Fertility Testing for Women

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Medical Information

EVALUATE. Female fertility testing is completed when conception does not occur after one year of unprotected intercourse or after six months in women over the age of 35, or if there are other identified issues causing infertility, a medical evaluation for both the male and female partner is recommended at LIV.

women-fertility-testingFemale fertility testing is performed to confirm you have been ovulating, to predict when you will be ovulating next, to evaluate ovarian function or reserve, to test whether or not you did ovulate in the current cycle, and to measure how receptive your uterus is to pregnancy during the second half of your cycle.

Your LIV Fertility doctor will review the following topics:

  • Menstrual history
  • Pregnancy history
  • Birth control history
  • History of sexually transmitted diseases
  • Current sexual patterns
  • Medications
  • Surgical history
  • Other significant health problems
  • Lifestyle and work environment

Female Fertility Testing

Physical Exam

  • Thyroid exam. Examine your thyroid to locate any abnormalities
  • Hair distribution. Examine any unusual or excessive hair patterns on your face and body, indicating a possible increase in male hormones which could affect your fertility.
  • Breast examination. Examine the size and shape of your breasts and test for liquid exertion, which may indicate the presence of increased prolactin, a hormone that prevents ovulation.
  • Pelvic examination. Inspection of the cervix to locate any unusual growths, sores, discharge, or infection.

Ovulation Testing

  • Blood Tests and Ultrasound. Blood tests measure levels of estrogen and lutenizing hormone (LH), while frequent ultrasounds track follicular growth.

Ovarian Function Testing

  • Day 3 FSH. This is a blood test taken on day 3 of your menstrual cycle. It measures the level of the hormone FSH. An increase in FSH may indicate the decrease in the production of good quality eggs and embryos.
  • Day 3 Estradiol Tests. This measures the amount of estrogen in your blood. A high level of estradiol may indicate poor egg quality.
  • Inhibin B levels. A blood test to determine if inhibin B is being produced at too low a level is conducted.
  • Ultrasound. A transvaginal pelvic ultrasound may be performed several days after the LH surge to determine if ovulation has occurred.

Luteal Phase Testing

  • Plasma progesterone level. A blood test in the last part of your cycle, high levels of progesterone indicate that ovulation has occurred.
  • Hormone tests. Blood test to measure the amount of prolactin, androgen and thyroid stimulating hormone.
  • Endometrial biopsy. Performed after day 21, testing a small piece of tissue from the uterine lining. This test determines if the lining is thick enough for a fertilized embryo to implant. The results will indicate endometrial development

Evaluation of the Cervical Mucus

  • Postcoital test (PCT) Performed mid-cycle, shortly after intercourse, this tests evaluates the quality and quantity of cervical mucus and documents the presence of live, motile sperm in the mucus.

The LIV Lifeline

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