Infertility Workup

• Under 35 and trying for 12+ months with regular, unprotected intercourse.
• Over 35 and trying for 6+ months without success.
• If you or your partner have risk factors like:
  • Prior pelvic infections, uterine issues (fibroids, endometriosis)
  • Irregular periods, low sperm count, or testicular issues
  • History of cancer treatment, thyroid or autoimmune issues
  • Smoking, alcohol, obesity, or high stress

An infertility workup helps identify underlying issues, clearing the path for more targeted treatments.

• Women: The workup usually focuses on:
  • Hormone levels (FSH, LH, AMH, TSH, prolactin)
    
  • Ovarian reserve
    
  • Uterine and fallopian tube health (e.g., through ultrasound, HSG)
• Men: A semen analysis is done to check sperm count, motility, and morphology. Additional tests may follow if necessary.
  

Both partners play a role in fertility, so the infertility workup assesses both sides to ensure a comprehensive understanding.

• Initial consultation: A review of your medical history, lifestyle, and any previous fertility efforts
• Diagnostic tests: Women undergo hormone panels, ultrasounds, and sometimes hysterosalpingography (HSG) to check tube patency. Men provide semen samples, and hormone testing is done if needed.
• Additional tests: Further tests like laparoscopy or hysteroscopy may be necessary if more complex issues are found.
• Results evaluation: The doctor explains what was found, whether there are multiple factors involved, and what next steps should be.
• Treatment options: Depending on results, options may include medication, IUI, IVF, or lifestyle changes.
• Follow-up: Regular monitoring to adjust treatment and track progress.

• Early diagnosis: The sooner you identify an issue, the faster you can address it, especially important if you're over 35.
• Tailored treatment: Without a proper infertility workup, treatments can be less effective and more time-consuming.
• Cost and time efficiency: Knowing what’s wrong helps avoid unnecessary procedures and expenses.
• Better planning: A clear diagnosis leads to realistic expectations and better planning.
• Reduced stress: Instead of wondering why things aren’t working, you’ll know what to do next.

During the infertility workup, you’ll be asked about:

• Body Mass Index (BMI): Maintaining a healthy weight is important for fertility.
• Smoking, alcohol use: Both habits reduce egg and sperm quality.
• Chronic illnesses: Conditions like diabetes or thyroid issues can impact fertility.
  
• Prior treatments or surgeries: Cancer treatments, pelvic surgeries, or testicular issues may affect fertility.
• Stress and toxins: High levels of stress or exposure to harmful chemicals/pollutants can negatively impact fertility.

After the infertility workup, your doctor will suggest one or more treatment options based on the findings:

• Lifestyle changes: If no major issues are found, changes in lifestyle may be recommended to optimize fertility.
• Medications: For issues like hormonal imbalances or ovulation problems.
• Assisted reproductive techniques (ART): In more complex cases, treatments like IUI or IVF might be advised.
• Ongoing support: Fertility is a process, and ongoing monitoring will help you track your progress and adjust treatment.

An infertility workup provides crucial insight into the causes of infertility. By identifying issues early, you can make informed decisions about treatment. It’s not about “what’s wrong,” but rather “what do we do next?” The clarity gained through a thorough infertility workup helps you take the next steps with confidence, ultimately paving the way for your parenthood journey.