What kinds of tests are done for the female infertility work-up?
Ovulation Detection A doctor may request Basal Body Temperature (BBT) charts to determine when and if the patient is ovulating. Other testing may scheduled based on special times during her cycle. Perhaps a better way to predict the time of ovulation is with an ovulation predictor kit that tests with urine, similar to a pregnancy test. A plasma progesterone blood test can be taken midway between ovulation and menstruation to document ovulation. A series of ultrasounds may be taken to monitor growth of follicles and ovarian response to Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). Evaluation of the Uterine Lining An endometrial biopsy is used to evaluate how uterine tissue is building up and thickening after ovulation. It is usually done after day 21 of the cycle. A tiny sample of the uterine lining is taken. It is uncomfortable because it is necessary to dilate the cervix, which causes moderate to strong cramping. Your doctor can recommend ways to alleviate discomfor