The first step on your journey to parenthood is a consultation with one of our fertility expert doctors to review your history including how long you have been trying to get pregnant, medical conditions that may be affecting your ability to conceive, age, family history and more. This is followed by a series of diagnostic tests, usually for both partners, to determine the cause of the infertility. Since there are so many different factors that can contribute to male and female infertility, the results of the testing are needed to identify the course of treatment or treatment options.
If you have insurance coverage, this testing must be completed before we can submit to your insurance for a treatment cycle authorization or order your medications. Delay in testing can cause delays in medication and cycle approval by your insurance company.
Diagnostic testing takes place after your initial new patient visit, commencing with the beginning of your next menstrual cycle. Testing is divided into three categories. For the female partner, ovarian reserve needs to be determined through blood tests. The woman’s reproductive tract (uterus, fallopian tubes and ovaries) is evaluated through radiologic and ultrasound tests. Both the female and male partner need blood work to screen for infectious and genetic diseases, and the male partner’s fertility health is evaluated through semen analysis.
Fertility screening assesses a woman’s ovarian reserve which provides insight into the quality of available eggs for future fertilization. After the age of 30, when egg quality begins to diminish, and especially around 35 when it decreases at a faster rate, it is a good idea for women to have a fertility screening to help determine the viability of her egg supply now and in the future. If she has diminished ovarian reserve, a physician will counsel her on options to preserve her fertility until she is ready to have a child.