The goal of the initial infertility evaluation is to determine the likely cause of infertility, and to determine the best approach to infertility treatment. Your doctor will take a careful history and order various tests.
A number of infertility problems are due to health issues in females, however, in 20-25 percent of cases, infertility can be attributed exclusively to male factor problems and an additional 10 percent of couples have male infertility in addition to other factors. A complete evaluation and diagnosis should include testing of both male and female partners.
Most patients are very anxious to get started on their evaluations and treatment. Ask your primary care physician or general gynecologist to perform as many preliminary tests as soon as possible before your visit to the infertility specialist and bring your test results to your first appointment with one of our infertility specialists.
At the beginning of the evaluation, the male partner should have a semen analysis. He should avoid ejaculation for 48 hours (but no more than six days) before providing the sample on the day of the test.
There are several baseline tests that are used to evaluate the cause of female infertility.
An oral medication, clomiphene citrate (Clomid®), is taken on days five to nine of the menstrual cycle. A blood test is performed on day three and day 10 to measure FSH and E2 levels.
Additional testing that may be ordered by a gynecologist or a fertility specialist:
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