One of our fertility specialists, also known as reproductive endocrinologists, will do an infertility workup, which includes a medical history review and physical examination. The doctor will then run blood tests to determine if you are ovulating with adequate progesterone stimulation of the uterine lining. As part of your blood work, we do hormone testing to check for endocrine problems. The fertility workup at the Kofinas Fertility Group typically includes an ultrasound procedure called a hysterosonogram, which allows our physicians to see inside the uterus in order to accurately diagnose for polyps, fibroids or adhesions. We may also conduct a hysterosalpingogram — an X-ray test that we use to look inside the uterus and fallopian tubes, as well as the surrounding area — to find problems such as blocked fallopian tubes or an abnormally shaped uterus. Your doctor may also perform an endometrial biopsy, which involves taking a small sample of the endometrium and checking it under a microscope for problems or hormone levels that are out of balance and can affect the endometrium.
To check for male fertility problems, the reproductive endocrinologist may do a semen analysis with a post-coital test, which checks a woman’s cervical mucus to see whether sperm are present and moving normally after intercourse.
How do you treat infertility?
There are many ways that we can treat infertility. Depending on your specific problem, we may treat you with medication, surgery, artificial insemination or assisted reproductive technology. Doctors recommend treatment based on:
• Test results
• How long the couple has been trying to get pregnant
• The age of both the man and the woman
• The overall health of the partners
• Preference of both partners