Where do you go for a fertility test and what does it involve?

Where to go for a fertility test:

1. Primary Care Physician (PCP): Start by consulting your PCP, who may order initial tests and refer you to a fertility specialist if necessary.

2. Fertility Clinic or Reproductive Endocrinologist: These specialized clinics focus on evaluating and treating infertility. Reproductive endocrinologists are trained in reproductive medicine and can provide comprehensive fertility care.

3. Urologist: If male infertility is suspected, a urologist specializing in male reproductive health can perform evaluations and treatments.

What a fertility test involves (for women):

1. Menstrual Cycle Monitoring: Your doctor may track your menstrual cycle to identify ovulation and hormone patterns.

2. Ovulation Testing: This can involve urine tests or blood tests to detect the hormone surge that indicates ovulation.

3. Pelvic Exam: Your doctor may perform an exam of your reproductive organs to check for abnormalities or conditions affecting fertility.

4. Hysterosalpingography (HSG): An X-ray test that uses a dye to assess the shape of the uterus and check for blockages in the fallopian tubes.

5. Transvaginal Ultrasound: This imaging test uses sound waves to view the uterus, ovaries, and fallopian tubes.

6. Hormonal Blood Tests: Your doctor may order tests to measure hormone levels, including follicle-stimulating hormone (FSH), luteinizing hormone (LH), progesterone, estrogen, and thyroid hormones.

7. Ovarian Reserve Testing: This may involve tests like Anti-Mullerian Hormone (AMH) or antral follicle count to assess the number of eggs remaining in the ovaries.

8. Sonohysterosalpingogram (SIS): A pelvic ultrasound performed while saline is infused through the cervix to assess the inside of the uterus and fallopian tubes.

What a fertility test involves (for men):

1. Semen Analysis: This is the primary test to evaluate sperm count, motility, and morphology.

2. Physical Examination: Your doctor may examine the genitals and reproductive system for any visible abnormalities.

3. Testicular Biopsy: Rarely needed, this procedure obtains a small sample of testicular tissue to assess sperm production.

4. Hormonal Blood Tests: Tests may measure levels of testosterone, FSH, LH, and other hormones related to sperm production.

5. Specialized Tests: Depending on the situation, your doctor may recommend additional tests like genetic testing or imaging procedures.

It's important to follow the recommendations of your doctor or fertility specialist regarding specific tests based on your individual situation.