The initial evaluation for infertility involves a complete history and physical exam and some basic
laboratory testing. It is important to document early on whether or not ovulation is occurring. This is
accomplished with either a basal body temperature chart or one of the over-the-counter ovulation
predictor kits. It is also important to evaluate the male partner by obtaining a semen analysis.
If it appears that the patient is ovulating and the sperm count is adequate, then we will concentrate on
other possible causes, such as blocked fallopian tubes or endometriosis. To eliminate these potential
causes, other more invasive tests are often needed, such as laparoscopy or an x-ray dye test of the
fallopian tubes called a hysterosalpingogram.
Drs. Lovin, Bilhorn and Walsh and Teri Herman, RNC, GONP are each trained to treat infertility, but if
more specialized treatments become necessary, such as tubal reconstructive surgery, invitro fertilization,
artificial insemination, or the use of fertility injections such as pergonal, you will be referred to a
reproductive specialist.