Fertility Testing for Women
We are dedicated to providing you with a comprehensive yet tailored diagnostic work-up to determine the cause(s) of your subfertility while not subjecting you to unnecessary tests. Typical diagnostic tests include:
Various hormones that control the function of your ovaries and uterus can be tested after a simple blood draw. Many of these can be done on the day of your initial consultation, while other tests need to be drawn on day 2 or 3 of your menstrual cycle.
Ovarian Reserve Testing
Women are born with a finite number of eggs that is steadily depleted as you age. It is critical to make an assessment of your “ovarian” age and confirm that it matches your real age. This testing is done with simple blood tests and an ultrasound measurement of your ovaries.
Ultrasounds are a safe and painless way to gain important information about the status of your uterus and ovaries. These procedures can be performed in our office with one of the physicians or ultrasonographers who specialize in this type of imaging.
While an ultrasound can give us important information about your uterus and ovaries, it cannot provide all of the information we need. An x-ray test called a hysterosalpingogram (HSG) is often performed to give us valuable information about the lining of your uterus and whether your fallopian tubes are open. This procedure is scheduled in the second week of your menstrual cycle and is performed at The Woman’s Hospital of Texas by one of our physicians or our physician’s assistant. Additionally, this test can be performed at one of several other hospitals around the city. This test requires that you take an antibiotic before the procedure, and we recommend taking a dose of ibuprofen before, as well, to make the test as comfortable as possible. We will give you the complete instructions for getting this test if it is recommended by your physician.
A sonohysterogram (SHG) is a specialized ultrasound procedure to obtain information about the lining of your uterus. It can be performed in our office by one of our physicians or our physician’s assistant.
Sometimes it is necessary to visualize the inside of the uterus through a minor surgical procedure called hysteroscopy. Hysteroscopy has the added benefit of being able to treat certain abnormalities at the same time. These operations are discussed further in the Surgery section.
Laparoscopy is another outpatient surgical procedure that is sometimes required to accurately diagnose certain conditions that may be limiting your fertility. As with hysteroscopy, laparoscopy has the benefit of being able to treat certain abnormalities during the procedure. Again, these procedures are discussed further in the Surgery section.