The Importance of a Correct Infertility Diagnosis

185283431-s.jpgUnderstanding the root cause of your infertility is the only way to effectively treat the problem so that you can get pregnant. Knowing the cause of your infertility will also help you cope better with the realization that you are going to have to take on the financial and physical demands of In Vitro Fertilization (IVF) treatment.

Complete Assessment and Correct Infertility Diagnosis

Every patient of Dr. Laurence A. Jacobs will undergo a complete fertility assessment and recommended diagnostic testing before a customized IVF treatment plan is designed and implemented.

As recently reported by Yahoo Beauty on January 31, 2017, Dr. Jacobs describes how women typically try to conceive without reproductive aid for six months to two years before finally turning to IVF.  For most patients, IVF is not the “easy way to go.” “It involves weeks of preparation, followed by two weeks of shots and bloating and swelling, followed by egg retrieval which can be uncomfortable afterward,” and “Stress level is very high.”

Medical History

The protocol of a fertility assessment begins with the compilation of a thorough medical history from every patient – male and female.

Critical inquiry will entail:

  • Age and overall health – including weight and lifestyle
  • History of fertility treatments
  • Irregular or absent menstrual periods
  • Miscarriage history
  • History of tubal disease, pelvic infection, including SDTs
  • Endometriosis history
  • Male factor infertility testing

Fertility Assessment and Types of Diagnostic Testing

Critical inquiry will entail:

  • Age and overall health – including weight and lifestyle
  • Gynecological history: menstrual cycles and bleeding pattern, history of tubal disease, endometriosis, and pelvic infection, including sexually transmitted diseases (STDs)
  • Obstetrical history including miscarriage
  • History of any prior fertility treatments

One or more of the following testing procedures will be performed to arrive at a correct infertility diagnosis.

  • Ovarian Reserve Assessment
  • Ovulation Disorder
  • Uterus and Fallopian Tube Evaluation
  • Semen Analysis
  • Preconception Genetic Screening

Ovarian Reserve Assessment

A female patient’s ovarian reserve of eggs is assessed to determine if her oocyte (egg) supply is diminishing.

Diagnostic tests performed on a woman’s cycle day 2, 3 or 4:

  • Estrogen level
  • FSH levels
  • Anti-Mullerian Hormone (AMH)
  • Vaginal Ultrasound (follicle count)

Ovulation Disorder

Proper ovulation function is checked through an ovulation predictor kit followed up by a blood test measuring Progesterone.

Complete endocrine evaluation assessing:

  • Ovarian function
  • Pituitary function
  • Adrenal function
  • Thyroid function

These tests determine why a woman is not ovulating regularly.

Screening for Polycystic Ovarian Syndrome (PCOS) is performed through:

  • Measuring for androgens (male hormones)
  • Fasting to check insulin and glucose levels

Uterus and Fallopian Tube Evaluation

The condition of the uterus and Fallopian tubes will be evaluated through:

  • Hysterosalpingogram (HSG) – Xray
  • Saline Sonogram (SIS) – Ultrasound
  • Hysteroscopy
  • Laparoscopy

Semen Analysis

Male factor infertility is assessed through a Semen Analysis (SA) with a sperm function test known as Kruger Strict Morphology. If results are abnormal, further hormone and genetic studies may be recommended.

Preconception Genetic Screening

A universal genetic test known as Counsyl evaluates for genetic mutations – carriers – such as:

  • Cystic Fibrosis (CF)
  • Spinal Muscular Atrophy (SMA)
  • Sickle Cell
  • Tay-Sachs Disease (TSD)

Doctor Providing a Correct Infertility Diagnosis

Dr. Laurence A. Jacobs invites you to discover how he can help you to achieve your dream of having a baby. Fertility Centers of Illinois has 10 fertility clinic locations and 2 IVF centers located throughout Chicagoland. After you consult with Dr. Jacobs, you can choose from all locations to pursue your customized treatment plan. Schedule your initial consultation with Dr. Jacobs by clicking the icon below – or – call 888.325.7389.

Click Here To Schedule Your Consultation  With Dr. Laurence Jacobs