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Visiting the Reproductive Endocrinologist

What to Expect the First Time You See the R.E.

By Lisa Hurt Kozarovich

• Post-coital test – Similar to a pap smear that takes place shortly after intercourse, this test can determine if the sperm can penetrate and survive in the cervical mucous. It's best to do this just before ovulation or you may get a false result.
• Ultrasound exams – To help rule out hormonal problems, fibroid tumors, ovarian cysts and, in some cases, endometriosis, this should be performed on the day of the LH surge. A second ultrasound a few days later can confirm that an egg was actually released, ruling out luteinized unruptured follicle (LUF) syndrome.
• Blood tests – Including follicle stimulating hormone (FSH), prolactin, progesterone, testosterone, luteinizing hormone and estradol tests, these help rule out infertility causes such as polycystic ovarian disease, premature ovarian failure and thyroid problems.
• Hysterosalpingogram – This is essentially an X-ray procedure in which dye is injected through the cervix and into the uterus and fallopian tubes to check for abnormalities such as tumors, scar tissue or blockage.
• Endometrial biopsy – A quick in-office procedure, this will assess the quality of the woman's uterine lining and also determine whether she is ovulating.


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