Cycle Day 2, or 3 Blood Tests
On either Day 2 or 3 of your cycle, we need follicle stimulating hormones (FSH), luteinizing hormone (LH), prolactin, and estradiol levels (E2). Typically, Cycle Day 1 is defined as the first day of flow (i.e., not spotting). These are baseline hormones that give us an idea of how responsive the ovaries are to fertility drugs. We can determine the dosage you may need in order to ensure sufficient ovulation. A thyroid panel is also implemented since an abnormal thyroid level may hinder normal ovulation.
Infectious Disease Panel and Prenatal Labs
You may be screened for HIV, Hepatitis B and C, RPR, and sexually transmitted diseases (STDs). The female partner may require a blood type and Rubella Titer test (to make sure she is immune to German measles).
This female fertility test is completed on an outpatient basis. It consists of injecting dye into your uterus that shows up on an X-ray. The dye outlines the inside of the uterus and tubes. If the dye passes into the surrounding pelvic cavity and is re-absorbed by your body, then the fallopian tubes are open. It may be associated with cramping. This test is done after you have stopped menstruation but before ovulation, usually between days 6 and 12 of your cycle.
LH Surge/Ovulation Predictor Kits
Usually on Cycle Day 10 (10 days from day one of your menses), you will be asked to check your urine each morning with a special test stick provided in an ovulation predictor kit. When you have a positive result, you will ovulate within 24-36 hours. This test predicts whether you are releasing the egg during the correct time of your cycle, and it helps us to schedule your post-ovulation diagnostic testing.
Progesterone is a hormone created by the corpus luteum (the follicle that released the egg). It is responsible for maintaining a healthy endometrial lining to support a pregnancy. To gauge your progesterone level, a blood test will be done seven (7) days after ovulation. A level of above 10 ng/ml signifies a healthy ovulation.
Sonohysterogram (water ultrasound)
This is a test to examine the uterine cavity for abnormalities, like polyps or fibroids. It is done between cycle days 6-12. It takes about 10 minutes in the office and is associated with minimal discomfort.
Other Possible Tests
Other hormones called androgens (DHEA-S, testosterone) may be drawn for certain individuals.
To learn more about our female diagnostic testing in Idaho Falls, Idaho, we encourage you to contact us at (208) 529-2019 today. Our team of fertility specialists look forward to working with you!