Types of Infertility Diagnostic Testing
A thorough infertility evaluation should always be completed before beginning treatment. The investigation includes many of the following:
- Assess a female patient's "ovarian reserve" of eggs by measuring (cycle days 2, 3, or 4), Estrogen, FSH levels, Anti-Mullerian hormone (AMH), as well as an ultrasound-US (follicle count) to make sure her supply of eggs is not diminishing.
- Ovulation disorder: An ovulation predictor kit to check for an LH surge followed by a blood test to measure Progesterone will check for proper ovulation. Complete endocrine evaluation of the female, assessing ovarian, pituitary, adrenal and thyroid functions in order to determine if or why she is not ovulating properly. Measure Androgens (male hormones), a US, and possibly fasting insulin and glucose levels all to screen for polycystic ovarian syndrome (PCOS).
- Evaluate the Uterus and Fallopian tubes by Hysterosalpingogram-HSG (XRay) or Saline Sonogram-SIS (Ultrasound) or Hysteroscopy or Laparoscopy.
- Male factor: Semen analysis (SA) with a sperm function test (Kruger Strict Morphology) should be done to assess the male’s fertilizing capacity. If abnormal, further hormone and genetic studies may be needed.