Cycle Day 2, or 3 Blood Tests
We need follicle stimulating hormones (FSH), luteinizing hormone (LH), prolactin, and estradiol levels (E2) on either Day 2 or 3 of your cycle. Generally, Cycle Day 1 is defined as the first day of flow (i.e., not spotting). These are baseline hormones that give us an idea of how sensitive the ovaries are to fertility drugs. We can determine the dosage you may need in order to ensure adequate ovulation. A thyroid panel is also done since an abnormal thyroid level may interfere with normal ovulation.
Infectious Disease Panel and Prenatal Labs
You may be screened for HIV, Hepatitis B and C, RPR, and sexually transmitted diseases (STDs). The female partner may need a blood type and Rubella Titer (to make sure she is immune to German measles).
This female fertility test is done on an outpatient basis. It involves injecting dye into your uterus that shows up on an X-ray. The dye outlines the inside of the uterus and tubes. If the fallopian tubes are open, the dye passes into the surrounding pelvic cavity and is re-absorbed by your body. It may be associated with cramping. This test is done after you have stopped menstruation but before ovulation, generally between days 6 and 12 of your cycle.
LH Surge/Ovulation Predictor Kits
Usually on Cycle Day 10 (10 days from the first day of your menses), you will be asked to check your urine every morning with a special test stick provided in an ovulation predictor kit. When you have a positive result, you will ovulate within 24-36 hours. This test predicts whether you are releasing the egg at the correct time of your cycle, and helps us to schedule your post ovulation diagnostic testing.
Progesterone is a hormone made by the corpus luteum (the follicle that released the egg). It is responsible for maintaining a healthy endometrial lining to support a pregnancy. It is a blood test drawn seven (7) days after ovulation. A level of above 10 ng/ml indicates a healthy ovulation.
Sonohysterogram (water ultrasound)
This is a test to examine the uterine cavity for abnormalities, such as polyps or fibroids. It is performed between cycle days 6-12. It takes approximately 10 minutes in the office and is associated with minimal discomfort.
Other Possible Tests
On certain individuals, other hormones called androgens (DHEA-S, testosterone) may be drawn.