We understand the emotional and physical toll infertility can take on your family. Our team of medical providers can offer compassion and understanding as we help you make your way through the complex issues of infertility.
Our team of board-certified OB/GYNs can help you evaluate you and your partner to help try to find the cause of infertility. You may be candidate for this evaluation if:
- You are under the age of 35 and have had regular sexual intercourse for a year, without the use of birth control, and have not become pregnant.
- You are over the age of 35 and have had regular sexual intercourse for six months, without the use of birth control, and have not become pregnant.
- You do not have regular menstrual cycle.
- You already know of a fertility problem in you or your partner.
Our infertility evaluation will track your body’s fluctuations through a few menstrual cycles. We can also perform certain laboratory tests and imaging tests based on other factors discovered during your initial evaluation.
Laboratory tests for infertility can examine:
- Basal Body Temperature: Your basal body temperature is your lowest temperature, usually during sleep. Basal body temperature is measured immediately after waking up and before any physical activity. Ovulation can increase ½ - 1 degree Fahrenheit. Temperature changes and charting can help us become more aware of any fertility indicators.
- Urine Tests: Urine tests can help to detect luteinizing hormone (LH) surges. These surges help to determine ovulation days. We also test for the level of follicle-stimulating hormone (FSH) to help us measure the health of the ovaries.
- Progesterone Tests: Progesterone is a female hormone produced by the ovaries when a mature egg is released from the ovary (also known as ovulation). Progesterone helps prepare the lining of the uterus to receive the egg if fertilization occurs (via sperm). If fertilization does not occur progesterone levels drop and your menstrual cycle begins. If your progesterone levels test in a normal range we can confirm you are ovulating.
- Thyroid Function Tests: Your thyroid helps to regulate cellular function, which plays a large role in becoming pregnant and maintain your pregnancy. Testing for thyroid functionality helps us to rule out any potential thyroid issues.
- Prolactin Level Test: Prolactin is a hormone that can hinder the development of follicle stimulating hormone (FSH) and gonadotropin-releasing hormone (GnRH). Also called luteotropic hormone, measuring your prolactin levels can help us identify potential issues with becoming pregnant.
- Ovarian Reserve Tests: All women are born with the amount of eggs they will have throughout their lifetime. Menstrual cycles, over time, deplete the ovarian reserve. Ovarian reserve testing helps us measure the quantity of eggs a woman has left in her body and also helps us evaluate the quality of eggs.
Imaging tests for infertility can include:
- Ultrasound Exam: A pelvic ultrasound exam can look at a woman’s bladder, ovaries, uterus, cervix and fallopian tubes. We are mainly looking for the condition and size of your ovaries as well as the size and shape of the uterus and thickness of the uterine lining.
- Hysterosalpingography: Also known as HSG, this procedure helps us to examine the uterine cavity and the fallopian tubes.
- Sonohysterography: Known as an ultrasound of the uterus, this imaging test can help us examine the uterus, ovaries and Fallopian tubes.
Evaluation for Miscarriage
On average, 20% of pregnancies end in an un-explained miscarriage. Evaluation for miscarriage is normally conducted after a woman has lost at least three pregnancies. In evaluating for miscarriage our team of providers will examine:
- Uterine Anomalies: We utilize a variety of imaging tests to help distinguish any abnormal functioning of the uterine structure. Once we are able to identify the issue we can determine the best treatment path.
- Hormonal Factors: Inadequate functioning of hormones in your body can contribute to an increased risk for miscarriage. Through extensive lab work we can determine any recurring issues.
- Age Related Infertility: After the age of 35 various changes begin affecting women’s bodies. These changes may or may not play a part in evaluating for miscarriage. We can help determine the cause and function of any age related infertility.
Fertility Drug Management
While some causes of infertility are not correctable, some are treatable with fertility medication. We will help you evaluate your options and come to an understanding of which treatment path, if applicable, is right for you.