Female Fertility Evaluation in Long Island, NY

There can be several causes for not becoming pregnant. A complete evaluation of the female partner includes obtaining a gynecologic and medical history, physical examination, and hormone testing. Additional steps in the evaluation may include a hysterosalpingogram (tube test) or laparoscopy (a minor surgical procedure). Routine gynecological exams, cervical cultures, and PAP testing should be completed by the primary physician. In addition, should there be any medical conditions, potential further evaluation of the condition is recommended to optimize the health of the future pregnant woman. Often medications are screened to make sure they are safe before and during pregnancy.

In order to conceive naturally, healthy eggs and healthy sperm must be present and able to meet each other. Usually sperm is deposited in the vagina during intercourse at which point they begin to swim through the cervix, through the uterus and into the fallopian tube where fertilization can happen. If an egg is fertilized, the resultant embryo makes its way to the uterus over the next few days. In the uterus, the embryo must implant itself into the uterine lining and form a placenta in order to establish a pregnancy. Irregularities in the female anatomy can impact one or more of these processes.

 

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As soon as the one lucky sperm cell succeeds in penetrating the egg, the egg immediately undergoes a chemical reaction that prevents other sperm cells from penetrating as well. Then the chromosomes carried by the sperm and egg come together, and the egg is officially fertilized.

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The age of the eggs is an important factor for pregnancy rates. We have developed our Egg Check Test to help determine the age of the eggs. It involves a combination of the woman’s age, Day 3 FSH and Estradiol, Basal Antral Follicle Count (as determined by pelvic ultrasound), and ovarian volume (as determined by pelvic ultrasound). Once all this information is received, consultation with our board certified physician is done to help the woman determine her best options for getting pregnant now or, if she is not ready to get pregnant, help determine when is a good time to freeze her eggs in order to optimize her future fertility.

 

 Fertilized Egg (Embryo)

 

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Embryo develops into a day 5 embryo called a Blastocyst

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The blastocyst then hatches out of its egg shell to implant into the uterus

 

 

In order to evaluate the female, the eggs, uterus, and fallopian tubes must be checked.
 
The eggs are checked with our Egg Check Test.
 
The uterus is checked with ultrasound and pelvic exam.
 
The fallopian tubes are checked with hysterosalpingogram.

 

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