Your fertility testing will include blood tests to measure your hormone levels, possible testing for ovulation, and assessment of your fallopian tubes and uterus.
Routine Blood Tests
- Day 3 FSH and Estradiol
- VZV IgG (to test chicken pox exposure)
- Rubella Titre
- Complete blood count
- Blood Type
- HIV, hepatitis B, hepatitis C, syphilis testing
Follicle Stimulation Hormone (FSH)
Follicle Stimulation Hormone is made by the pituitary to recruit an egg follicle to develop and mature each cycle. A day 3 test gives us insight into your ovarian reserve or your egg supply. This helps us predict how well you might respond to fertility medications or assisted reproductive therapies (ART), such as superovulation or IVF.
Thyroid stimulating hormone (TSH)
Abnormal thyroid levels are common in women of childbearing age and can cause irregular menstrual period, infertility, and miscarriage. Thyroid problems are usually very treatable.
Antimullarian Hormone (AMH)
This is a blood test that shows whether your ovarian reserve is higher or lower than what is typical for women of your age. This can have implications for your fertility treatment. If your eggs appear to be running out faster than expected, you might want to consider a more aggressive treatment like IVF.
An HSG is a special X-ray test that is used to see if there are any abnormalities or blockages in the fallopian tubes that could prevent sperm from reaching the egg or the fertilized egg reaching the uterus. The HSG also assesses the uterine shape and helps to rule out uterine polyps or fibroids.
A hysteroscopy is a procedure that involves the doctor passing the hysteroscope–a narrow telescope like instrument–through your vagina and cervix and into the uterus to see if there are any fibroids, polyps, scar tissue, or other problems with your uterus.
A laparoscopy is a procedure that involves inserting a laparoscope–a hollow tube equipped with a tiny camera and light source—through a small incision in your belly in order to examine your uterus, fallopian tubes, and ovaries. This is performed by a gynecologist surgeon under general anesthetic. The laparoscope can help your doctor diagnose uterine fibroids, endometriosis, ovarian cysts, and other fertility problems. These problems can often be treated during the laparoscopy. In some cases, you may need follow-up surgery.