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Fertility Testing

Infertility Testing and Diagnosis
The fertility testing will be tailored and customized to your individual needs and for most patients is completed in one menstrual cycle. Some of the tests that are more commonly ordered include the following:

Ovarian Reserve Evaluation

  • You will be asked to come in between the second and fifth day of your menstrual cycle for a blood test. Typically, the hormones FSH (follicle-stimulating hormone), estradiol (estrogen level) and anti-Müllerian hormone (AMH) will be measured to assess your ovarian reserve or egg quality.
  • Depending on your specific case other hormones may be measured as well.
  • You will have a transvaginal pelvic ultrasound performed on the third day of your menstrual cycle in order to determine your antral follicle count (AFC). These are the small follicles between 2 to 9 mm in diameter and are a better predictor of your response to stimulation than the FSH level.

Hysterosalpingogram (HSG)

  • A hysterosalpingogram (HSG) is an x-ray that uses a special dye to evaluate the uterine cavity (for scar tissue, polyps, fibroids) and any tubal blockages or malformations in the fallopian tubes.
  • This test is performed between day 6 and 11 of your menstrual cycle.
  • For more information please refer to the American Society of Reproductive Medicine fact sheet on HSG.

Saline Infusion Sonohysterography (SIS)

  • A saline infusion sonohysterography (SIS) is a test using ultrasound to assess the uterine cavity. In this test sterile saline is instilled into the uterine cavity.
  • This test is performed between day 6 and 11 of your menstrual cycle.
  • For more information please refer to the American Society of Reproductive Medicine fact sheet on SIS.

Semen Analysis

Out of Town Patients

The Fertility Institute of San Diego is able to serve patients form all over the world. We can initiate the process before you arrive in San Diego by coordinating the care with your local infertility doctor so as to minimize the length of your stay in San Diego. It is possible to have your testing done locally and review the results with Dr. Hosseinzadeh prior to your arrival in San Diego. For many patients, the treatment can also be coordinated so that you start this locally in your hometown and travel to San Diego closer to the time of the egg retrieval or embryo transfer.

Please see our International Patients page for more information on our services, travel, accommodations and San Diego attractions.

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