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As young girls, many women grow up planning and talk about when they will get pregnant and have children. However, rarely do they think they will have problems conceiving. There are numerous tests that can be done in order to evaluate your fertility.  A specialist, such as a reproductive endocrinologist,  can help determine if there is a problem with your fertility, how you can preserve your fertility determine if you need to undergo a comprehensive infertility examination and decide what treatment is best for you. The following information can help you prepare for your appointment:


The following are examples of test that you should expect to talk to your specialist about:

History and Complete Physical

Blood Tests to check Hormone Levels, viral conditions, blood type and Rh Factor (ie. Follicle Stimulating hormone, estradiol and antimullerian hormone  levels should be checked)


Hysterosalpingogram (HSG): Performed days five through ten of your cycle, this test x-rays your uterus and fallopian tubes to determine if there are any fibroids, polyps, adhesions or blockages of your Fallopian tubes.

Sonohysterogram (HSG): An ultrasound examination, this test evaluates the lining of the uterus for fibroids and polyps. It is performed between days five and ten of your cycle.

Male Fertility Screening: A semen analysis is critical for all men undergoing fertility evaluation. Usually during an evaluation, there is a complete semen analysis to evaluate the quality, motility and morphology of the sperm . Blood and urine test are also performed for infections disease testing.


Questions to Ask

Consider the following questions to ask your specialist:

1. What is my diagnosis? 

2. What could be the cause of my infertility?

3. Can lifestyle factors affect my fertility?

4. What is the least invasive treatment?

5. How many treatments should I try? Or what are my options? What are the costs?

6. Should my partner be tested?

7. What is your success rate? What is your speciality?

8. How many doctors work here?

9. How many procedures of this type that are recommending has this clinic performed and what is it's success rates of live births? How does it compare with 

other clinics?

10.  What experience do you have working with women over 35? What are your success rates?

11. Can you give me a list of former patients who have undergone similar treatments?

12. Is it important to proceed with an infertility evaluation or should we wait a while longer

13. How does the state of one's immune system affect one's fertility?

14.  What are side affects and risks of treatment, medications, etc?

15. Are there any long term complications associated with infertility treatments?

16. Can I freeze my eggs? What is the cost for freezing my eggs?

Checking Your Fertility 

The following are tips for assessing your fertility:

1. Track your menstrual cycle

2. Determine Your ovulation cycle

3. Pay attention to your cervical mucus

4. Ovarian Reserve Testing

5. Have your FSH tested

6. Have your thyroid function tested

7.Have your integrin levels tested

8. Have your estradiol tested

9. Test for Male factor

10. Ensure proper diet and exercise

11.  See a Specialist

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