OVULATION TOPICS
Detecting Ovulation

Cervical Fluid (Cervical Mucus) and Fertility

Body Basal Temperature

Understanding your Menstrual Cycle

Ovulation Induction

Free Ovulation Calendar
Ovulation Calculator

The Billings Method

Recognizing Cervical Changes
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MALE FERTILITY
Understanding Male Fertility


GETTING PREGNANT
Best Positions for achieving pregnancy

Fertility Monitors
Choosing the Sex of Your baby
Fertility Testing

FAQ

Fertility Tips

Cycle Diary

Best Fertility Websites

TTC Glossary

Caffeine andFertility/Pregnancy

Natural Solutions

Lengthening your luteal phase

TTC After 35

Trying again after a miscarriage

I THINK I'M PREGNANT
Am I pregnant? 
Pregnancy
Symptoms

HCG Levels

Progesterone Levels

Caffeine and Fertility/Pregnancy

Pregnancy Journal

Preggy Belly Shots

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FERTILITY TESTING

You should seek professional reproductive assistance if you have been having unprotected intercourse regularly with no pregnancy for a year or you are over the age of 35 and have been trying for six month, have irregular menstrual cycles, have had two or more miscarriages. 

Most Common Fertility Tests

Cycle Day 3: Baseline tests for follicle stimulating hormone (FSH) and luteinizing hormone (LH)

LH should be less than 7mIU/ml
FSH should be less than 13mIU/ml

You will be asked to use an Ovulation Predictor Kit. When the test is positive for an LH surge, you will need to take another more blood tests.

Day of LH Surge:
LH should be greater than 15mIU/ml
FSH should be greater than 15 mIU/ml
Progesterone should be less than 1.5 ng/ml

7 days Past ovulation: 

Progesterone level testing
Progesterone should be 15 ng/ml

A Semen Analysis for the male will be scheduled.

Normal semen values as outlined by the World Health Organization are as follows:

PARAMETER
MINIMUM VALUE
Volume (mL)
2.0
Sperm Concentration (million/mL)
20
Motility (%)
50
Forward Progression (0-4)
3
Normal Morphology (%) (WHO)
30
Normal Morphology (%) (Strict)
14
Total Sperm Count (million)
40
Total Motile Sperm (million)
20
Total Functional Sperm (million)
6

 

The day of LH surge prior to ovulation.

Postcoital test (PCT) to see if the sperm can penetrate and survive in the cervical mucus and a bacterial screening.

Ultrasound Exams are used to assess the thickness of the lining of the uterus, monitor follicle development and assess the condition of the uterus and ovaries.

Additional Testing (Excerpt from INCIID)

After the initial workup, many doctors continue with some of the following tests.

HYSTEROSALPINOGRAM (HSG):

This test is used to examine a woman's uterus and fallopian tubes. It is essentially an x-ray procedure in which a radio-opaque dye is injected through the cervix into the uterus and fallopian tubes. This "dye" appears white on the x-ray, and allows the radiologist and your doctor to see if there are any abnormalities, such as an unusually shaped uterus, tumors, scar tissue or blockages in the fallopian tubes. If you are trying to get pregnant in the same cycle as an HSG, make sure to schedule the test PRIOR to ovulation so that there is no danger of "flushing out" a released egg or developing embryo. Although most women report only minor cramping and short-term discomfort during this procedure, some women, especially those who DO have blockages, report intense pain. Speak to your doctor about taking a pain medication about 30 minutes prior to the actual procedure.

HYSTEROSCOPY

If a uterine abnormality is suspected after the HSG, your doctor may opt for this procedure, performed with a thin telescope mounted with a fiber optic light, called a hysteroscope. The hysteroscope is inserted through the cervix into the uterus and enables the doctor to see any uterine abnormalities or growths. "Photos" are taken for future reference. This procedure usually is performed in the early half of a woman's cycle so that the build-up of the endometrium does not obscure the doctor's view. However, if the doctor is planning to do an endometrial biopsy at the same time, it is done near the end of the cycle.

LAPAROSCOPY

A narrow fiber optic telescope is inserted through a woman's abdomen to look at the uterus, fallopian tubes, and ovaries and to discern endometriosis or pelvic adhesions, and is the best diagnostic tool for evaluating the ovaries. This test us usually done two or three days before menstruation is expected, and only after an HCG beta blood test ensures the woman is not pregnant.

ENDOMETRIAL BIOPSY

This procedure involves a scraping a small amountof tissue from the endometrium shortly before menstruation is due---between 11 and 13 days from LH surge. It should ONLY be performed after an HCG blood test shows the woman is not pregnant. This test is used to determine if a woman has a luteal phase defect --- a hormonal imbalance which prevents a woman from sustaining a pregnancy because not enough progesterone is produce

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