Infertility tests will enable our physicians to diagnose and treat your condition. It is essential that some tests be performed at specific times during your menstrual cycle. You can determine whether you would like to complete the tests in a single month or extend the testing over several months. We will work at a pace that is comfortable for both you and your partner.
Day 3 Blood Work — FSH and Estradiol
You will be instructed to call with day 1 of your next menstrual cycle. You will then be scheduled during monitoring hours for your day 2 or 3 Estradiol and FSH (Follicle Stimulating Hormone). FSH is secreted to produce and grow the egg that you will ovulate that month. Together these levels tell us how hard your body is working every month to produce an egg. Monitoring Hours are: weekdays 7-8:30; weekends/holidays 8-8:30; or as directed.
It is critical that you arrive on time for testing to ensure timely results. Patients will be seen on a first come, first serve basis. A nurse coordinator will contact you that same afternoon to review your results either directly by phone or via your individual voice mailbox.
This x-ray test is performed between day 6 and day 10 of your menstrual cycle. It is scheduled after menstrual bleeding has stopped, but before ovulation. This test evaluates the contour of the uterus and determines whether or not your fallopian tubes are open. It is performed by one of our physicians in conjunction with a radiologist at the Diagnostic Imaging Department, located on the second floor at The Valley Hospital. The total time you will be in the hospital is approximately 1 hour, with the test itself lasting approximately 15-30 minutes. Your results will be discussed with you by our physician immediately following the procedure.
Women experience a range of reactions to this test from minimal discomfort to severe cramping. In general, patients expect to have the sensation of menstrual cramps during the procedure. These tend to subside rapidly and are usually gone within 20 minutes. Some patients may have cramping and/or light spotting for a few hours following the procedure. We will recommend that you take either 200-800mg of ibuprofen one hour prior to the procedure. If pain persists or if you develop a fever you should notify the physician. We also recommend that you eat a regular meal the morning prior to the procedure to reduce the chance of nausea or lightheadedness afterwards.
We will ask about any allergy to shellfish or contrast agents used in X-ray tests, a history of pelvic infection (PID, gonorrhea, chlamydia) and/or mitral valve prolapse. If so, antibiotics may be prescribed prior to your procedure. The main risks of the HSG are infection, allergic reaction to the dye, and flow of the dye into your blood vessels. All are rare and will be discussed prior to the procedure.
Based on history the physician may order a saline sonogram. The saline sonogram is a procedure performed in our office that evaluates the uterine cavity. It is done between day 6 and day 10 of the menstrual cycle. A physician will pass a small catheter through the opening of the cervix. The catheter is attached to a syringe. Under ultrasound guidance saline is instilled in the uterine cavity and the physician can evaluate the contour of the uterine cavity.
We will ask about a history of pelvic infection (PID, gonorrhea, chlamydia) and mitral valve prolapse. Antibiotics may be prescribed prior to your procedure. Similar to the HSG patients may experience mild cramping and spotting. If pain persists or fever develops please notify the physician.
On day 3 of a menstrual cycle the physician will also perform your uterine sounding. During the sounding a tiny catheter is placed through the opening of your cervix to measure the depth and angle or your uterus. This measurement will be used should you have an insemination or embryo transfer as part of your treatment. The sounding only takes a few minutes (about as long as a pap smear).
Once the initial work up is complete patients will schedule a follow-up visit with their physician. At the follow-up visit, the physician will review all results and develop an individual treatment plan.