Fertility Evaluation: What to Expect
If pregnancy isn’t happening as planned, our structured Infertility Work‑Up helps determine why — and how best to move forward. At NCCRM, both partners are evaluated because fertility is a team effort.
When Should You Begin?
Under 35?
Try for 12 months before evaluation.
Age 35 or older?
Consider starting after 6 months, due to natural fertility decline.
Known Factors
Known factors such as irregular cycles, pelvic surgery, a cancer history or male issues, consider an evaluation as soon as possible.
What We Check: Step-by-Step Breakdown
1. Comprehensive Review
- Medical history & physical exam for both partners — covering reproductive history, surgeries, health issues, and lifestyle.
2. Ovulation Assessment (Female)
- Menstrual tracking and symptoms
- Bloodwork, including progesterone, TSH, prolactin, and AMH (ovarian reserve indicator)
- Ovulation kits or ultrasounds may be used when cycles are irregular.
3. Uterine & Tubal Health
- Ultrasound to check the uterus, ovaries, and basic tube assessment
- Hysterosalpingography (HSG) or HyCoSy to evaluate tubal patency and the uterine cavity.
- Hysteroscopy or laparoscopy when indicated by a history of endometriosis, scarring, or prior pelvic surgery
4. Semen Analysis (Male)
- At least one semen analysis using WHO standards
- Furthe ther testing if results show low volume, count, motility, or shape. May include hormone testing or genetic screening
5. Additional Testing As Needed
- Genetic screening (e.g., karyotype, fragile X) if indicated
- Infectious disease testing (STIs, HIV, etc.)
- Advanced ovarian reserve tests such as day‑3 FSH or Clomid challenge
- Pelvic evaluation for chronic pain or unexplained infertility
6. Diagnosis & Treatment
- Explain the finding clearly
- Identify any treatable issues
- Outline recommednded treatments
Guidance and Support Every Step of the Way
Why choose NCCRM?
- Couples-first care—both partners are evaluated equally.
- Streamlined scheduling—we help you get tests done efficiently.
- Evidence-based decisions—we follow ACOG and AAFP guidelines .
- Compassionate support—fertility can feel overwhelming; we’re with you every step.
Next Steps
- Schedule an appointment at NCCRM
- Complete personalized testing plan
- Review results and plan treatment