Evaluation After an initial consultation to comprehensively review your
medical history, most patients will be asked to undergo a complete physical
exam and a series of tests. This evaluation phase involves some blood
and hormone tests which will be utilized to diagnose the cause of infertility.
The testing generally proceeds from standardized screening which all
patients need to specialized diagnostic tests that are tailored to the
unique needs of each patient. The table below outlines common diagnostic
tests and the method by which they are administered. Please note that
a single blood draw will often provide a sufficient amount to perform
nearly all screening tests.
|
Standard Screening Tests
(typically required)
|
| Name of Test |
Reason for Test |
For Female? |
For Male? |
Obtained By |
| ABO/Rh |
Blood Typing |
Yes |
Yes |
Blood Draw |
| CBC |
Complete Blood Count |
Yes |
Yes |
Blood Draw |
| Rubella Titer |
German Measles |
Yes |
Yes |
Blood Draw |
| HBsAg |
Hepatitis B Surface Antigen |
Yes |
Yes |
Blood Draw |
| Hepatitis C |
Hepatitis |
Yes |
Yes |
Blood Draw |
| HIV |
AIDS Screen |
Yes |
Yes |
Blood Draw |
| HTLV-1 |
Virus Screen |
Yes |
Yes |
Blood Draw |
| RPR/STS |
Syphillis Screen |
Yes |
Yes |
Blood Draw |
| Chlamydia |
Infection |
Yes |
Yes |
Blood and Culture |
| Mycoplasma Culture |
Infection |
Yes |
Yes |
Blood |
| Pap Smear |
Cancer Screen |
Yes |
No |
Office Visit |
Common Diagnostic Tests
(may or may not be needed) |
| Name of Test |
Reason for Test |
For Female? |
For Male? |
Obtained By |
| FSH/E2 (Follicle Stimulating Hormone/Estradiol) |
Egg Quality |
Yes |
No |
Blood Draw |
| Prolactin |
Pituitary Hormone |
Yes |
No |
Blood Draw |
| LH |
Luteinizing Hormone |
Yes |
No |
Blood Draw |
| TSH |
Thyroid Stimulating Hormone |
Yes |
No |
Blood Draw |
| Free T4 |
Thyroid Hormone |
Yes |
No |
Blood Draw |
| DHEAS |
Adrenal Hormone |
Yes |
No |
Blood Draw |
| Cortisol (am&pm), ACTH |
Adrenal Hormones |
Yes |
No |
Blood Draw |
| Hysterosalpingogram |
Uterus and Tubes |
Yes |
No |
Office Visit |
| Hysteroscopy |
Uterus |
Yes |
No |
Office Visit |
| Ultrasound |
Uterus and Ovaries |
Yes |
No |
Office Visit |
| Routine Culture |
Infection |
No |
Yes |
Office Visit |
| Semen Analysis |
Sperm Quality |
No |
Yes |
Office Visit |
| HEPA |
Hamster Egg Penetration Assay |
No |
Yes |
Office Visit |
| Karyotype |
Chromosomal Analysis |
Yes |
Yes |
Office Visit |
| Serum Immunobead |
Antibody Assay |
Yes |
Yes |
Blood Draw |
| |
|
|
|
|
The outcome of your testing phase will often lead directly to a diagnosis
for the cause of infertility.
|