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Dan C. Martin, MD
UT Medical Group, Inc.

University of Tennessee Health Science Center (UTHSC)

UTHSC Academic Office

Daniel Clyde Martin, M.D.
UT Medical Group, Inc.
Infertility and Gynecology
Reproductive Surgery
Germantown Office Building
7945 Wolf River Boulevard
Suite 320
Germantown, Tennessee
TN 38138-1733

(901) 347-8331
(901) 347-8188 fax
Directions to Office

Updated information is at
UTMG 2006

Click for information on:
Glenn Ann Martin, Ph.D.
Clinical Psychologist

 

FERTILITY EVALUATION

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There are many tests that may be useful in evaluating infertility.  Those listed on this page may be useful for some couples.  Only some of these are used for most couples.

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Urine ovulation tests, mucus observation, saliva monitors and temperature charting can be used to time ovulation and some other tests.  Cervical mucus changes, checked at the vaginal opening, generally occur 2 to 5 days before ovulation.  Some ovulatory monitors including the saliva test can measure changes 2 to 4 days before ovulation.  Daily urine ovulatory tests are positive 24 to 36 hours before ovulation and the temperature goes up the day after ovulation.   Temperatures are best at confirming ovulation and for scheduling luteal phase tests.
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Semen Analysis
Avoid sex for two to five days.
Use Pre~Seed as a lubricant if needed.
Use a sterile container for cultures.
Have at the lab within one hour.
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Post-Coital Test (PCT, Sims Huhner's Test, or mucus - sperm check)
Call when your period starts.
Scheduled immediately before or on the day of ovulation.
Check at 6 to 18 hours after sexual intercourse.
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Cultures for infection
Standard
Chlamydia
Mycoplasma
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Hysterosalpingogram (HSG, X-ray of uterus and tubes)
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Endometrial Aspiration or Biopsy
This is done in the office on day 10-12 after ovulation.
This confirms that progesterone is in the uterus.
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Blood Tests
Progesterone to check for ovulation
    Day 6 to 8 after ovulation (usually Day 21 to 25 of your cycle).
    This confirms that you are making progesterone.
Prolactin - breast milk hormone
Thyroid - check of the thyroid gland.
Blood counts or chemistry levels to check for overall health.
Rubella titer for immunity to German measles.
Chlamydia immunoglobulin for old or deep infection.
Fasting insulin and glucose for diabetes or diabetic like condition.
LH / FSH - brain hormone that controls ovaries in women and testes in men.
Clomid Challenge Test - Day 3 FSH and Estradiol followed by 100 mg of clomiphene citrate for 5 days and then a Day 10 FSH.  This tests the ovarian egg reserves for approaching menopause.
DHEAS - male like hormone from the adrenal gland.
Androstenedione - male like hormone from the ovary.
Testosterone - male hormone from the adrenal gland or ovary.
Chromosome analysis to check for inherited problems.
Lupus anticoagulant may be associated with miscarriages.
Anticardiolipin antibodies may be associated with miscarriages.
Blood type and Rh factor.
Immunological tests for sperm antibodies.
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Laparoscopy is a scope of abdomen through a belly button incision to check for adhesions, endometriosis, cysts, blocked tubes or other internal abnormalities.
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Hysteroscopy is a scope of the inner uterus through birth canal to check for scar, polyps, birth defects  or other intrauterine abnormalities.  This is frequently accompanied by a D&C (dilation and curettage) to check for microscopic abnormalities.
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Additional information is at http://www.fertilityplus.org/

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