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Advanced Fertility Center of Chicago ivf

Basic Infertility Evaluation - Fertility Tests

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What tests should be included in the initial infertility evaluation?

Costs for fertility testing and treatments


History

  • The doctor will ask questions to try to get clues as to the cause of your infertility.
  • These questions will be regarding your medical, surgical, gynecological, and obstetric history, as well as some lifestyle questions.
  • A review of records from other fertility doctors that you have seen is also important.

Physical exam

  • A directed physical exam that may include a pelvic ultrasound should be performed.
  • Ultrasound can help us discover abnormalities with the uterus, fallopian tubes and/or ovaries. We can sometimes see evidence of pelvic scarring, such as when an ovary appears to be stuck to the uterus.
  • We get information regarding the woman's potential for adequate ovarian stimulation with medications by counting antral follicles.

Assessment of ovarian reserve


Assessment of adequate ovulation

This can be done in a variety of ways. About 25% of all infertility is caused by an ovulation disorder. One type of ovulation problem, polycystic ovarian syndrome, is effectively treated with medications.


Semen analysis

The semen analysis is a very important test and should be done early in the evaluation process. If a severe sperm defect is discovered, the testing on the female partner should be modified, and therapy can be immediately directed to the sperm problem.

  • About 25% of all infertility is caused by a sperm defect and 40-50% of infertility cases have a sperm defect as the main cause, or a contributing cause.

Blood tests

Depending on the individual couple's situation, various blood tests on either the female or the male may be needed. Blood tests that might be needed include day 3 follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), AMH, prolactin, testosterone (T), progesterone (P4), 17-hydroxyprogesterone (17-OHP), thyroxin (T4), thyroid stimulating hormone (TSH).

If there is a history of recurrent miscarriages (2 or more) a lupus anticoagulant (LAC) and anti-cardiolipin antibody (ACL) are often done, as well as other tests.

Immunological testing has not been proven to have any value in infertility patients without a history of 2 or more miscarriages.


Testing for tubal patency and normalcy of the uterine cavity with a hysterosalpingogram

The hysterosalpingogram, or HSG is done in order to assess the anatomy of the endometrial cavity of the uterus and the fallopian tubes. The HSG is usually scheduled between days 6 and 13 of the cycle - after bleeding and before ovulation.

  • This test is usually performed in a radiology facility
  • About 25% of all infertility is due to a tubal factor

Laparoscopy

  • This is a surgical procedure and should not be performed until the basic testing has been done on both partners.
  • In some cases, laparoscopy for infertility will be indicated to look for pelvic scarring or endometriosis
  • As in vitro fertilization success rates have improved dramatically over the past 20 years, laparoscopy for infertility is being done much less than before.
  • Most couples skip the invasive laparoscopic surgery and do treatments with intrauterine inseminations and then IVF if inseminations are not successful.

4920 N. Central Ave
Suite 2C

Chicago, IL 60630

Phone: (773) 794-1818
Fax: (773) 794-1819

30 Tower Court
Suite F
Gurnee, IL 60031

Phone: (847) 662-1818
Fax: (847) 662-3001

820 E. Terra Cotta Ave (Rte 176)
Suite 118
Crystal Lake, IL 60014

Phone: (815) 356-1818
Fax: (815) 356-1866

TESTIMONIALS

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I am so grateful for Advanced Fertility Center. I just had my son Leland. I want to thank Dr. Catenacci and all of the nurses that helped us. Especially Ashley in the Crystal Lake office. You made this process easier by being supportive and positive. Thank you very much!

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Dr. Sherban and his staff are the most amazing, compassionate, and supportive people. After almost 5 years of trying to conceive, going through numerous tests and meeting with another clinic closer to home, who told me my chances even with IVF were still very low, a good friend recommended advanced fertility center of Chicago. Best decision we ever made! We now have 2 amazing children who are now 5 and 3 years old! I cannot stress enough how amazing this staff is, they make you feel like family!

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Our experience was amazing with Dr. Cantanucci and all of the nurses (especially Ashley). After ttc for 4 years and at 41 years of age, we became pregnant after 1 round of IVF, and had our beautiful boy this past October. Can't thank them enough!

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2/7/15 our son was born all thanks to the assistance of Dr. Sherbahn and his staff. Everyone was so helpful and here for all our questions, worries, etc. They want this for you just as much as you want this for you! Handled with pure professionalism and care from the very start! Thank you advanced fertility!

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