What to Expect During a Fertility Evaluation: A Comprehensive Guide
Fertility is a complex issue that can affect both men and women. If you're having trouble getting pregnant, undergoing a fertility evaluation can help you identify the underlying reasons why. Understanding these factors can help determine what the best treatment options are.
When to Schedule a Fertility Evaluation
Anyone can consult a reproductive specialist to ask questions about their fertility, but you might consider scheduling an evaluation if:
- You’re under the age of 35 and haven’t gotten pregnant after having unprotected, regular intercourse for a year
- You’re over the age of 35 and haven’t gotten pregnant after having unprotected, regular intercourse for six months
- You have an irregular menstrual cycle
- You know you or your partner have a fertility issue or a condition that may impact fertility
The First Visit
During your first visit, a reproductive specialist will review your medical history and current health. They may also conduct a physical exam of you and your partner. It’s important to be honest and transparent about your menstrual cycle, family history of diseases or disorders that may impact fertility, past surgeries and illnesses, lifestyle habits, prior sexual relationships and sexually transmitted diseases, and other personal medical information. Once they review your and your partner’s information, they can determine whether additional testing is needed.
Fertility Testing for Women
Age can play a significant role in fertility. As a woman ages, her egg quantity and quality decrease. During a fertility evaluation, a reproductive specialist will assess the ovarian reserve. They can also identify the presence of fibroids or cysts in the uterus, which may prevent pregnancy. Common tests include:
- Urine test
- Hormone level test
- Thyroid function test
- Ultrasound
- Laparoscopy
- Hysteroscopy
A laparoscopy is a minimally invasive procedure where a thin device called a laparoscope, which has a light and camera at the end, is used to view images of the reproductive tract. During a hysteroscopy, a reproductive specialist uses a hysteroscope, a thin, lighted tube with a camera at the end, to examine the inside lining of the uterus to detect any issues that may be impacting fertility.
Male Fertility Testing
The first step in determining male fertility is to conduct a semen analysis. This test can show sperm count, quality, and mobility. Depending on the results, a reproductive specialist may recommend additional testing, such as an ultrasound screening or urologic exam, to assess whether there are any blockages or complications within the bladder, kidneys, or scrotum.
Schedule a Fertility Consultation Today
If you’re having trouble getting pregnant, a fertility evaluation can give you the answers you need to conceive. A reproductive specialist can conduct tests for both men and women and develop a customized treatment plan that maximizes the chances of pregnancy success. Chelsea Fertility NYC is the premier fertility center serving patients in New York City and surrounding areas. Contact us today for more information or to schedule an appointment.
