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Evaluation

The Southeastern Fertility Center specializes in the evaluation of infertility tests commonly performed and discussed below, including semen analysis, laparoscopy, ultrasound, HSG (x-ray test), postcoital test, and evaluation for ovulation. The evaluation of a couple depends on their history and physical examination, as well as any previous evaluation and treatment. The basic evaluation may include one or more of the following:

  • Semen Analysis: Used to determine sperm count, motility, and morphology (shape). See below for a video of sperm cells swimming in culture media.
  • Ovulatory and Hormonal Assessment: There are various methods to detect ovulation. The Basal Body Temperature (BBT) Chart, blood and urine tests, and ultrasounds may all be used. Another method is the endometrial biopsy. During this office procedure, a small amount of tissue is removed from the uterus and examined under a microscope.
  • Post-Coital Test (PCT): At the time of ovulation, cervical secretions are collected after intercourse, then analyzed to determine problems with sperm and cervical mucus interaction.
  • Hysterosalpingogram (HSG): A short outpatient procedure in which dye is placed through the cervix into the uterus and tubes. In this way, abnormalities of the uterine cavity and blockage of the tubes may be detected.
  • Luteal Phase Assessment: A simple office test in which a small sample of the uterine cavity is removed, then studied to determine its preparedness for implantation of the embryo.
  • Laparoscopy and/or Hysteroscopy: A laparoscopy is a surgical procedure in which a small incision is made below the navel to allow viewing of the ovaries, fallopian tubes, and the uterus. During a hysteroscopy, a fiberoptic telescope is inserted through the vagina to allow viewing of the interior of the uterus. For more detailed information, see our Reproductive Surgery page.

If the cause of infertility has not been assessed during initial testing, it may be necessary to perform more specific procedures. Further evaluation of the male may include:

  • Sperm Antibody Testing
  • Kruger Morphology
  • Sperm Penetration Assay
  • Computer-Assisted Movement Analysis
  • Urologic Examination
  • Karyotyping
  • Testicular Biopsy
  • Other

For more information about Male Factor Infertility, click here.

Further testing for female factor or unexplained infertility may include one or more of the following:

  • Clomiphene Challenge Test
  • Midcycle Ultrasound: Determines follicle size and endometrial characteristics.
  • Sperm Antibody Testing
  • Other Hormonal and Immunologic Testing
  • Falloposcopy
  • Others

It is beyond the scope of this page to further detail the purpose and circumstances for which these tests and evaluations may be ordered. Please see your reproductive endocrinologist or call our office for additional information or an appointment.