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What to Expect with a Fertility Work-Up

If you've been trying to conceive for a year or more (under age 35) or six months or more (over age 35) and still haven't gotten a positive home pregnancy test (HPT), you may have determined that it is time to see a fertility doctor and have a fertility work-up. The fertility doctor will perform an initial medical exam and take a medical history, Routine fertility work-ups may vary depending on a reproductive endocrinologist's individual protocols.

To follow are some of the tests you may expect with a fertility work-up:

  • Blood tests for hormones, including follicle stimulating horomone (FSH), luteinizing hormone (LH), estradiol and progesterone. An "Androgen Panel" may also be conducted to check levels of free testosterone and dihydroeprandrostone (DHEAS).
  • Cervical mucus tests, including a post-coital test (PCT) to see if sperm can penetrate and survive in the cervical mucus, as well as a bacterial screening.
  • Ultrasound exams to assess the thickness of the endometrium (lining of the uterus), monitor follicle development and assess the condition of the uterus and ovaries.
  • A hysterosalpingogram (HSG), sonohysterosalpingogram (SSG) or saline sonogram (SIS) to examine a woman's uterus and fallopian tubes.

Depending on the results of initial testing, your doctor may order additional surgical tests, such as laparoscopy, or he or she may order genetic testing. Talk to you fertility doctor to find out more about the specific fertility tests you may need.

Looking for a second opinion? Contact our Patient Care Advocates at 1-855-955-BABY (2229) or email and we will connect you with a trusted fertility doctor near you!

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