Infertility Workup

A. Testing Ovulation Function:
Note – you will not need a “test” of ovulation function if you do NOT have periods at all or only have a period if induced with prescription progesterone. In such cases, we skip to “additional” tests below.

Blood progesterone level
Drawn 5-7 days after ovulation
You do NOT need an office appointment to come in and have your blood drawn, but call 770-751-3600 to schedule the blood “draw” (or go online at https://secure.awhg.org/rosobgyn/ to schedule it directly)

You must be certain of your ovulation timing for a blood progesterone level to be interpretable. Please use an ovulation test kit or a basal body temperature graph if you are not entirely sure of your ovulation.

Additional Testing: If you do not ovulate or if your progesterone level is found to be low, we will recommend some or all of the following tests:
TSH (thyroid stimulating hormone) - drawn any cycle day
Fasting prolactin – drawn any cycle day
Fasting glucose and insulin – drawn any cycle day
HgbA1C - if not fasting (instead of the glucose and insulin)
AMH - drawn any cycle day
FSH (follicle stimulating hormone) – drawn on cycle day 2 or 3
Estradiol – drawn on cycle day 2 or 3

B. Testing Tubal Patency:
There is only one basic test of tubal patency, a hysterosalpingogram or HSG. An HSG is an X-ray of your fallopian tubes and uterine cavity performed in a radiology department (outpatient or at a hospital). An HSG is typically done between cycle days 7-11 but could be done sooner if you have short cycles.
To schedule your HSG call Tamara Sanders (770 544-2305), Ann Hooper (770-255-2549), or Andrea White (770 544-2226) after your period begins. They will go over additional details.

C. Testing For Male Factor Problems:
The initial screening test is a semen analysis (SA) - The ICD-9 is Z31.41. Your partner needs to ejaculate into a specimen cup at home and get the specimen to the lab (at room temperature) within an hour. He needs to abstain from ejaculating for 2-3 days prior to the collection.

I recommend you take the specimen to one of the reproductive endocrine practices (RBA, ACRM, GRS, or Emory – see web links for locations). For your convenience these practices have both main offices and satellite offices. The satellite offices may not be able to handle a semen specimen 5 days a week, so please call the actual location you’re going to use to confirm they’ll be able to run the test.

RBA – http://www.rba-online.com/
ACRM – http://www.acrm.com/
GRS – http://www.ivf.com/
Emory - http://www.emoryhealthcare.org/reproductive-center/

Welcome

It is with pleasure that we welcome you to our practice. Please enjoy a short tour of our office.
News
Roswell ObGyn is excited and proud to announce that our Certified Nurse Midwives had a C-section rate of 9.35% from June 2015-May 2016 out of 876 patients that they cared for. Compare that to the national average which is 32%. We hope this emphasizes our commitment to minimizing primary C-section rates for the health and safety of both mothers and babies!

Alpharetta OB/GYN

Our Alpharetta office address is 11975 Morris Road, Ste 200 Alpharetta, GA 30005
Roswell Ob/gyn
11975 Morris Road, Ste 200 Alpharetta, GA 30005
Phone: (770) 751-3600
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