These tests may be done as part of a fertility evaluation or to time ovulation.
Blood FSH and Estradiol Levels: These hormones, when measured on the second or third day of a menstrual cycle, are predictive of a woman's ovarian reserve (whether she is running out of eggs).
HSG: An x-ray study to evaluate the uterus and tubes.
Saline Sonogram: An ultrasound study to evaluate the uterus.
LH Surge Testing (urinary): This testing is done at home each morning using a morning urine sample. When an LH surge (color change) is seen, you should schedule an ultrasound or other appropriate follow-up test. When combined with an ultrasound, this is a reliable predictor of ovulation.
Ultrasound Verification of Folliculogenesis/Ovulation: This is an office procedure using a vaginal ultrasound probe. It is a painless and accurate technique for identifying proper ovulation and egg development, and is often used to time inseminations and to evaluate ovarian reserve.
Basal Body Temperatures (BBT): This daily temperature charting is less commonly done today since better and more accurate techniques for monitoring ovulation are now available. BBT however is the least expensive method.
Laparoscopy/Pelviscopy/Hysteroscopy/Tubal Dye Study: An out-patient surgical procedure which visually examines both tubes, ovaries, uterus, and pelvis. It also helps determine if one or both tubes are open. Surgical repair of adhesions (scar tissue), endometriosis, ovarian cyst(s) or other abnormalities can frequently be done at the same time in order to eliminate the need for further surgery. You are asleep for this surgery, and are normally able to return to normal activities within 2-3 days.
