Diagnostics

All too often, couples and individuals seeking pregnancy waste time and resources on shot-in-the-dark fertility treatments. To investigate the underlying causes of infertility and receive truly personalized care, contact the team for diagnostic services at Elite IVF Solutions in Weston, Florida. They offer thorough evaluations and tailored care plans to improve your chances of pregnancy. To get started, call the office or click the online request button today.

What are infertility diagnostics?

Infertility looks different for men and women, but the team may recommend diagnostics for both partners if a woman hasn’t conceived after 12 months of regular, unprotected intercourse (or after 6 months if over 35). The diagnostic workup explores potential causes and guides the best treatment approach to increase the likelihood of pregnancy.

What is the first step during diagnostics?

Your provider takes a detailed medical history to guide the diagnostic process, identify potential underlying causes, and tailor appropriate treatment options.

For women, this includes menstrual, obstetric, and sexual histories, as well as lifestyle factors such as weight, stress, smoking, and alcohol use. For men, it includes sexual and family histories, past infections (like mumps), trauma, medications (including testosterone or steroids), and lifestyle factors such as hot baths or tight underwear.

A thorough medical history doesn’t just check boxes — it helps direct testing, avoid unnecessary procedures, and provide effective, personalized fertility care.

What can I expect from diagnostic testing for women?

Diagnostic testing may begin with laboratory evaluation of key hormones, such as FSH, LH, estradiol, AMH, prolactin, progesterone, insulin, glucose, and thyroid hormones. Because levels fluctuate, your provider times these tests carefully within the menstrual cycle.

Imaging tests may include:

• Transvaginal ultrasound: Checks for ovarian cysts, fibroids, and endometrial thickness.
  
• Hysterosalpingogram (HSG): X-ray with contrast to evaluate the uterus and fallopian tubes.
  
• Sonohysterogram: A saline infusion ultrasound that offers an alternative to HSG.
  

To assess ovulation, your provider may order a day-21 progesterone test, recommend over-the-counter ovulation predictor kits, or use ultrasound to monitor follicle development.

When appropriate, they may suggest advanced tests like an endometrial biopsy, genetic screening, or antiphospholipid antibody testing, especially if there’s a history of recurrent miscarriage. Some cases may warrant procedures like hysteroscopy or laparoscopy for a closer look at the uterus or pelvis.

What can I expect from diagnostic testing for men?

A physical exam includes assessment of overall health, secondary sexual characteristics, and a focused genital exam to check testicular size, consistency, vas deferens, and the presence of varicoceles.

Semen analysis plays a central role and evaluates volume, sperm concentration, motility, and morphology. Testing is typically done after 2–7 days of abstinence. If results are abnormal, your provider may order hormonal evaluations (FSH, LH, testosterone, prolactin) or recommend additional tests like scrotal ultrasound, genetic screening (karyotype, Y-chromosome microdeletion, CFTR testing), or DNA fragmentation analysis.

In certain cases, post-ejaculate urinalysis or transrectal ultrasound may be used to investigate retrograde ejaculation or structural concerns.

Learn more about diagnostic services today by calling the Elite IVF Solutions office for an appointment or booking online anytime.

Read More