We often test cycle day 2 or 3 Follicle Stimulating Hormone and Estradiol levels to assess egg reserve. Alternatively, a newer blood test called antimullerian hormone (AMH) may be drawn to evaluate your egg reserve. These tests are helpful to optimize your treatment plan and medication dosing, so you have the best response. We typically screen thyroid function and prolactin hormone levels, which can affect normal ovulation and increase the risk of miscarriage, if imbalanced.
Infectious Disease Panel and Prenatal Labs
You may be screened for HIV, Hepatitis B and C, RPR, and sexually transmitted diseases (STDs). The female partner may need a blood type and Rubella Titer (to make sure she is immune to German measles).
This female fertility test is done on an outpatient basis. It involves injecting dye into your uterus that shows up on an X-ray. The dye outlines the inside of the uterus and tubes. If the fallopian tubes are open, the dye passes into the surrounding pelvic cavity and is re-absorbed by your body. It may be associated with cramping. This test is done after you have stopped menstruation but before ovulation, generally between days 6 and 12 of your cycle.
LH Surge/Ovulation Predictor Kits
Usually on Cycle Day 10 (10 days from the first day of your menses), you will be asked to check your urine every morning with a special test stick provided in an ovulation predictor kit. When you have a positive result, you will ovulate within 24-36 hours. This test predicts whether you are releasing the egg at the correct time of your cycle, and helps us to schedule your post ovulation diagnostic testing.
Progesterone is a hormone made by the corpus luteum (the follicle that released the egg). It is responsible for maintaining a healthy endometrial lining to support a pregnancy. It is a blood test drawn seven (7) days after ovulation. A level of above 10 ng/ml indicates a healthy ovulation.
Sonohysterogram (water ultrasound)
This is a test to examine the uterine cavity for abnormalities, such as polyps or fibroids. It is performed between cycle days 6-12. It takes approximately 10 minutes in the office and is associated with minimal discomfort.
Other Possible Tests
On certain individuals, other hormones called androgens (DHEA-S, testosterone) may be drawn.