Infertility testing & getting started

If you are under 35 and have been trying to conceive for a year without success, or over 35 and trying for six months, it is a good time to schedule an evaluation. Anyone with irregular cycles, known conditions such as endometriosis or PCOS, prior pregnancy losses, a history of chemotherapy, or same-sex couples and single parents by choice should not wait — an initial consult is appropriate at any point.

Your first visit is a conversation with one of our reproductive endocrinologists — Dr. Gindoff or Dr. Hartog. We review your medical, family, and reproductive history, discuss your goals, perform a baseline ultrasound when appropriate, and outline the diagnostic workup that fits your situation. You leave with a clear plan, not a sales pitch. We offer a free consultation for new patients. To save time on the day, you can download and complete our <a href="/resources/patient-forms">new patient forms</a> before you arrive.

Call us at (212) 685-2229 or email [email protected]. You can also submit our online contact form and our team will reach out to schedule a time that works for you, typically within one business day.

We are at 105 East 37th Street, Suite 1, in Murray Hill — between Park and Lexington Avenues, a short walk from Grand Central and the 33rd Street 6 train. Our Areas We Serve section has directions from specific Manhattan neighborhoods.

Standard testing includes AMH and other hormone bloodwork, a baseline transvaginal ultrasound with antral follicle count, a hysterosalpingogram (HSG) to check the fallopian tubes and uterine cavity, and a semen analysis for the partner. Depending on findings we may add genetic carrier screening, thyroid or prolactin testing, or a saline sonogram (SIS).

A standard workup includes hormone and infectious disease blood testing for both partners, a semen analysis, and a transvaginal ultrasound to assess the ovaries. Depending on which treatments are being considered, we may also check whether the fallopian tubes are open with an HSG. Most workups are complete within a month. If you arrive at your first consultation with recent results already in hand, we generally won't repeat them — we'll use them to move you toward treatment.

Common contributors include ovulatory disorders such as PCOS, diminished ovarian reserve, tubal disease, endometriosis, uterine fibroids or polyps, male-factor infertility, and age-related decline in egg quality. Often more than one factor is present, which is why a full evaluation of both partners matters.

AMH doesn't measure egg quality, but it helps predict how you'll respond to fertility medications — specifically, the number of eggs likely to be retrieved in a given cycle.

A male factor is present in nearly half of couples experiencing a delay in conceiving. Most of those cases are mild to moderate and are addressable with IUI or with ICSI during IVF. A semen analysis, performed at a fertility center with its own andrology laboratory, should be one of the first steps for any couple being evaluated.

This is called unexplained infertility and it accounts for a meaningful share of the patients we see. Standard testing evaluates the most common causes but cannot detect every subtle issue. When testing is unremarkable, we still have effective treatment paths — often starting with medicated IUI or moving directly to IVF depending on your age and how long you've been trying.