Testing & Diagnosis
Just as each individual is unique, the same is true of their fertility. Understanding our patient’s unique situation starts before they even walk in the door and start fertility testing. Utilizing Polaris, a real-time predictive platform as our patient intake form, allows our trained reproductive endocrinologists and infertility physicians to review your history before your consultation.
While a clinic’s success rates are important, your specific success rates are more important. The Polaris platform allows our physicians to visually show you your chances of success utilizing different treatment plans based on your specific medical situation.
During your consultation we will discuss your goals for family building, your medical history and review needed fertility testing to determine the best treatment path for you. While each patient is different some typical fertility testing includes:
- Ovarian reserve testing provides us a baseline of your fertility health. The results of the ovarian reserve testing allows us to devise a treatment plan.
- Blood work to test hormones including follicle stimulate hormone (FSH), Estradial (E2) and anti-mullerian hormone (AMH). When these levels are too high or too low, it can indicate a lower fertility potential.
- Antral Follicle Count (AFC) ultrasound gives a good indication of the number of resting follicle you have during your current menstrual cycle. There is an ideal range based on your age that the physician will review with you.
- Semen Analysis looks at the count, shape, and movement of a man’s sperm.
- A Saline Sonohysterogram (SHG) or and an Hysterosalpingogram (HSG) maybe performed to rule out blockages or masses in the fallopian tubes and uterus.
Individuals and couples can experience one or a combination of diagnoses that are playing a role in their infertility. Below are some of the most common causes of infertility:
- Ovulatory Disorders are when an egg doesn’t properly develop or release during a woman’s menstrual cycle and is one of the most common causes of infertility.
- Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine system disorders among women of reproductive age. In women with PCOS the hormones needed to develop and release a mature egg are not present.
- Recurrent Pregnancy Loss (RPL) is defined as two or more consecutive pregnancy losses. Causes of miscarriages can include: genetic abnormalities, hormone imbalance, undiagnosed medical conditions, and unexplained miscarriage when no clear reason is able to be pinpointed.
- Primary Ovarian Insufficiency (POI) refers to a significantly diminished or absent ovarian function before age 40.
- Diminished Ovarian Reserve (DOR) is a decrease in the quality and quantity of eggs remaining in the ovaries or a poor response to ovarian stimulation.
- Male Infertility is diagnosed when a man’s semen analysis returns abnormal results concerning count, motility (movement) and morphology (shape).
- Endometriosis can be frustrating, painful, and may make it harder to become pregnant.
- Tubal factor infertility occurs when a woman’s fallopian tube(s) are blocked due to diseases, damage, or scarring.
- Secondary infertility is defined as the inability to conceive or have a full-term pregnancy despite having had children previously without difficulty.
- Fibroids don’t always lead to infertility, but when they become very large or enter into the uterine cavity, they can affect your ability to become pregnant.
To understand your specific options concerning fertility treatment paths, schedule a consultation today.
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