Infertility Testing: Sonohysterogram

A sonohysterogram is an ultrasound using a saline solution. This is done to diagnose problems with the shape of the uterus or abnormalities. The saline offers a clearer picture of fibroids or polyps in the uterus as well. The sonohysterogram begins like a pap smear. A speculum is inserted and the cervix is washed with iodine. This is done to prevent infection. A catheter is inserted through the cervix and into the uterus. Saline is put through the catheter and fills the uterus with the solution. As the uterus fills with fluid, it is common to feel some discomfort. This … Continue reading

Infertility Testing: Hysteroscopy

Hysteroscopy is a test for infertility that allows doctors to view the inside of the uterus. The test is used to determine the cause of abnormal bleeding, look for fibroids and other possible causes of infertility. The test is most accurate during the week following menstruation. If you need this test, your doctor will most likely schedule it for this time in your cycle. An instrument called a hysteroscope is used in the procedure. A hysteroscope is a fiberoptic tube that is attached to a camera. The tube is approximately as wide as a drinking straw. The camera on the … Continue reading

Infertility Testing: The Post Coital Test

Of all the testing I had done when we were trying to conceive our first baby, the post coital test was the most embarrassing. This test involves visiting the doctor after having intercourse. The doctor then checks the sperm in your cervical mucous to see if it is moving well. The post coital test is done for several reasons. It is usually done when the cause of infertility is not known. The test will show if there are immunity issues that are preventing conception. It will also show if there are problems with the cervical mucous that are not allowing … Continue reading

Infertility Testing: Endometrial Biopsy

An endometrial biopsy involves testing a sample of the endometrial lining of the uterus. This test is done to check the hormone levels and endometrial lining are consistent with the timing of the menstrual cycle. In other words, is the lining what would be expected on that day of your cycle? The endometrial biopsy involves the physician inserting a catheter through the cervix and into the uterus. A sample of the endometrial tissue is extracted. This tissue is sent to a lab for testing. The test only takes a few minutes. Most women experience mild to moderate discomfort with this … Continue reading

Initial Infertility Testing

If you have been trying to conceive for one year without success, it may be time to call a doctor. If you are over the age of 35, you should be evaluated after six months without natural conception. Your initial evaluation can be done by an infertility specialist. The initial evaluation is often done by the OB/GYN. A minor problem can be treated by your regular doctor. In many cases, after these initial results come back you may be referred to a reproductive endocrinologist. A thorough initial evaluation will save you time and money at the fertility clinic. Most of … Continue reading

Infertility Testing: Hystersalpinogram

Beginning with this blog, I will be doing a series about common infertility testing. When you first visit a reproductive endocrinologist, you will hear about a myriad of testing procedures. This can be confusing and cause anxiety. I know it did for me. I’ll start this series by talking about a test called the hystersalpinogram. I had this test done twice, once fairly early in my six years of infertility and the second time just prior to undergoing IUI to conceive our first baby. The hystersalpinogram is a very long name for a fairly simple test. The test is basically … Continue reading