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Comprehensive Couple Evaluation

Fertility evaluation involves both members of the couple. After a comprehensive history and physical exam, the basic evaluation involves looking at three areas of potential fertility problems: ovulation, tubal or uterine disease, and male factor. Minimum testing includes tests for ovulation (ultrasound and hormone testing), a hysterosalpingogram (HSG: tubal dye xray), and a semen analysis (sperm count). After these tests are completed, either further testing will be warranted or treatment may be offered. For patients over 35 years of age or with certain characteristics, a Clomid challenge test is offered to test for age related ovarian dysfunction. In some cases, a laparoscopic surgery may need to be performed to directly visualize the tubes and ovaries looking for adhesions or endometriosis which would be appropriately treated at that time.

We perform on site semen analysis. Semen analysis is a specialized test and requires medical technologists who are knowledgeable in this area of laboratory technique. This test is especially sensitive to operator error and the difference between a normal and abnormal test is very slight. This is even more important for abnormal tests. It is critically important to define the degree of abnormality. For these reasons, we request that all patients have at least one semen analysis in our laboratory. See”Male Evaluation.”

Treatment is individualized to each couples particular situation. We would refer you to specific treatments by diagnosis. See news and Information for information on specific treatment topics.

Our goal is to provide you with a successful healthy pregnancy with the least invasive and costly treatment possible, both from a financial and emotional standpoint. We strive to provide you with as much emotional support as possible during your treatment experience with us. Infertility evaluation and treatment is very stressful and our goal is to help you navigate this process with the least amount of stress. When necessary we can refer you to a counselor who has specific knowledge of infertility and the special needs of our patients. You are certainly able to request this service at any time.