Depending on your consultation with Dr. Blotner, he might request any or all of the fertility tests listed below. 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.
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 had stopped, but before ovulation.
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.
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).
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.
A comprehensive semen analysis is an important test for determining a male factor for couples trying to conceive. A complete analysis will be performed here 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.
Follow up Appointment
All tests and evaluation results will be given by Dr. Blotner at this visit. Your pregnancy options will be discussed and you will be on the road to completing your personal pregnancy plan.
Female fertility testing, Male fertility testing, Recurrent miscarriage
From "rateMDs.com - May 7th, 2008"