Infertility Diagnosis and Evaluation
The diagnosis and treatment planning process is composed of three distinct phases.
New patient consultation
Your initial consultation will consist of a detailed evaluation of you and your partner's medical history. This process drives the diagnostic planning process. Your SRM physician will review what medical tests have been done and don't need to be repeated, and what tests will be required.
SRM's Basic Fertility Evaluation
The four elements of a basic evaluation target ovarian function, tubal and uterine anatomy, and male factor.
1. Ovarian Reserve Testing
Includes 2 tests: FSH/E2 blood test and antral follicle count (AFC) ultrasound. The FSH/E2 blood test is performed on day 2, 3 or 4 of your menstrual cycle; AFC can be performed anytime in a cycle. These tests in combination are used to evaluate your ovaries and determine fertility potential.
2. Uterine and Fallopian Tube Evaluation
HSG is used to evaluate the inside of the uterine cavity and patency of the fallopian tubes. SIS or HSC is used for uterine evaluation to assess abnormalities such as polyps or fibroids. These tests are done between days 5-12 of your menstrual cycle.
3. Male evaluation and semen analysis
Recommend 2-3 days of abstinence and avoid hot tubs or saunas for at least 3 weeks prior to appointment.
4. Pooled progesterone
This is another test of ovarian function. Three blood tests are used to determine if adequate quantities of progesterone are produced after ovulation. You will use OPK's to determine your LH surge which is considered day zero, blood tests are then done on any 3 days between +5-9 after your LH surge.
The final phase is to develop a detailed, personalized treatment plan that takes into account not just your medical history and tests, but your goals, finances, timeline, and emotions.