If you are having difficulty conceiving, some additional testing beyond bloodwork may be warranted depending on your situation. Here are the most common fertility tests, how they work, and what they look for:

Hysterosalpingogram (HSG)

A hysterosalpingogram (HSG) determines whether the fallopian tubes are open (patent) and that the uterine cavity is normal. It involves placing a catheter through the cervix and a contrasting dye is injected into the uterine cavity and x-rays are taken.

Sonohysterogram, / Saline Sonogram

A sonohysterogram, or saline sonogram, is similar to an HSG, except it uses ultrasound instead of x-ray to visualize the uterine cavity. A catheter is used to insert saline into the uterine cavity then an ultrasound probe is placed in the vagina. This test diagnoses fibroids and polyps as well as other structural abnormalities.

Hysteroscopy

A hysteroscopy treats uterine abnormalities such as polyps or fibroids discovered during a sonohysterogram. The hysteroscope, a thin viewing tool that’s passed through the cervix, visualizes the inside of the uterus as well as removes any polyps and fibroids in the uterine lining that may interfere with fertility.

Laparoscopy

A laparoscopy is a surgical procedure to look inside the pelvic cavity and abdomen to identify whether there is any endometriosis, scar tissue, or fibroids clearly visible around the reproductive organs. A laparoscopy requires anesthesia and is an invasive technique so is only used when warranted.

Navigating which fertility testing is right for you is tough – Dr. Google makes everything feel a little overwhelming. We’re here to guide you. Schedule Virtual Fertility Coaching with us, your TTC experts. Or if you’re local to San Diego, book an initial consultation today.