Common Initial Diagnostic Procedures
Depending on your reason for consultation, some common initial testing may be performed:
- History and Physical Examination: At your initial and subsequent visits, you physician will discuss your care with you and perform appropriate examinations.
- Preconception Counseling: In preparation for pregnancy, your physician will order appropriate prenatal and genetic testing. We want to make sure your pregnancy is safe for you and your child. We routinely screen for genetic diseases to see if you carry a trait for any of them. If you do carry a trait, we will then test your partner or sperm donor (as appropriate). We will check for infectious diseases, perform thyroid testing, and review dietary and lifestyle habits. If you have an underlying medical condition such as high blood pressure or diabetes, we will work to optimize that for pregnancy.
- Transvaginal Ultrasound: An ultrasound may be performed to examine the uterus and ovaries for ovarian cysts, fibroids, and for endometriosis.
- Semen Analysis: Test of the male partner’s sperm count and sperm quality. We perform this in all of our offices for your convenience.
- Hysterosalpingogram (HSG): X-Ray of uterus and Fallopian tubes. We perform this test ourselves as a courtesy for you to make the test less stressful, quick, and painless. We have immediate results for you.
- Hormonal Testing: You may have several hormones tests depending on your reason for consultation. In women seeking fertility care, we will performs tests to assess your egg production and quality. These include anti-mullerian hormone (AMH), follicle stimulating hormone (FSH) and estradiol (E2). They may be performed on day 1, 2 or 3 of your menstrual cycle or at other times if needed.They use very useful to assess your “ovarian reserve” and may be repeated as needed.
- Saline Ultrasound: A specialized form of ultrasound whereby some sterile saline (water) is placed inside the uterus at the time of the ultrasound. Fibroids, polyps, and scar tissue can be visualized more easily.