Male & Female Fertility Testing & Diagnosis

Sexual dysfunction

Although this might primarily have to do with one or the other partners in a couple (e.g. erectile dysfunction in men, vaginismus in women), oftentimes, sexual dysfunction is a couple’s problem and must be addressed by assessing both partners.

Unexplained Infertility

This is the diagnosis given when all the other tests are normal. Many couples failing to conceive after 1-2 years of trying, with all the usual tests coming up normal, may actually have age-related sub-fertility or endometriosis. On the other hand, there may be other diagnoses or medical problems that we have just not come to understand yet. The most recent diagnosis of “Decreased Ovarian Reserve” was only elucidated about 20 years ago.

Specialized Female Tests

  • Sono-Hysterogram or Hysteroscopy.
  • Laparoscopic(intra-pelvic surgery).

  • Fragile X.
  • Karyotype (Chromosome test done on a blood sample).
  • Testosterone, 17-Hydroxy-Progesterone, Fasting Blood Sugar     and Insulin (For Polycystic Ovarian Syndrome patients)

Basic Female Tests

  • Cycle Day 2-3 FSH and Estradiol.
  • Anti-Mullerian Hormone (AMH).

  • Prolactin

  • TSH.

  • Baseline (Day 2 or Day) Mid-Cycle Ultrasound
  • Hysterosalpingogram (HSG)

Specialized Male Tests

  • Karyotype (Chromosome test done on a blood sample)
  • Y-Chromosome micro-deletion DNA analysis (Blood test)
  • Sperm Chromatin Separation Assay (SCSA) for DNA     fragmentation (Sperm test)
  • Hormonal Tests: FSH, LH, Testosterone, Prolactin, Estradiol     (blood tests done when severe male factor is found)

Basic Male Tests

  • Semen Analysis.

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