Comprehensive Infertility Evaluation in Los Angeles

Women who have experienced multiple miscarriages can benefit from our comprehensive infertility evaluation to determine the underlying cause of this issue and help you find the best solution to improve your chances of a full-term pregnancy.

Patients who are unable to conceive, whether because of specific medical issues, genetics, or unknown reasons, can choose to meet with Dr. Saadat for a comprehensive infertility evaluation.

Women over the age of 35 who wish to have children may find it difficult to conceive. Our comprehensive infertility evaluations can determine the appropriate solution to help patients create the family they have always wanted.

During your initial consultation, Dr. Saadat will administer an anti-mullerian hormone (AMH) blood test and a vaginal ultrasound unless you have a specific issue or medical history that would indicate starting with different tests. The AMH test is used to assess your ovarian (egg) reserve, and the ultrasound is used to do a follicle count and check for any issues that are visible on the ultrasound.

A serum progesterone test determines how much progesterone is in the blood, which is a hormone produced in the ovaries after ovulation. This test can help discover whether a woman is ovulating (whether an egg is being released from her ovaries) with each menstrual cycle.

If a woman is experiencing anovulation (when the ovaries do not release an egg), the following lab tests can help determine why:

• Testing follicle-stimulating hormone (FSH) and estradiol levels can determine whether the patient is entering menopause or perimenopause
• Testing of the thyroid-stimulating hormone can determine if the thyroid is causing the patient not to ovulate
• Testing of prolactin can determine if a hormonal imbalance in the prolactin level is the reason for anovulation

Evaluation of tubal patency will determine whether a woman’s fallopian tubes are open or not. If necessary, Dr. Saadat will recommend that you undergo a hysterosalpingogram (an X-ray that uses dye) to examine the fallopian tubes at an outside imaging center. The HSG X-ray is a time-sensitive test done between the 7th and 10th day of a woman’s cycle.

A hydrosonogram (water ultrasound) is used to evaluate the uterus and determine if there are fibroids or polyps present in the uterine cavity. For some patients, a hysterosalpingogram (X-ray that uses dye) at an outside imaging center may be recommended instead of a hydrosonogram to evaluate the uterine cavity.

Patients with recurrent pregnancy loss may need an additional evaluation that includes genetic testing to check for any chromosomal irregularities, an examination of the uterus to evaluate any congenital abnormalities (such as uterine septum or bicornuate uterus), and testing to determine if there are antibodies present in the maternal serum that may affect pregnancy outcomes.

Chlamydia, ureaplasma, and other infectious agents can potentially interfere with conception, so testing for these infections and bacterium may be needed. Evaluation of infertility may also require testing for the presence of antisperm antibodies, which work against the sperm, and paternal leukocyte antigens in the female partner. Laparoscopy, a surgical procedure to look into the pelvic cavity, may be recommended to evaluate and treat any problem that exists with the fallopian tubes.