Diagnostic Tests - Female

BLOOD WORK

Daily monitoring of hormone levels through blood tests are a valuable method of evaluating the pattern of normal hormonal fluctuations in the female cycle.

ULTRASOUND

Ultrasounds are performed on a regular basis in order to assess the development of follicles (egg sacs) within the ovary. On day 3 of your cycle you will require a full bladder and will have both an abdominal (external) and a transvaginal (internal) ultrasound performed. All other cycle days will not require a full bladder and only a transvaginal scan will be done.

MUCUS EVALUATION

A sample of mucus is taken from the cervix on or about day 12 of the cycle and examined under the microscope for assessment of characteristic cycle changes. This test is performed in a similar manner to a pap smear.

POST-COITAL TEST

A Post-Coital Test is an evaluation of the sperms' survival in pre-ovulatory cervical mucus. Intercourse must take place the night before or the morning of the scheduled office visit. Three to five days of abstinence of ejaculation is required prior to the test being performed. A sample of the cervical mucus will be obtained as described above and examined under a microscope for the number and motility of live sperm as well as an in-depth evaluation of the pre-ovulatory mucus.

ENDOMETRIAL BIOPSY

An endometrial biopsy may be done to see if there is an adequate biological response of progesterone in the lining of the uterus. This means that we are going to test the lining of your uterus to ensure your body is producing the hormone progesterone after ovulating properly. A tiny shred of tissue is removed for microscopic study 1 to 3 days before the expected menstrual period. We also measure progesterone levels by drawing blood from your arm, which is less invasive, on cycle day 21 to 23 of your cycle, which compliments the information obtained from the endometrial biopsy.

HYSTEROSALPINGOGRAM (HSG)

This is a test which is performed between the first and eleventh day of your cycle, usually before your ovulation. It consists of the insufflation (passing) of dye through the cervix. The dye then is passed through each fallopian tube to allow the doctor to see whether the tubes are patent (open). The doctor is able to visualize any blockage at this time. He is also able to assess the uterus, fallopian tubes and the pelvis. This test is performed in the hospital X-Ray department by Dr. G. DeAn Strobel. When you start your period, please call Dr. Strobel's office so the secretary can book an appointment for you to have this procedure done. This test must be ordered by the doctor. You may experience mild to severe cramping during and after the test being performed. You may want to have someone go with you in case you need a ride home if you cannot drive.

Diagnostic Tests - Female (Continue)
Diagnostic Tests - Male