Infertility & IVF Specialists located in Weston, FL
All too often, couples and individuals seeking pregnancy waste time and resources on shot-in-the-dark fertility treatments. To investigate the underlying causes of infertility and receive truly personalized care, contact the team for diagnostic services at Elite IVF Solutions in Weston, Florida. They offer thorough evaluations and tailored care plans to improve your chances of pregnancy. To get started, call the office or click the online request button today.
Infertility looks different for men and women, but the team may recommend diagnostics for both partners if a woman hasn't conceived after 12 months of regular, unprotected intercourse (or after 6 months if over 35). The diagnostic workup explores potential causes and guides the best treatment approach to increase the likelihood of pregnancy.
Your provider takes a detailed medical history to guide the diagnostic process, identify potential underlying causes, and tailor appropriate treatment options.
For women, this includes menstrual, obstetric, and sexual histories, as well as lifestyle factors such as weight, stress, smoking, and alcohol use. For men, it includes sexual and family histories, past infections (like mumps), trauma, medications (including testosterone or steroids), and lifestyle factors such as hot baths or tight underwear.
A thorough medical history doesn't just check boxes — it helps direct testing, avoid unnecessary procedures, and provide effective, personalized fertility care.
Diagnostic testing may begin with laboratory evaluation of key hormones, such as FSH, LH, estradiol, AMH, prolactin, progesterone, insulin, glucose, and thyroid hormones. Because levels fluctuate, your provider times these tests carefully within the menstrual cycle.
Imaging tests may include:
To assess ovulation, your provider may order a day-21 progesterone test, recommend over-the-counter ovulation predictor kits, or use ultrasound to monitor follicle development.
When appropriate, they may suggest advanced tests like an endometrial biopsy, genetic screening, or antiphospholipid antibody testing, especially if there's a history of recurrent miscarriage. Some cases may warrant procedures like hysteroscopy or laparoscopy for a closer look at the uterus or pelvis.
A physical exam includes assessment of overall health, secondary sexual characteristics, and a focused genital exam to check testicular size, consistency, vas deferens, and the presence of varicoceles.
Semen analysis plays a central role and evaluates volume, sperm concentration, motility, and morphology. Testing is typically done after 2–7 days of abstinence. If results are abnormal, your provider may order hormonal evaluations (FSH, LH, testosterone, prolactin) or recommend additional tests like scrotal ultrasound, genetic screening (karyotype, Y-chromosome microdeletion, CFTR testing), or DNA fragmentation analysis.
In certain cases, post-ejaculate urinalysis or transrectal ultrasound may be used to investigate retrograde ejaculation or structural concerns.
Learn more about diagnostic services today by calling the Elite IVF Solutions office for an appointment or booking online anytime.
The diagnostic workup for female infertility is a systematic evaluation aimed at identifying the potential causes of a woman's inability to conceive after 12 months of regular, unprotected intercourse (or after 6 months if the woman is over 35). It generally includes a detailed medical history, physical examination, and targeted diagnostic tests to assess ovulation, ovarian reserve, tubal patency, and uterine structure.
A detailed medical history is a cornerstone in the investigation of infertility for both partners. It provides crucial insights that guide the diagnostic process, identify potential underlying causes, and help tailor appropriate treatment options.
Components of a female medical history should include:
A thorough medical history doesn't just check boxes—it's about seeing the full picture. It directs further testing (hormonal, imaging, semen analysis), avoids unnecessary procedures, and ensures a more effective and personalized approach to fertility care.
Laboratory testing of hormone levels in the blood is a key initial step in the diagnostic process. Many hormones fluctuate during the menstrual cycle, so appropriate timing of the tests is very important.
Lab tests to evaluate ovarian reserve and hypothalamic-pituitary-ovarian function:
Additional tests for specific conditions:
Evaluating the uterus, fallopian tubes, and ovaries is an essential part of the diagnostic process to identify any structural or functional issues that may affect conception.
Additional investigations may be recommended for specific conditions. These procedures are more invasive, involving out-patient surgery, therefore, not typically a part of an initial infertility workup.
Ovulation is a key part of the menstrual cycle, but it doesn't happen in every cycle or for every individual, even with "regular" menstrual cycles. Therefore, it is important to confirm that ovulation is taking place, at the appropriate time in the cycle, and that a healthy egg is being released.
After a general evaluation (history and physical exam, basic labs, structural assessments), specialized tests may be recommended to further assess potential causes. These tests are typically ordered based on clinical suspicion.
Male infertility refers to a man's inability to cause pregnancy in a fertile female after one year of regular, unprotected sexual intercourse. The diagnostic workup for a male patient with infertility is a structured process aimed at identifying potential causes and guiding treatment. It generally includes a detailed medical history, physical examination, and targeted diagnostic tests to assess semen and sperm parameters, hormone levels, and structural integrity of the male reproductive tract.
A detailed medical history is a cornerstone in the investigation of infertility for both partners. It provides crucial insights that guide the diagnostic process, identify potential underlying causes, and help tailor appropriate treatment options. Components of a male medical history should include:
A thorough physical exam, typically performed by a urologist who specializes in male infertility, should include:
A semen analysis is a cornerstone diagnostic tool in the evaluation of male infertility. It provides critical insights into a man's reproductive potential by assessing various parameters of the ejaculate. It should be performed after 2–7 days of abstinence. If a second analysis is recommended, usually due to an abnormal result on the initial test, it should be scheduled after a minimum two-week interval.
World Health Organization (WHO) normal ranges are given below. Lab-specific ranges for the EIS andrology laboratory are determined by our laboratory director.
WHO Reference Ranges (2021):
Abnormal results may prompt further evaluation, described below under Additional Testing.
Blood hormone levels are ordered when the patient exhibits: abnormal semen analysis parameters, signs of hypogonadism, or an abnormal testicular exam. Hormones to be tested include:
