaluate the ovaries and uterus.

Hysterosalpingogram (HSG)

Having blocked or damaged fallopian tubes can reduce the chances of pregnancy.

A hysterosalpingogram (HSG) is an X-ray test that looks at the inside of the uterus and fallopian tubes.

This test will be performed at a radiology center on days 7-11 of your menstrual cycle, once bleeding has stopped, but before ovulation.

Sonohysterogram (SHG)

A sonohysterogram is done to evaluate the inside of the uterus (endometrial cavity) by filling the uterus with fluid during a transvaginal ultrasound.

This test will be performed in our office normally around days 7-11 of your menstrual cycle.

Post coital test

The post coital test evaluates the interaction between the sperm and the cervical mucus at a time near ovulation. This test is determined by a positive ovulation surge.

You will need to purchase an ovulation kit from our office or a pharmacy. Start testing on about cycle day 11. Call our office when you have a positive result. This test will be scheduled the next day. If  this occurs on the weekend, call our office on Monday morning.

Endometrial biopsy

An endometrial biopsy is most often performed to help determine whether the uterine lining is producing sufficient hormones to support a pregnancy, as well as screening for abnormalities, infection and cancer.

Based on your needs, Dr Blotner will let you know when to schedule this test at our office.

 

Semen analysis

Since male factor infertility contributes to at least 30% of couples’ fertility issues, evaluating sperm count, motility, morphology, volume, and total motile count is very important. Some patients find giving the sample on demand, in a designated room in the clinic, to be awkward and intrusive. But, it is a crucial step in evaluating fertility that everyone goes through. Patients should be aware that the use of lubricant or saliva is prohibited. Also each patient should follow the given instructions for preparing for the test. The instructions include but are not limited to, avoiding drugs and alcohol before the test and refraining from sexual activity at least two days, but not more than ten days before the test.

A comprehensive semen analysis is an important test for determining a male factor for couples trying to conceive. A complete analysis will be performed at our office by our andrologist. Sperm count, motility, morphology, volume, and total motile count are evaluated.

Appointments must be scheduled by calling our office. Specific instructions will be given to you regarding collection of the sample.

Clotting panel / miscarriage panel

Miscarriages have often been linked to mutations in the blood proteins associated with the clotting system. This can predispose a woman to increased coagulation tendency once pregnancy ensues, decreasing the blood flow to the fetus and causing its demise. Less commonly, autoimmune (antibodies to self) disease may be associated with miscarriages.

Endocrinology

Endocrinology is the study of hormones. We analyze and test for reproductive hormone issues.

Immunology

Unexplained infertility may be explained by a deeper look into the mother’s immune system.

Follow up appointment

At this visit, Dr. Blotner will explain all tests and evaluation results. Your pregnancy options will be discussed and you will be on the road to completing your personal pregnancy plan.

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