Getting Started with Fertility Testing at our New York Fertility Center
Suspecting that you have some underlying cause of infertility and knowing for sure can have two very different outcomes. When men and women seek out expert care and pursue treatment, they expedite the process of getting pregnant. Waiting too long to partner with a fertility specialist can waste precious time in a woman’s reproductive prime.
Fertility testing for the male and female partner unlocks the door to a family.
A Harvard-trained obgyn and reproductive endocrinologist who has practiced reproductive medicine since 1985, Dr. Joel Batzofin manages the investigation into potential causes of infertility. Your fertility testing will begin with a health history conversation, with attention paid to both partners.
Fertility Testing Provides Essential Clues to Formulate a Plan
Step One: Health History
A thorough review of your health history can establish the male and female fertility testing parameters. If a woman presents with a history of pelvic infections or surgeries, for example, Dr. Batzofin may wish to quickly move to a hysterosalpingogram, HSG, to examine the patency of the fallopian tubes. Your health history is an essential step in the fertility treatment process.
During your initial consultations, plan to spend time discussing medical red flags that could indicate a potential problem. Please provide medical records from your obgyn or other fertility doctor, as well as films and scans from any gynecologic surgeries.
Step Two: The Physical Exam for the Female Partner
Next, we move from talking about potential problems to actually visualizing them. An in-office vaginal sonogram can identify uterine abnormalities such as septums that would otherwise remain undetected. Dr. Batzofin is looking for obvious irregularities with the organs of the female reproductive track—the ovaries, uterus and fallopian tubes. We also plan for the sonogram to take place in the ovulatory phase. An antral follicle count can establish whether or not a woman is a good candidate for ovarian stimulation.
Step Three: Evaluating Ovarian Reserve and Ovulatory Function
Hormonal assessments measure a woman’s natural ability to produce follicle stimulating hormone, estrodial and luteinizing hormone. Our New York fertility center manages the blood work to coincide with Day 3 of your menstrual cycle. We also conduct AMH testing that measures the chemicals released by primordial follicles, encasing the immature eggs in a woman’s ovarian reserve pool.
Step Three: Evaluating a Man’s Hormonal and Sperm Health with Semen Analysis
While a woman is undergoing early fertility testing, we will order semen analysis. A non-invasive test enables Dr. Batzofin to rule out a number of potential male infertility diagnoses. We prefer to proceed with semen analysis before a woman progresses in her fertility testing to the surgical phase. At this time, we will also order blood tests that measure hormonal balance in the male partner.
In addition to HSG testing to evaluate tubal patency, Dr. Batzofin may recommend minimally invasive laparoscopy to diagnose and correct endometriosis, polyps or fibroids. Your fertility specialist is also an experienced gynecologic surgeon, and his every move is strategically made to preserve a woman’s fertility potential.
Listing fertility testing in a 1-2-3 format can oversimplify the process. Every man and woman has a unique anatomy and health history so the protocols change to accommodate the individual.
More than 1 in 8 couples will encounter infertility in their quest to become parents. Contact our New York fertility center to begin a testing and treatment regimen that positions you to overcome the odds.