Infertility Testing


Comprehensive infertility testing for both men and women can help patients maximize their chances of achieving success in the shortest time necessary. Women aged 35 and under who have been trying to conceive for one year without success should seek the assistance of a fertility specialist. Women over age 35 who have been trying to conceive for six months without success should also see a fertility specialist.

Infertility testing gets performed be either an OBGYN, urologist, and or fertility specialists. At Reproductive Medicine Associates of Northern California, we strive to offer a complete infertility work-up in 30 days or less. Certain hormones, such as follicle-stimulating hormone (FSH), anti-mullerian hormone (AMH), and estrogen (estradiol E2) can provide important clues about female fertility especially egg quality and quality. For men, a semen analysis can provide a critical understanding of sperm motility or morphology.

Infertility testing for women may include:

  • Checking a patient’s anti-mullerian hormone (AMH), follicle-stimulating hormone (FSH), and estradiol (E2). The hormone levels help determine the ovarian reserve (the number of eggs a patient has remaining) and when treatment should begin.
  • Transvaginal ultrasound can determine quality and quantity of eggs and identify the presence of uterine growths, problems related to the uterine lining, and ovarian cysts. For this procedure, a wand is inserted into the vagina and moved gently around the lower abdomen. A woman may experience a feeling of pressure or very mild discomfort.
  • A hysterosalpingogram (HSG), is a type of x-ray in which dye is inserted vaginally into the uterine cavity which is then x-rayed. It is used to reveal blockages in the fallopian tubes or other uterine abnormalities. You may experience mild cramping or discomfort from the dye insertion.

Learn more about Options for Women.


Infertility testing for men may include:

  • Sperm analysis, to test for shape and mobility (movement) of sperm.
  • Semen analysis to measure sperm count, semen volume and consistency, pH of semen, and white blood cell count. All of these factors can affect the ability of sperm to travel and fertilize an egg.
  • Physical examination and medical history evaluation to determine if lifestyle factors, medications, or genetics may be involved.

Learn more about Options for Men.