We count with the state of the art laboratory equipment onsite. Daily monitoring of hormone levels through blood tests is a valuable method of evaluating the pattern of normal hormonal fluctuations in the female cycle.
Ultrasounds are performed on a regular basis in order to assess the development of follicles (egg sacs) within the ovary. On day 3 of your cycle you will require a full bladder and will have both an abdominal (external) and a transvaginal (internal) ultrasound performed. All other cycle days will not require a full bladder and only a transvaginal scan will be done.
A sample of mucus is taken from the cervix on or about day 12 of the cycle and examined under the microscope for assessment of characteristic cycle changes. This test is performed in a similar manner to a pap smear.
A Post-Coital Test is an evaluation of the sperms' survival in pre-ovulatory cervical mucus. Intercourse must take place the night before or the morning of the scheduled office visit. Three to five days of abstinence of ejaculation is required prior to the test being performed. A sample of the cervical mucus will be obtained as described above and examined under a microscope for the number and motility of live sperm as well as an in-depth evaluation of the pre-ovulatory mucus.
An endometrial biopsy may be done to see if there is an adequate biological response of progesterone in the lining of the uterus. This means that we are going to test the lining of your uterus to ensure your body is producing the hormone progesterone after ovulating properly. A tiny shred of tissue is removed for microscopic study 1 to 3 days before the expected menstrual period. We also measure progesterone levels by drawing blood from your arm, which is less invasive, on cycle day 21 to 23 of your cycle, which compliments the information obtained from the endometrial biopsy.
This is a test which is performed between the first and eleventh day of your cycle, usually before your ovulation. It consists of the insufflation (passing) of dye through the cervix. The dye then is passed through each fallopian tube to allow the doctor to see whether the tubes are patent (open). The doctor is able to visualize any blockage at this time. He is also able to assess the uterus, fallopian tubes and the pelvis. This test is performed in the hospital X-Ray department by Dr. Alfonso P. Del Valle or his Associates. When you start your period, please call the clinic office so the secretary can book an appointment for you to have this procedure done. This test must be ordered by the doctor. You may experience some cramping during and after the test being performed. You may want to have someone go with you in case you need a ride home if you cannot drive.
This test is performed in our office. It consists of the passing of sterile saline through the cervix into the uterus and visualized by transvaginal ultrasound. This allows assessment of the uterine lining, shape and texture as well as a good visualization of the fallopian tubes. You may experience some cramping as the test is being performed. We recommend to take 1-2 Advil tablets one hour prior to the procedure.
This test is performed in women whom it has been established through HSG (above test) that there is a blockage in the fallopian tube or tubes. The doctor is able to assess at the time of the HSG whether you are a good candidate to have your blocked tube(s) opened. This test is done in the hospital X-Ray department by Dr. Alfonso P. Del Valle or one of his associates. The doctor passes a brush-like instrument and catheter into the fallopian tubes. This test is not as invasive as having Microsurgical Tubal Reconstruction, and is not recommended for severe cases of tubal blockage.
Laparoscopy is an essential part of the infertility investigation. A laparoscopy is a surgical procedure which is performed under general anesthetic as an out-patient. You will go home on the same day of your surgery, and does not require you to stay the night. Through a small umbilical (belly button) incision, a scope will be placed in the abdomen to visualize the fallopian tubes, uterus, ovaries, pelvis and to assess other problems such as endometriosis, scarring tissue or cysts.
If indicated, this procedure is done at the same time as the laparoscopy. The uterine cavity is directly visualized with an instrument similar to the laparoscope. This test allows the doctor to look for tumors, adhesions or other abnormalities. He also can examine the fallopian tubes and perform the hystersalpingogram test while under anesthetic.