est overall predictor of the ability of your ovaries to produce mature, chromosomally normal fertilizable eggs.
A hysterosalpingogram (HSG) is often completed to confirm patency of the fallopian tubes. In this short procedure, a small amount of contrast dye is injected through a narrow and flexible catheter while viewing your uterus through an X-ray machine. This study will also often identify any abnormalities such as intrauterine (inside the uterus) polyps or fibroids. Despite reports on the Internet, this test is almost always well-tolerated by patients who usually experience a few minutes of cramping which resolves by the time the test is completed. In many cases, you will receive an antibiotic prescription to take prior to your HSG.
Figure: HSG demonstrating open fallopian tubes and a small adhesion (scar tissue band) inside the uterus
Semen Analysis: Because about 40% of infertility is related to abnormalities in sperm, a semen analysis is often ordered early in the infertility evaluation. Usually these results are available to your physician on the same day as your initial evaluation. If you will be undergoing a semen analysis you may be asked to arrive earlier so please review your new patient confirmation letter to cornfirm your arrival time.
Ultrasound Evaluation: In our experience an early ultrasound has proven invaluable not only for ovarian reserve testing but also for evaluation of other abnormalities of the ovary (ovarian cysts or masses), uterus (polyps, fibroids) or other structures found in the female pelvis. Early identification and treatment of any abnormalities often facilitates pregnancy.
History and Physical Examination: Because one of the most important ingredients for a uneventful pregnancy and health baby are a healthy mom, we often also complete a thorough history and physical examination early in the testing process.
Figure: A sonohysterogram demonstrating a fibroid inside the uterine cavity.
Common indications for a SHG are for testing prior to IVF, abnormal HSG, and abnormal bleeding. A SHG procedure is performed in the office by placing a small catheter through the cervix and filling the inside of the uterus with fluid while simultaneously performing a transvaginal ultrasound. The procedure is almost always well-tolerated by patients and takes about 10 minutes. You may return to your normal activities after completing a SHG.
|||In-Vitro Fertilization (IVF)|
|||Give Us a Call At (913) 894-2323|
Meet Our Team
RRC has over 200 years of combined experience. As a leading reproductive health, infertility, and in-vitro fertilization (or IVF) center based in Kansas City, we're proud to have the highest level of expertise available to our patients.
|||eIVF Patient Portal|
|||New Patient Registration|
|||Request an Appointment|
|||Patient Video Instruction|
The Difference Between IUI and IVF
Once you are diagnosed with an infertility factor, it’s time to create a personalized treatment plan. This plan varies according to the factors identified by the fertility screening and diagnostic tests. Two of the most common treatments include intrauterine insemination (IUI) or in-vitro fertilization (IVF), two very different fertility procedures...