A basic infertility evaluation consists of gathering a thorough medical history and conducting a medical examination. Your fertility specialist will ask a number of questions to help determine the cause of infertility.  Medical, lifestyle, surgical, gynecological and obstetric history will be all be gathered, as well as a complete review of all medical records from former fertility doctors that you have seen.Fertility Clinic Colorado

Physical Examination

The physical exam consists of a pelvic exam and possibly an ultrasound designed to reveal any scarring, or abnormalities on the uterus, fallopian tubes or ovaries.  Medications that result in ovarian stimulation may be administered for further evaluation.  The fertility specialist is able to count antral follicles, which can be helpful in fertility assessment.

Ovary Assessment

Approximately one-fourth of all infertility cases are caused by ovulation disorder.  One of the most common types of ovulation problems is known as polycystic ovarian syndrome.  This type of condition is usually effectively treated with medication.

Ovarian reserve may also be tested at this time, as it is extremely important for a woman to have viable egg supply in order to be fertile.  Blood and ultrasound tests may be required.

Blood Tests

The blood tests depend on the couple’s situation and infertility findings.  More than one blood test may be required, with possible testing on both the female and male partner.

Some of the possible blood tests required may be luteinizing hormone, prolactin, testosterone, progesterone, thyroxin, thyroid stimulating hormone or TSH and FSH.  If there is a history of recurrent failed pregnancies or miscarriages, further blood tests may be required. Top Fertility Clinic

Semen Analysis

A semen analysis is a critical component to the basic infertility work up and should be done early on in the evaluation process.  When there is a sperm defect, testing on the female partner may be modified due to findings.

Therapy can be directed to the problematic sperm and the focus put on the male partner.  Approximately 25-30% of infertility cases are caused by a sperm defect.


HSG stands for hysterosalpingogram and is conducted in order to evaluate the endometrial cavity, uterus and fallopian tubes.  If a tubal factor is suspected, HSG may be needed for proper assessment and diagnosis.  Approximately 25 percent of all infertility patients experience a tubal factor.


Colorado Fertility SpecialistOnce the basic testing is complete, a laparoscopy procedure may be required.  This is a surgical procedure that can be used to assess pelvic scar tissue, endometriosis or other damage that may be causing infertility.  Laparoscopy is an invasive procedure and should only be done after all other treatments fail to provide favorable results.

An infertility workup is an individualized regimen of exam and testing designed to obtain the highest success possible with subsequent treatments. Dr. Deborah Smith has been voted multiple times the Top Fertility Doctor in Colorado, and offers comprehensive options that are both conservative and operative.

You Might Also Enjoy...

The Importance of Tests Before Tubal Reversal

Reversing the effects of a tubal ligation is an increasingly viable option for many women seeking to have a child. Our expert explains the procedure and the need for a fertility evaluation and other tests in advance of the surgery.

What a Semen Analysis Can Tell Us

When you’re concerned about fertility, the process of finding out what is causing it can seem overwhelming. Our team is committed to breaking it down for you in easily understood steps. Here’s what you need to know about the semen analysis.

What Does a Basic Infertility Workup Entail?

Confused about infertility treatments and how to get started? Our nationally recognized team explains the basics, starting with an infertility workup and how we proceed from there to help make your dreams reality.

What Every Woman Should Know About Her Eggs

Have you ever wondered what’s happening to your eggs before they get started on that long journey down your fallopian tubes? And how does that relate to fertility? Our expert explains.

Are Some People More at Risk of Infertility Than Others?

You may be surprised to learn that infertility is a relatively common issue that affects about 15% of couples who’ve been trying to conceive for at least a year. Learn the common risk factors for infertility and how a specialist can help.

What Does Home Insemination Entail?

Home insemination is one of the many effective treatments available to people who are experiencing fertility issues. A nationwide leader in Reproductive Endocrinology discusses the procedure and the potential benefits of home insemination.