If you are having difficulty trying to conceive, here are some baseline fertility testing you can request:
Labs That Can Be Drawn At Any Time
**Total and free testosterone
**Androstenedione
**DHEAS
**SHBG
Thyroid work up (TSH, Free T4 and T3)
Prolactin
CMP
** If you do not have a high LH to FSH ratio, you may not need these.
Timed Labwork
Cycle Day 3 Lab
LH
FSH
Day of LH Surge Lab
FSH
LH
Estradiol
Progesterone
*Ultrasound to assess uterine lining thickness and follicle size
2 to 3 days After LH Surge
Repeat ultrasound to insure ovulation and rule out lutenized unruptured follicle (LUF) syndrome (eggs ripen but do not release from the follicle)
7 Days After Ovulation Lab
Estradiol
Progesterone
Labs For Any Cycle Day But Should Be Fasting**
*Fasting= Nothing but water by mouth after midnight the day before testing
Lipid Panel
Glucose tolerance test (this takes several hours)
Other Tests
HSG - Make sure to schedule BEFORE ovulation
Laparoscopy with or without endometrial biopsy - 11 to 13 days after LH surge AFTER beta HCG (must be negative-of course)
GOOD LUCK TO ALL!!
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