Fertility tests evaluate the male and female to identify potential causes of infertility. Causes might include poor egg quality, blocked or damaged fallopian tubes, hormonal imbalances, an abnormal uterus or others. Sometimes there is more than one cause, so even if one cause is known, additional fertility tests are recommended. A semen analysis is always done as over half of cases have a male infertility component.
Common Fertility Tests
Clomid Challenge Test (CCCT) – Used as a measure of ovarian reserve (egg quality) and is predictive of the response to fertility drugs (FSH).
Endometrial Biopsy- Once routinely used to assess the development of the endometrium (lining of the uterus). Blood tests have largely replaced this test.
Genetic Testing- Many inheritable diseases can be identified in embryo. Affected embryos are not transferred to the uterus.
Hormone Evaluation- Levels of FSH, LH, and estrogen are measured on day three of the menstrual cycle. Levels of other hormones are often tested.
Hysterosalpingogram (HSG) – The HSG verifies that the fallopian tubes are open and that the uterus is normal.
Hysteroscopy- Used to examine the inside of the uterus to identify polyps and fibroids.
Laparoscopy- Performed to diagnose and treat conditions including endometriosis or damaged fallopian tubes.
Documenting Ovulation- Ovulation is monitored and documented using home urinary LH test kits, ultrasound and progesterone hormone levels.
Post Coital Test- The cervical mucus may be evaluated for the correct consistency.
Saline Sonogram- A three dimensional ultrasound of the uterus used to identify polyps and fibroids.
Semen Analysis- Documents that enough quality sperm are present to cause fertilization.
Ultrasound- Vaginal probe ultrasound has many uses including monitoring follicular development, measuring endometrial thickness and documenting pregnancy.