Female Testing

Female patients who are seeking a diagnosis will undergo a series of tests during their initial visits.  Together, they will paint a clearer picture of their fertility health.  The tests are performed during specific times during a menstrual cycle.

Once the work-up has been completed; you will consult with Dr. Russell to review your test results and discuss a treatment plan.  We encourage the patient and partner to attend this appointment.

  • Cycle Days 2-3 – The testing begins with an evaluation of your ovarian reserve.
  • Cycle Days 3-9 – Fasting lab work will be performed at a laboratory outside of DIRM. This is a comprehensive panel, including infectious disease testing.  
  • Cycle days 5-12 – An office hysteroscopy and SonoHysterosalpingogram (sonoHSG) will be performed to check for any uterine cavity and fallopian tube abnormalities, such as polyps, fibroids, endometritis and tubal blockage.
  • Cycle Days 12-16 – We will closely monitor ovulation and time intercourse, if applicable.
  • Cycle Days 16-25 – progesterone levels will be monitored, via lab work, during your luteal phase.
  • Cycle Days 26-28 – An endometrial biopsy takes place 10-12 days after ovulation to confirm adequate preparation for implantation. 

Predicting your response to fertility treatments starts with ovarian reserve testing. This testing includes lab work such as follicle-stimulating hormone (FSH) and estradiol (E2) on cycle day 2 or 3, along with an antral follicle count (AFC). You will also be asked to have Antimüllerian hormone (AMH) lab performed at an outside laboratory. This can be drawn at any time during your cycle. 

Additional laboratory tests  provide insight to how your body is functioning. This information is combined with your other diagnostic findings to determine the most successful course of treatment. 

During your work-up, an  office hysteroscopy and sono-hysterosalpingogram will be performed to confirm your reproductive anatomy is functioning properly.

Via transvaginal ultrasound, hormone labs, luteal phase labs and endometrial biopsy, we will monitor your ovulation. This information will guide us to optimal treatment options.

During your work-up, should we find abnormalities affecting your fertility, such as: polyps, blocked tubes or endometriosis a laparoscopy will be recommended to evaluate the reproductive organs.