Recommended Testing Before Your New Patient Consultation

Initial Fertility Testing

Prior to your first consultation at Pacific NW Fertility, it may be helpful (although, not mandatory), to have some preliminary fertility testing completed and the results sent to us before your first appointment. This allows our physicians to consult with you in greater depth concerning your specific situation.

Your OB/GYN or primary care doctor can order these fertility tests if he/she feels they are appropriate. In general, fertility tests which are requested by your OB/GYN or primary care physician have a greater possibility of being covered by your insurance provider than fertility tests which are requested by fertility physicians.

The following information lists and explains these preliminary fertility tests.

FSH/E2 or Follicle Stimulating Hormone (FSH) and Estrogen (E2)

These are hormones that predict a woman’s ovarian reserve. In the beginning of the menstrual cycle (cycle days 1-5), the pituitary gland in the brain secretes Follicle Stimulating Hormone (FSH). (Cycle day 1 is counted as the first day of actual flow). This hormone stimulates the ovaries to provide an egg for the cycle. When the ovary has received enough FSH to grow a dominant follicle, the follicle begins to release Estrogen. This estrogen indicates that a follicle is growing and alerts the brain to stop secreting FSH. FSH/E2 testing therefore measures the levels of FSH and Estradiol or estrogen in the blood on menstrual cycle day 2 or 3, providing an assessment of a woman’s ovarian reserve, or pregnancy potential.


A hysterosalpingogram (HSG) is a test that is performed to see if there is a blockage or other abnormality of the fallopian tubes, which would prevent the sperm from reaching the egg. This test may also be used to detect irregularity or scarring of the lining of the uterus. For an HSG test, sometimes referred to as the “dye test,” dye is placed into the uterus and an X-ray is taken. The HSG test is performed in the 2nd week of the menstrual cycle (i.e. after menstrual bleeding has stopped but before ovulation), and must be performed in a radiology department.

Male Partner Testing

A semen analysis is the measurement of different properties of a single ejaculate, including:

Volume - amount of the ejaculate measured in ML

Count - concentration of sperm, measured in million of sperm per ML

Motility - percentage of sperm that are moving, i.e. living

Morphology - percentage of sperm that are normal in shape

If you are interested in making an appointment with Pacific NW Fertility, please call 206-515-0002 or connect through our online patient contact form.

It was especially important to me that I was able to talk with both my doctor and the embryologist before and during our cycle.  Every person I met with made me feel like I was the most important patient they had.  IVF statistics are a good measure of success, but they are not everything. It is hard to measure the warmth of the feeling I got from the staff at PNWF at each visit to the clinic.

Pacific NW Fertility Patient

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