If you have been trying to conceive for one year without success, it may be time to call a doctor. If you are over the age of 35, you should be evaluated after six months without natural conception. Your initial evaluation can be done by an infertility specialist.
The initial evaluation is often done by the OB/GYN. A minor problem can be treated by your regular doctor. In many cases, after these initial results come back you may be referred to a reproductive endocrinologist. A thorough initial evaluation will save you time and money at the fertility clinic.
Most of the initial infertility testing involves checking a variety of hormone levels. This testing may take one whole cycle or more. The reason for this length of time is that certain levels must be tested at a precise time during your cycle.
Although you are anxious to get the results, it’s important that the test is timed properly to avoid needing it done again. Several hormones must work in sync at different times to produce ovulation and the successful implantation of a fertilized egg. Hormonal changes at any point in the process can result in failure to conceive.
Testing normally begins on the second or third day of your cycle. Throughout the cycle several hormone levels are checked including follicle stimulating hormone, luetinizing hormone, progesterone, estrogen, prolactin and androgens. Your thyroid function may also be checked.
During the initial infertility testing stage, most doctors will request a semen analysis. This is done to check the number and quality of your partner’s sperm. The doctor will give you instructions prior to the analysis. In some cases, you may be asked to refrain from sexual activity in the days prior to the test.
Going through this process and waiting for the test results is a frustrating time for nearly all couples. It’s really difficult to be patient and not too focused on the testing process. Try to relax and not let the stress get the best of you. The information your doctor gains from this process will help guide your treatment and help your fulfill your dream of holding your new baby in your arms.
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