My First Fertility Tests

Sometimes, the reason you’re unable to become pregnant on your own is obvious — if you are in a same-sex relationship, or single, or have a known cause of infertility, for example. Other times, infertility can seem like a complete mystery if you having unprotected intercourse and properly timing your peak ovulation days.

In either case, diagnostic testing is one of the best ways for your doctor to gather as much information as possible about your (and your partner’s, if applicable) reproductive health for the purpose of making an accurate diagnosis and ideal treatment plan.

Our fertility experts rely on thorough diagnostic testing to solve infertility “mysteries” and help patients achieve successful pregnancy on the shortest timeline.


During your initial consultation, your doctor will outline and schedule a plan for your diagnostic fertility tests.

heart The goal of initial testing is to help determine any obstacles that stand in the way of you achieving pregnancy. Thorough diagnostic testing prior to treatment helps you to save time and money by lowering your chance of failed cycles due to inaccurate diagnosis. They also help your fertility doctor to create a treatment plan that addresses your unique needs and offers you the highest chance for success.

Our diagnostic testing is individualized, which means your doctor will determine which tests are appropriate for you depending on your sex, medical history, and physical exam. All initial testing is straightforward and routine. A complete female fertility work up can take a couple of weeks, depending where a woman is in her cycle. Male fertility testing is often completed in one visit.

If you are visiting Boston IVF – The Albany Center for a second opinion, you will not be asked to undergo repeat testing. This is one way we provide streamlined, affordable care for our central New York fertility patients.


Hormones play a central role in female fertility. When in balance, they signal egg development, ovulation, and embryo implantation for pregnancy to occur. This is why female hormonal imbalance is often a barrier to achieving a successful pregnancy.

Day 3 Tests

On Day 3 of your cycle, you will come into our office for a standard blood test. We will analyze your blood sample for important information about your hormone levels, including:

AMH (anti-Mullerian hormone): an accurate predictor of the quantity of your remaining eggs (ovarian reserve)

FSH (follicle-stimulating hormone): a hormone that signals egg release

Estradiol: a hormone that prepares the uterus for embryo implantation

LH (luteinizing hormone): signals egg release from the ovaries


Standard ultrasounds use sound waves to create images of your ovaries, uterus, and follicles. Your doctor can then assess the health of your organs, and determine whether additional testing, such as transvaginal ultrasounds to check for ovarian reserve and uterine lining, may be necessary. The procedure is painless and only takes a few minutes.

Hystrosalpingogram (HSG) Testing

An HSG is a type of x-ray that allows your doctor to assess the inside of your uterus and Fallopian tubes. By injecting fluid into the uterus via a small catheter, your doctor will be able to check for fibroids, polyps, adhesions, open fallopian tubes, and uterus shape. An HSG is a 15 minute in-office procedure that takes place between days 5-12 of your cycle, just prior to ovulation.


Semen Analysis

Of all infertility cases, approximately 40-50% are due to a male factor. With this in mind, and because men and women each play important roles in successful pregnancy, we require the male partner to provide a semen sample for analysis. From a simple semen sample, your doctor will analyze the sperm’s potential to fertilize an egg by measuring:

  • sperm count
  • sperm motility (movement)
  • pH (acidity)
  • sperm shape
  • volume


Hormone Testing

If your semen analysis is abnormal, your doctor may recommend genetic testing, or additional testing to measure hormone levels. Through a standard blood test, your doctor will check for possible imbalance in FSH,LH, TSH, and testosterone.