Test Explanation
Uterine Cavity Evaluation: Saline Infusion Sonogram OR Hysterosalpingogram Ulterine cavity evaluation - screening for anatomic issues that may affect embryo implantation - fibroids, uterine septum, etc. This is usually done on cycle day 5-10 (with cycle day 1 being the first day of menses).
Ovarian reserve testing: FSH and estradiol (Cycle Day 3), AMH Diminished ovarian reserve and egg quality may be associated with increased risk of miscarriage - testing with 3 blood tests. FSH and Estradiol should be done on cycle day 3 (with cycle day 1 being the first day of menses). AMH may be done any time in the menstrual cycle.
Karyotype: Genetic Testing for Chromosome rearrangements in both male and female partners. Blood test screening for balanced translocation - genetic imbalance on chromosomes in the parent that does not impact parent's health but puts couple at higher risk of miscarriage.
Thyroid Function testing: TSH, Thyroid antibodies Thyroid dysfunction associated with increased risk of miscarriage.
Prolactin Hormone Testing Elevated Prolactin levels associated with miscarriage
Diabetes screening (HbA1C) Elevated blood sugars associated with increased risk of miscarriage
Screening for antiphospholipid syndrome: Lupus anticoagulant, anticardiolipin antibodies, Beta 2 glycoprotein antibodies Antiphospholipid antibodies associated with increased risk of miscarriage - immunological issues and blood clotting issues
Blood type Prenatal testing
Rubella titer/German Measles - prenatal testing Testing for immunity - Rubella while pregnant associated with miscarriage and birth defects
Varicella titer/Chicken Pox - prenatal testing Testing for immunity - Varicella while pregnant associated with miscarriage and birth defects
Semen Analysis Sperm count and analysis - usually recommended if >6 months between conception

From the beginning I've been impressed with the excellent customer service I've received.  Staff have been present, not rushed, and friendly. And they have been understanding about the potential range of emotions involved in this process.

2015 Anonymous Patient Survey
Pacific NW Fertility Patient

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