A: According to Dr. Beth McAvey of RMA of New York, an initial infertility evaluation always includes investigation on both partners. For women, this includes ovarian reserve testing to assess both egg quantity and quality, measured by blood markers FSH-follicle stimulating hormone and AMH-anti-mullerian hormone, and a pelvic ultrasound to look for the number of antral follicles. In addition, the uterus and the fallopian tubes should be evaluated. I will typically order a hysterosalpingogram (X-ray) to assess the uterine cavity for the presence of uterine myomas or endometrial polyps and to assess the patency (or opening) of fallopian tubes. Women who have male partners should have his semen analyzed for count, motility and morphology (structural integrity). I always recommend genetic testing and a general health assessment, including a thyroid and infectious disease screen.
Dr. Beth McAvey is a Board Certified Reproductive Endocrinologist and Fertility Specialist with RMA of New York.
For more information on what to expect during your first appointment with a RE, check out this Creating a Family blog about the five things your must do before your first visit to an infertility clinic.Image credit: Håkan Dahlström