Ovarian Function Tests
An essential aspect of all treatment cycles is the ability to recruit and, in the case of IVF, retrieve one or more eggs. A variety of drug regimens can be used to achieve this goal. This plan is based on the level of ovarian function. Ovarian function is determined by evaluating several hormone levels on day 3 of the menstrual cycle:
FSH (follicle stimulating hormone)
LH (luteinizing hormone)
Depending on the diagnosis, we may need to take a closer look at your ovarian function using a Clomiphene Citrate Challenge Test. To perform this test, your FSH level is measured on Day 3 of your cycle. Clomiphene Citrate is taken by mouth on Days 5-9 and another FSH
level is measured on Day 10. The results give us an insight to how your ovaries might respond to medications during the actual cycle. Transvaginal ultrasound exam viewing the uterine and ovarian anatomy, including a count of small resting (antral) follicles also helps evaluate reproduction.
Evaluation of the Uterine Cavity
Embryos implant in the uterus, therefore, we may perform tests to determine if the uterine cavity is normal. This is evaluated by a hysterosalpingogram or a hysteroscopy. These tests are scheduled between the end of menses and the onset of ovulation.
HSG — X-Ray’s the flow of dye through the uterus and the tubes.HSG’s can be performed in our Rockville office or in any other radiology center or hospital.
Hysteroscopy — viewing of the uterine cavity through a lighted scope.
Sonogram/Fluid Sonogram — view of the uterine wall or cavity by ultrasound.
Infectious Disease Testing and Immunity Screening
Hepatitis B surface antigen; Hepatitis C antibody; HIV; RPR (serology); Rubella titer (one time only); Blood group and RH (one time only). Negative infectious disease result must be documented every twelve months.