Getting an Infertility Diagnosis

At the Idaho Center for Reproductive Medicine, we understand that infertility can be an emotionally challenging experience. An accurate and thorough diagnosis is the first critical step toward achieving your family-building goals. Our expert team offers comprehensive evaluations that identify the specific factors contributing to infertility in both women and men. Using advanced diagnostic tests and personalized assessments, we develop tailored treatment plans to help you overcome reproductive challenges and realize your dreams of parenthood.

Our Approach to Infertility Evaluation

Infertility can stem from a variety of causes involving both partners. Our approach involves carefully gathering information, conducting physical examinations, and performing targeted diagnostic tests. Although the testing sequence may vary based on individual circumstances, our goal remains the same: to uncover the underlying issues and provide you with tailored options for your journey to conception.

Diagnostic Studies for Both Partners

The presence of fluid in the fallopian tube is normal; however, when the flow is blocked—often due to scarring, infection, or endometriosis—fluid accumulates. This abnormal buildup can damage the tube and block the passage of eggs, sperm, or embryos, leading to infertility.

Causes of a Hydrosalpinx

Initial Evaluation

Medical and Reproductive History
Physical Examination
Pelvic Exam and Ultrasound

Key Tests

Pelvic Ultrasound: Assess ovarian reserve, uterine abnormalities, fibroids, or polyps
Hysterosalpingogram (HSG): Outpatient X-ray test to evaluate uterine shape, cavity, and tubal patency
Saline Infusion Sonogram (Sonohysterogram): Water ultrasound to detect polyps, fibroids, or other intrauterine abnormalities
LH Surge/Ovulation Predictor Kits: Home testing to predict ovulation timing, aiding in cycle management

Infectious Disease Screening

Both partners will undergo testing for infectious diseases such as:

HIV, Hepatitis B & C
Syphilis
Human T-cell Lymphotropic Virus (HTLV)
Cytomegalovirus (CMV)

Additional Tests as Needed

Depending on your clinical history, hormone levels, and initial findings, further testing may include genetic screening, autoimmune assessments, or other specialized diagnostics for either the male or female partner, or both.

Studi diagnostici su partner femminili

Test della riserva ovarica

Assess the quantity and quality of eggs, including:

Antral Follicle Count (AFC): Using pelvic ultrasound to count developing follicles
Blood Levels of Anti-Müllerian Hormone (AMH): A blood test that indicates ovarian reserve, performed independently of the cycle day

Uterine and Tubal Evaluation

Hysterosalpingogram (HSG): Checks for tubal blockages and uterine abnormalities
Saline Infusion Sonogram: Detects polyps, fibroids, or structural issues within the uterine cavity
Infectious Disease Panel: Screening for HIV, Hepatitis B & C, syphilis, and STDs
Pre-natal Labs: Blood type, Rubella/Varicella titers (to ensure immunity to measles and chickenpox)

Male Partner Diagnostic Studies

Analisi del seme

The cornerstone of male fertility testing is evaluating sperm concentration (count), motility (movement), and morphology (shape). This test is typically performed after 2–5 days of abstinence, and results are available within one day.

Test ormonali

Used when sperm count is low, measuring FSH, LH, Estrogen, Prolactin, TSH, and Testosterone levels to help identify underlying hormonal causes of low sperm production.

Test genetici

If hormone tests reveal abnormalities, additional genetic screening may include:

Y-microdeletion testing
Chromosomal analysis (e.g., Klinefelter’s syndrome, 47XXY)

Additional Considerations

Perdita di gravidanza ricorrente

For couples experiencing multiple miscarriages, our team conducts specialized testing to investigate genetic, anatomical, hormonal, or autoimmune causes, helping increase the likelihood of a successful pregnancy.

Age-Related Fertility

Evaluation of ovarian reserve and sperm quality to determine the impact of age and guide treatment strategies.

Your Next Step

Understanding the root cause of infertility is essential for success. Our dedicated team at ICRM offers a compassionate, thorough, and personalized evaluation process.

Take the first step towards an accurate infertility diagnosis and schedule with our team today.