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Male Factors
A semen analysis can be performed at any time. You will receive instructions and a collection cup for the semen, which the lab then evaluates.
You will be responsible for calling your insurance company to verify which facility they will cover for semen analysis.
Female Factors
Initial blood work Initial blood work may be done to evaluate your thyroid and pituitary gland.
Hysterosalpingogram HSG (hysterosalpingogram) is an x-ray of the fallopian tubes and uterus done in the radiology department of a hospital. The test, which is conducted between days 7 and 9 or end of menstrual cycle, provides information on the condition of the fallopian tubes and the contour of the uterus.
Please call the office on the first day of bleeding to schedule this test. (Let us know if your insurance specifies which hospitals you can use.) Our office nurse schedules the test for you.
Most patients experience a small amount of discomfort with this test, which may be minimized by taking a non-steroidal, anti-inflammatory medication such as AdvilŪ before the procedure.
 Ovulation Prediction You will need to purchase an ovulation predictor kit to pinpoint ovulation. The instructions are enclosed in the kit. By using the ovulation kit properly, you know when your body has its LH surge, which means that ovulations is likely to occur within the next 24 to 36 hours.
The timing of the rest of the infertility evaluation depends on the day of the LH surge, so you need to call our offices that day to schedule the remainder of your workup. If the test fails to show an LH surge, this useful information should be reported.
Serum Progesterone Test A serum progesterone test is a blood test done seven days after the LH surge. It is used to evaluate the quality of ovulation.
This test is scheduled when you call to report the LH surge. A nurse draws blood, so you do not need to see your provider for this test.
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