Fertility Assessment

Diagnosing Causes of Infertility

HQA FC Fertility Diagnostic Procedures

Fertlity Assessment and TestingPelvic Ultrasound

This is a noninvasive method for evaluating the uterus and ovaries by using high frequency sound waves rather than x-rays to show what is inside your body. Because the body contains over 90% water, sound can be used just as sonar is used in the ocean. Each time the sound hits a tissue interface, like a blood vessel, an echo is sent back. Sophisticated, high-speed computers can use these echoes to create a picture of your internal organs. Ultrasound carries little risk or discomfort while producing clear images that enable the physician to count any mature follicles present and examine the endometrium. Fibroid tumors and ovarian cysts can be diagnosed as well.

 

Sperm antibody testing (indirect IBT)

Is used to rule out the presence of sperm antibodies in female partner’s serum. May be drawn at any time during the woman’s cycle.

 

Endometrial Biopsy

A procedure by which a sample is taken of the endometrial lining of the uterus, shows evidence of ovulation and degree of maturation of the uterine lining, and can reveal uterine cancer, uterine fibroids, uterine polyps, and adenomyosis. This test also reveals if the woman has a luteal phase defect – a hormonal imbalance which prevents a woman from sustaining a pregnancy because not enough progesterone is produced. The test is typically performed 1-3 days before onset of woman’s menstrual flow.

 

Hysteroscopy

This is a procedure that involves insertion of a narrow telescope-like instrument through the vagina and cervix into the cavity of the uterus (endometrial cavity). The uterine cavity is then distended with fluid and visualized. This procedure allows us to determine whether there are any defects such as Fibroid tumors, polyps, scar tissue, a uterine septum, or other uterine problems inside the cavity.

 

Laparoscopy

About 40% of infertile women whose initial Fertility work-up is unrevealing will demonstrate abnormal tubal or uterine findings on a laparoscopic examination. Laparoscopy requires two small incisions (one at the navel and one above the pubic bone). Carbon dioxide gas is injected into the abdomen, distending it and pushing the bowel away. The laparoscope, a hollow tube equipped with a tiny camera, lenses, and a fiberoptic light source, is inserted through the umbilical incision. A probe is then inserted through the second incision allowing the physician to directly view the outside surface of the uterus, Fallopian tubes, and ovaries. Endometriosis, pelvic scar tissue, and blockage at the ends of the Fallopian tubes can all be identified using laparoscopy. Some of these conditions can be corrected during the procedure by cutting away any scar tissue that may be binding organs together or by destroying endometrial implants. The procedure is usually done under general anesthetic and the wound itself is minimally painful.

 

Microlaparoscopy

A new minimally invasive diagnostic surgical procedure uses telescopes and instruments that are much smaller than normal. If this procedure is appropriate for your condition, smaller incisions will be made and postoperative abdominal tenderness may be reduced.

 

HSG

We offer in-house Hysterosalpingogram (HSG) or “Dye Study” as some call it. This can be a painful procedure when not done by a Gyn or RE&I. Dr Magarelli wants ALL of your care to be useful and pain free.