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Female Testing

There are several tests used to check for the required factors for normal female infertility. Some patients may need most or all of them done, others only a few. Your doctor will consult with you in deciding what tests would be best for your case. A list of possible problems and some of the tests used to check for those problems is listed below:

Normal Anatomy (uterus, tubes, cervix, vagina)

  • Careful physical exam
  • Vaginal and/or abdominal ultrasound
  • Vaginal saline infusion sonohysterogram
  • Hysterosalpingogram
  • Hysteroscopy
  • Chlamydia antibody (blood test)
  • Ovulation (release of an egg or oocyte)

  • Mid cycle ultrasound
  • Day 21 progesterone level (blood test)
  • Urinary test to document LH release (usually done by the patient at home)
  • Basal body temperature test (done by the patient)
  • Normal Peritoneal Cavity (the environment where the sperm and egg interact)

  • Careful history and physical exam
  • Chlamydia antibody test (blood test)
  • CA 125 (blood test)
  • Laparoscopy
  • Oocyte Health (Quality of the eggs, and their odds of producing a normal pregnancy

  • Day 3 ultrasound to count ovarian follicles and ovarian volume
  • Clomid challenge test, which combines a day 3 estrogen and FSH level, a day 10 FSH level with clomiphene citrate (Clomid) given days 5-9 of the cycle. This is a kind of "stress" test of the ovaries to see if they are producing normal amounts of estrogen. If they are, then there is a better chance that the eggs that remain will result in a normal pregnancy.
  • Mullerian inhibiting factor (blood test)
  • Document Fertilization

  • We can't prove that fertilization has occurred unless it is observed in the laboratory. Of course, pregnancy is also good proof of fertilization. In a couple who are unable to achieve pregnancy, fertilization will be proven by laboratory results of the sperm and egg interaction.