Work Up & Testing

A routine and comprehensive infertility workup addresses the most universal question that our hopeful parents have, “why are we not getting pregnant?” or “why can’t we stay pregnant?”

 

On your first visit, we’re going to get to know you, your health history, goals, and your expectations of all of us here at Conceptions. We’re also going to do some clinical homework and bloodwork to see what’s going on with your endogenous hormone levels. Some of the many hormones we’ll be looking at to gauge your fertility include FSH, AMH, and Estrogen. We’ll also perform an ultrasound examination to make sure the uterine environment is ready to support a pregnancy. Everything matters when you're trying to get pregnant, we understand.

What to Expect: Women

You’re not alone. All across Denver and Colorado women just like you need a little help to get pregnant and have a family. Here’s what you can expect on your first consultation and workup:

Health History Review – We’re going to talk about you during your new patient consultation, a lot! But having your records prior to a consultation can help us find the clues needed and reduce the overall time to treatment.

Bloodwork – As a new patient you can expect to do some bloodwork as part of your workup. Follicle Stimulating Hormone (FSH), Anti Mullerian Hormone (AMH), and Estrogen (E2) are the key indicators of egg quantity and quality the building blocks of a successful diagnosis and treatment.

Trans Vaginal Ultrasound (TVU) – We’ll perform a quick, in-office TVU to make sure the uterine environment is healthy and gain insight into your current egg quantity.

Hysterosalpingogram (HSG) – For some, your physician may perform a hysterosalpingogram or x-ray of your uterus or fallopian tubes. We’ll make sure your tubes (hydrosalpinxes) are open and look for any ovarian cysts impeeding pregnancy.

What to Expect: Men

While many people think fertility issues are largely a female issue, they’re not. In fact, the causes of infertility are equally split between men and women.

However, for men, the fertility testing process is a little more straightforward. For most males, sperm quality, and quantity are the biggest drivers of infertility.

Semen Analysis (SA) – Men will be required to provide a sample so we can check sperm count or the number of sperm. In general, a count of 15 million sperm per milliliter, or 39 million sperm per ejaculate, is considered on the low side and the help of a fertility specialist may be needed. A low sperm count is often referred to as oligospermia.

An SA will also check for whether they are of normal shape (morphology), and movement (motility).

Taking the First Step

Congratulations you did the hardest part and took the first step by speaking with a fertility specialist here at Conceptions! While most fertility workups can be completed within 30-days, sometimes starting treatment may require an additional test or a procedure.

While you’re waiting to start a treatment cycle, you should consider a few things that can help prepare your body and mind for care.

  • Watch what you eat. Cut back on the carbs and look for balance in your diet.
  • Consider taking a folic acid prenatal supplement.
  • 15-20 minutes per day of light exercise is good for the body and mind.
  • Stop smoking. Period. Say no to recreational drugs and reduce your intake of alcohol.
  • Consider reducing travel especially as COVID-19 remains a threat.
  • Cut back on your coffee and caffeine. Sorry, Starbucks.

Experience Success First Hand

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