Stanford Fertility and Reproductive Medicine Center  

Evaluation for Fertility

Evaluation for Fertility

Specific recommendations regarding fertility evaluation vary depending on the situation. In general, tests that may be recommended for the female partner include:

1. Blood hormone tests

2. Virology Testing (blood tests)

3. Blood Type and Rh factor

4. Clomiphene Citrate Challenge Test (CCCT) is a diagnostic test used to provide information regarding ovarian reserve (egg supply). It entails the use of a medication called clomiphene citrate (Clomid or Serophene) to be taken orally on CD 3 through 7. Two tablets of Clomiphene are taken together at the same time every morning for five days. Prior to taking Clomiphene, a blood test may be done on CD 3 for baseline levels of E2 and FSH if these have not been done previously Another set of blood tests will be required on CD10 to re-evaluate and compare the results to determine ovarian reserve.

5. Hysterosalpinogram (HSG) is a radiological procedure which uses a special fluid that is placed into the uterus and fallopian tubes to check for tubal patency and uterine contour. This procedure is typically performed between CD6-11 of a woman’s menstrual cycle.

6. Hysteroscopy is an diagnostic procedure performed in the office utilizing a hysteroscope (a type of scope with an attached camera) to visualize polyps and/or fibroids in the uterine cavity, and to remove them if they are found. This procedure is typically performed between CD 6-11 of menstrual cycle and requires light intravenous anesthesia.

7. Saline infusion sonography (SIS): This is an office procedure in which saline (salt water) is placed into the uterus during the time that an ultrasound is performed. It is another way to visualize polyps or fibroids in the uterine cavity. It does not require anesthesia. But any abnormality, if found during the procedure, cannot be removed at time of the procedure.

Male Fertility Evaluation typically includes:

1. Semen Analysis

2. Virology Testing includes the following:

Results from virology tests must be available per California State law before treatment procedures like intrauterine insemination (IUI) or in vitro fertilization (IVF) described elsewhere on our website can be performed.

3. Urology consultation or other specialized tests and evaluation may be recommended by your physician if deemed necessary.

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