Instructions for Infertility Tests:
Clomid Challenge Test.
This is a test that can assess the “fertilizability” of eggs produced from follicles within your ovaries. If the test is normal, it means that there is a reasonable chance of an egg produced from your ovaries becoming fertilized. If the test is abnormal, then the chances of your eggs becoming fertilized is remote, and we would recommend consultation with a fertility expert with specialization in advance reproductive technology.
How the test is done:
Consider the first day of bleeding from your period to be “day number 1.” The second day of bleeding is day number 2, and the third day, day number 3. The first part of the test involves getting your blood drawn to determine two hormone levels, the Follicle Stimulating Hormone and Estradiol. These tests should be drawn on Day number 3. The next part of the test involves taking five consecutive days of a
medication called Clomid (a fertility pill). You must take two 50mg tablets at the same time in the morning or afternoon beginning on Day number 5. Therefore, you will take two tablets every day on day number 5,6,7,8,and 9. Lastly, you will need to get you blood drawn the following day (day number 10). This time, you will need only one blood test, the follicle stimulating hormone.
We will call you only after the second blood test, because we will need to
compare both blood test results to give you an accurate interpretation.
Post-coital test:
This test determines whether or not your husband’s sperm can penetrate through your cervix, thus entering into the uterus and out through the fallopian tubes to the ovary, where the egg is waiting. Sometimes there are conditions that require that we “bypass” the cervix by injecting the sperm through the cervix directly into the uterus (a procedure called “intrauterine insemination”). Some times the mucous found normally within the cervix can be “hostile” to the sperm, and can prevent passage or even kill the sperm. The post-coital or “Huener’s” test can identify problems that can be treated by intrauterine insemination.
How the test is done:
Determine which day you ovulate by using ovulation predictor kits. Abstain from intercourse for three days prior to the day of ovulation. Call my office on the day you have a positive surge (a positve test). Tell us that you had a positive surge and need to come in for a post-coital test. We will have you come in THE MORNING AFTER
the positive surge. We will need you to have unprotected intercourse in the morning and then you will need to come into the office within 3 hours for an exam. We will place a speculum into the vagina and painlessly aspirate the cervical mucous and look at the mucous under a microscope. If we see many sperm swimming throughout the mucous, the test is normal. If there are no living sperm or only very few motile sperm, the test is considered abnormal and we will probably recommend intrauterine insemination.
It's
Home - About Us - Our Office - Forms - Insurance - Site Map -
Contact Us
© 2006 Stephen Wells MD All Rights Reserved Legal Statement
110 Tampico #220, Walnut Creek, CA 94598
Telephone: 925-935-5356; FAX: 925-935-1070