The physician may recommend additional diagnostic procedures to determine any contributing factors or potential causes of the patient's infertility. Procedures may include:
- Ovarian reserve testing: This testing is performed on patients prior to treatments in order to optimize treatment and help predict success rates for various fertility treatments. Patient's age, pelvic ultrasound and blood tests are all used to help counsel patients and plan the most appropriate treatment plan for the couple.
- Semen analysis: In approximately 40 percent of infertile couples the husband is either the sole or a contributory cause of infertility. Therefore, a semen analysis is important in the initial evaluation. Assisted reproductive options for couples with male infertility include intrauterine insemination, in vitro fertilization, Intracytoplasmic Sperm Injection and donor insemination.
- Hysterosalpingogram (HSG): A hysterosalpingogram is a commonly used test to determine if the fallopian tubes are open or obstructed. By injecting dye through the cervix into the uterus and fallopian tubes, X-ray images can then be taken of the area. This procedure is also used to check for adhesions, fibroids or other abnormalities inside the uterus.
- Laparoscopy: Laparoscopy is a surgical procedure often used to diagnose and treat pelvic problems including endometriosis. After inflating the abdomen with gas, a laparoscope is inserted through a small incision near the naval, enabling more complete evaluation of the reproductive organs.