Fertility Testing Overview
After your initial consultation with Dr. Blotner, you will start fertility testing. We might request one or more fertility tests that will help determine the cause(s) of your infertility issues. Dr. Blotner will go over the results with you in the follow up appointment and devise the best fertility strategy for you and your partner.
Hormonal studies and ultrasound
Hormone studies help identify female hormonal imbalances that may impair fertility. A simple blood test can provide important information regarding your egg reserve and fertility potential.
This blood test should be done on days one-four of your menstrual cycle, preferably on days two-three. Day one is the first day of full flow; early spotting does not count.
You may need an ultrasound to evaluate the ovaries and uterus.
Hysterosalpingogram (HSG)
Having blocked or damaged fallopian tubes can reduce the chances of pregnancy.
A hysterosalpingogram (HSG) is an x-ray test examining the interior of the uterus and fallopian tubes.
This test will be performed at a radiology center on days 7-11 of your menstrual cycle once bleeding has stopped but before ovulation.
Sonohysterogram (SHG)
We will perform a sonohysterogram to evaluate the inside of the uterus (endometrial cavity) by filling the uterus with fluid during a transvaginal ultrasound.
Typically, we perform this test around days 7-11 of your menstrual cycle.
Post-coital test
The post-coital test evaluates the interaction between the sperm and the cervical mucus near ovulation. A positive ovulation surge determines this test.
You must purchase an ovulation kit from our office or a pharmacy. Start testing on cycle day 11. Call our office when you have a positive result. We will schedule the test for the next day. If this occurs on the weekend, call our office on Monday morning.
Endometrial biopsy
The doctor will perform an endometrial biopsy to help determine whether the uterine lining is producing sufficient hormones to support a pregnancy. It also screens for abnormalities, infection, and cancer.
Semen analysis
The male partner contributes to at least 30-40 percent of fertility issues. The semen analysis is the first step in evaluating male factor infertility. Our andrologist will perform a complete assessment, which includes sperm count, motility (speed), morphology, volume, and total motile count, to determine the health of the male partner's sperm.
Some men may find giving a sample on demand, even in a designated room in the clinic, to be awkward and intrusive. But it is a necessary step. Each patient should follow the instructions for preparing for the test. Male patients should avoid drugs and alcohol, refrain from sexual activity for at least two days, but not more than ten days, and not use lubricant or saliva.
Please call the office to schedule an appointment and to receive the collection instructions.
Clotting panel/miscarriage panel
Miscarriages have often been linked to mutations in the blood proteins associated with the clotting system. These mutations can predispose a woman to increased coagulation tendency once pregnancy ensues, decreasing the blood flow to the fetus and causing its demise. Less commonly, autoimmune (antibodies to self) disease may be associated with miscarriages.
Endocrinology
Endocrinology is the study of hormones. We analyze and test for reproductive hormone issues.
Immunology
A deeper look into the mother's immune system may explain unexplained infertility.
Follow up appointment
At this visit, Dr. Blotner will explain all tests and evaluation results. He will discuss your pregnancy options, and you will be on the road to completing your individualized pregnancy plan.