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Infertility affects men and women equally, with about one-third of cases attributed to male factors and about one-third to female factors. The remaining one-third of infertile couples experience a combination of circumstances from both partners. In approximately 20% of couples, no specific cause can be found to explain their infertility.

After you have a conversation with one of our reproductive endocrinologists, a combination of fertility evaluations will be ordered ranging from labs to x-rays to help us understand your body and what may be preventing conception.

Fertility Evaluations for Women:

Baseline Hormones

(day 1-3)

Labs drawn between days 1-3 of your period to look for hormonal dysfunction and ovarian reserve

Hysterosalpingogram HSG

(day 5-12)

An xray performed in our office between cycle days 5-12 to determine if the uterine cavity is normal, and if both fallopian tubes are open


(day 5-12)

A saline ultrasound completed in our office between cycle days 5-12 to study the uterine cavity without checking fallopian tubes

Follicle Monitoring

(days 5-14)

Vaginal ultrasounds and bloodwork completed during cycle days 5-14 to monitor growth and size of maturing follicles prior to ovulation

Luteal phase progesterone

(day 19-24) 

Labs drawn to measure the progesterone hormone near the end of your cycle between days 19-24 to confirm ovulation

AMH lab draw

(any day of the month):

Anti-Mullerian Hormone blood test indicating ovarian reserve (number of eggs remaining in the ovaries).

Fertility Evaluations for Men:

25- 35% of couples who experience difficulty conceiving, do so because of issues related to male fertility. Screening for male fertility is very straightforward and done via semen analysis. The sample can be collected either at our Raleigh, North Carolina location, or in the privacy of your home. The specimen is evaluated under a microscope by specially trained clinicians in our lab. The analysis looks for:

  • Sperm Count (how many sperm are found in the specimen)
  • Motility & Quality  (how fast they swim and in what direction)
  • Morphology (appearance or shape of the sperm)

After the analysis, recommendations concerning further evaluation, potential causes,  and treatment will be made by one of our physicians.

Need More Answers?

Sometimes a couple tests “normal” for all of the items listed above, yet still experiences difficulty conceiving or sustaining a pregnancy. When this is the case, we look for  more answers from:

When the Results Are In

When the evaluations ordered by your physician are complete and results are back, you will meet with your physician again in person or by scheduled phone consultation to review what everything means and  create a treatment plan together.