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Beyond Blood Tests and Hormone Levels
What to Expect From Invasive Infertility Diagnosis and Treatment
By Michele St. Martin
The following procedures are commonly used in the treatment and diagnosis of infertility. Read this article to learn what they are, why they are performed and what to expect if you have one of these procedures: 
What It Is and Why It Is Performed:
An endometrial biopsy is used to diagnose a luteal phase defect (a type of hormone imbalance in which the amount of progesterone produced in your body may be insufficient to sustain a pregnancy).
What to Expect If You Have the Procedure:
This procedure is performed in a doctor's office and involves inserting a narrow catheter (a thin tube) through the cervix and into the uterus to obtain a tissue sample, which is then sent to a laboratory for analysis. If the sample is found to be "out of phase" (it appears the date of the endometrial lining is off), an endometrial biopsy is often performed again in a subsequent cycle, prior to a diagnosis of luteal phase defect being made.
How You May Feel During and After the Procedure:
You may experience some cramping, ranging from mild to severe. Some spotting may occur after the procedure and may continue for a day or two. Doctors often recommend that you take an over-the-counter pain medication such as Aleve or Advil.
A Caution About This Procedure:
An endometrial biopsy is usually performed right before a woman's period is due. It is important that a pregnancy test be performed prior to having this procedure, as it may cause a pregnant woman to miscarry.
What It Is and Why It Is Performed:
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