What are Infertility Evaluations?

Infertility evaluations or tests are performed to assess the fertility of men and women. Individuals undergo these tests if they are struggling to have a baby with their partner. While some couples may be able to conceive easier than others, it is important not to jump to the worst conclusions right away. You usually do not need to see a doctor regarding infertility unless you have been regularly trying to get pregnant for at least one year.

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However, in some cases, you may need some assistance from your OB/GYN to conceive. Women with the following criteria should speak with their doctor if they are having trouble becoming pregnant:

  • Are over 35 years old and have been trying to conceive for 6 months or more.
  • Have absent or irregular periods.
  • Have painful periods.
  • Have known fertility problems.
  • Have endometriosis or pelvic inflammatory disease.
  • Have experienced multiple miscarriages.
  • Have undergone cancer treatments.

Men should speak with their doctor if they:

  • Have a low sperm count.
  • Have a history of prostate, testicular, or sexual problems.
  • Have undergone cancer treatments.
  • Have other individuals in their family with infertility issues.

MEET DR. ALEX TEPPER

Welcome to my practice. Let me introduce myself and my practice philosophy. I am a board certified OB/GYN in practice for over 20 years and have been a solo-practitioner on the Upper East Side of Manhattan since 2000. All deliveries are performed at The Mount Sinai Medical Center where I went to medical school and at Lenox Hill Hospital.

Types of Infertility Evaluations

Both men and women can undergo infertility testing to determine why they are having trouble conceiving. Along with the following tests, infertility evaluations will take into account your physical health such as illness, birth defects, or acquired anatomical disorders that may interfere with conception or a healthy pregnancy.

Infertility Tests for Women

In order for a woman to successfully conceive, she relies on her body to release healthy eggs. The reproductive tract must allow an egg to move into the fallopian tubes and then meet up with sperm for fertilization. The fertilized egg must then travel to the uterus and implant into the lining. Female infertility tests are done to discover if any of these processes are impaired, and may include:

  • Ovulation testing through blood tests.
  • Hysterosalpingography to evaluate the condition of the uterus and fallopian tubes.
  • Ovarian reserve testing to determine the number of eggs available for ovulation.
  • Imaging tests such as pelvic ultrasound.
  • Other hormone testing to check your levels of pituitary and ovulatory hormones.

Infertility Tests for Men  

Healthy fertility in males depends on testicles that produce enough healthy sperm, and that those sperm can effectively travel to the egg. Male infertility tests are performed to determine if any of these processes are impaired, and may include:

  • Semen analysis.
  • Hormone testing through blood tests.
  • Genetic testing.
  • Testicular biopsy to identify any abnormalities or for IVF.
  • Imaging tests such as MRI or ultrasound.

BOOK AN APPOINTMENT

Whether you are a new or returning patient, Dr. Tepper can assess your concerns and discuss your options to find the most comfortable and convenient care for you. To get started, call our office to set up an appointment.

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Contact Us to Learn More

If you and/or your partner are struggling to become pregnant and are interested in learning more about our fertility evaluations, do not hesitate to contact our New York office today. We will work alongside you to recommend the best practices to help expand your family.

Frequently Asked Questions

How can a man tell if he is fertile?

First step is a semen analysis and men can actually purchase very reliable home test kits nowadays such as the YO home sperm test for the apple iPhone.

How can a woman tell if she is infertile?

We have many tests available to ascertain a womans fertility but a test does not replace sound medical advice which incorporates the complete clinical picture when the goal is the delivery of a liveborn child.

What is the modern fertility test?

There are many modern fertility tests but two the most common ones that are mentioned are AMH levels and follicle counts but sole reliance on these test results can actually be misleading and give a false sense of reassurance and often lead to unnecessary procedures. Proper clinical guidance is paramount when analyzing all the facts and tests.

Can a man be infertile?

40 to 50 percent of all infertility cases involve a male factor component but with new technological advances, many of these issues can be overcome.

Can allergies cause infertility?

Complicated answer but yes allergies are more common among women treated with IVF compared to the general population but this might be more associative as opposed to causative.

Can UTI cause infertility in females?

A UTI in of itself cant cause infertility but if the infection is a misdiagnosis or is left untreated it can certainly lead to medical problems which can impact a womans fertility

How can I boost my fertility?

Living a healthy lifestyle with appropriate amounts of exercise, healthy diet, and elimination or at least reduction of toxic habits are crucial factors in boosting a womans fertility. Certain clinical scenarios can be easily resolved with minimal medical interventions when lifestyle changes arent working.

What is the best fertility drug to get pregnant?

This question is very patient specific which can range from simple nutritional supplements such as inositol to more complex injectables. Metformin, clomiphene citrate and Letrozole are some of the common medications that we use in our daily practice.

Can chlamydia cause infertility?

Yes it can and is often asymptomatic and this one of the many reasons why routine check ups are important

Can endometritis cause infertility?

Endometriosis is one of the most insidious gynecological conditions that we encounter. Delayed diagnosis and incomplete assessment often complicate the scenario. Fortunately, with modern advances, we can often resolve the problem and lead to happy outcomes.

Why has infertility increased?

Delayed childbearing is certainly a major factor but societal stressors and environmental pollutants are contributing factors as well.

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