The goal of an infertility evaluation is to find the reasons for the couple’s symptoms of infertility and give a prognosis for future fertility. It begins with the evaluation of both members who are asked to give detailed medical histories including—medical and surgical background, current health, diet, lifestyle, occupation, use of birth control, previous pregnancies, and sexual practices with the current relationship.


Examination of the woman consists of a general physical with a detailed examination of the pelvic area.

On the first visit, we may ask that some laboratory studies be started, including a Pap test, to rule out cervical cancer and we may culture cervical secretions. Women with a history of irregular or absent menstrual cycles may be asked to have a blood test for LH and FSH levels to check for hypothalamic pituitary dysfunction and polycystic ovarian syndrome. Other studies may include specialized blood tests to determine hormonal profiles on each partner.

• Ovulation Predictive Test, Post-Coital or Huhner’s Tests evaluate the survival rate of sperm in cervical mucus.
• Semen analysis evaluates the volume, quantity, activity, morphalogy and formation of sperm cells, utilizing the Reproductive Diagnostic Laboratory.
• Endometrial Biopsy checks the lining of the uterus for adequate amounts of progesterone.
• Hysterosalpingogram (HSG)—a dye enhanced x-ray of the uterine cavity, the fallopian tubes, and the pelvis provides information about the uterine cavity.
• Diagnostic Laparoscopy, performed on an outpatient basis, gives a direct visual analysis of the pelvic cavity and its contents
• Hysteroscopy provides a direct visualization of the uterine cavity for tumors, adhesions or congenital anomalies.

Infertility Treatment