Texas Fertility Center

Female Fertility Evaluation

The essential components of a female infertility evaluation

The reproductive endocrinologists at our Austin fertility clinic provide expert support when guiding hopeful parents through the female infertility evaluation. This evaluation involves various tests that help us to understand a woman’s fertility needs and develop a customized treatment plan.

A look at the female infertility evaluation

The team at our Austin fertility clinic can perform numerous tests to assess a woman’s fertility health. One of our fertility specialists will work with the hopeful mother to select the appropriate tests for her female infertility evaluation.

Medical history and health exam. One of the first steps in a female infertility evaluation is collecting the woman’s medical history, reviewing her past pregnancy attempts and fertility treatment results, and conducting a physical exam to assess her overall health.

Hormonal evaluation. We recommend ovarian reserve testing for almost all women to assess egg supply. This is done by checking the level of anti-Mullerian hormone (AMH), which is produced by the ovaries. The higher the AMH level, the greater the number of eggs. Other important hormones that may be checked are prolactin and thyroid-stimulating hormone (TSH).

Ovarian Assessment Report from ReproSource. Women who need a more detailed analysis of their ovarian reserve may benefit from this test. This test combines information about a woman’s age and hormone levels, including AMH, estradiol, follicle-stimulating hormone (FSH) and inhibin B. This information is analyzed to produce an Egg Retrieval Score (ERS), which can range from one to 20. For patients undergoing IVF, the ERS can help to predict the number of eggs that will be able to be retrieved.

Ultrasound examination. An important component of a female infertility evaluation is a transvaginal ultrasound, which helps fertility specialists at our Austin fertility clinic determine the health of the ovaries and whether the woman has uterine abnormalities.

Hysterosalpingogram (HSG). This nonsurgical test is another helpful tool in a female infertility evaluation. An HSG can detect possible uterine abnormalities, such as intrauterine adhesions, endometrial polyps and uterine fibroids.

Sonohysterogram. Similar to the HSG test, a sonohysterogram is a nonsurgical method for observing potential abnormalities in a woman’s uterus.

Endometrial Receptivity Test. This test from IGENOMIX consists of taking an endometrial biopsy, and then using a protein analysis to determine when a woman’s uterine lining is ready for embryo implantation.

Surgical evaluation of infertility. Some abnormalities, such as endometriosis, uterine defects and fallopian tube damage may require a surgical female infertility evaluation. Common surgical evaluations include laparoscopy and hysteroscopy. These are minimally invasive outpatient procedures, which involve inserting a small telescope into the patient. The telescope includes a camera that is connected to a computer monitor. This allows the fertility specialist to view the pelvic structure.

We understand that the process of discovering why you have not been able to become pregnant can feel confusing and stressful. This is why we take great care in supporting hopeful mothers through each step of their female infertility evaluation.

What happens after a female infertility evaluation?

After a hopeful mother has completed all the necessary evaluations, her fertility specialist at our Austin fertility clinic will carefully analyze the results, provide a diagnosis and work with the hopeful mother to create the most effective treatment plan.

Contact us for more information about a female infertility evaluation.