January 18, 2026

Fertility Doctor First Visit: Key Tests & Next Steps

Infertility is defined as no pregnancy after 12 months of unprotected sex. During the first fertility doctor visit, tests evaluate ovarian function via FSH and estrogen levels, check Fallopian tube openness with a hysterosalpingogram, and assess sperm quality through a semen analysis.


Key Takeaways

Ovarian Reserve Testing: FSH and Estrogen Levels Explained

Ovarian function is assessed by measuring follicle-stimulating hormone (FSH) and estrogen levels on day 3 of the menstrual cycle. Elevated FSH indicates diminished ovarian reserve, reflecting the quality and quantity of remaining eggs.

Fallopian Tube Evaluation: Understanding Hysterosalpingogram (HSG)

A hysterosalpingogram (x-ray of the uterus and Fallopian tubes) checks for blockages. If tubes are obstructed, in vitro fertilization (IVF) is typically recommended to bypass the tubes and achieve pregnancy.

Male Factor Infertility: Semen Analysis Importance

Semen analysis evaluates sperm count, motility, and morphology. Modern techniques like intracytoplasmic sperm injection (ICSI) can overcome severe male infertility, even with significant sperm abnormalities.


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