We recognize that although many
fertility problems are common, each patient experiencing
those challenges is unique. Knowing as much as possible about
you allows us to thoroughly evaluate your concerns
and design an effective treatment plan. It is
very helpful if you can provide us with the results
of any prior infertility investigation and treatment
prior to or during your initial visit. If either
you or your husband have any major medical problems,
or family history of inheritable disease, these records
should also be provided.
Initial testing depends on your
history and which prior investigations have been
undertaken. Nevertheless,
there are certain tests that are frequently ordered.
The initial male evaluation consists of a semen analysis. A
semen sample is microscopically examined in the laboratory,
and a sperm count is performed. Although the
semen analysis is often ordered at the time of the
first visit, the sample is usually collected at a later
time.
For the female, a series of hormonal
analyses are ordered; almost all of which are obtained
by simple blood tests. Assay may be done to
check for TSH (thyroid stimulating hormone), PRL
(prolactin) and testosterone (a male type hormone
made to some extent by the ovaries). Abnormal
or elevated levels of these hormones can interfere
with ovulation. An FSH (follicle stimulating
hormone) test may be obtained to assess how well your
ovaries function. In addition, a progesterone
determination may be ordered to assess whether you
are ovulating.
During your initial visit, your
physician will spend time getting to know you. You’ll have the
opportunity to ask him or her questions, all the while
getting to know your physician better, and establishing
a relationship that’s built on trust, care and
professionalism. Throughout your treatment we
encourage you to ask questions and to share your feelings
about your experience with us.
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handout: