Female Evaluation in New York

One of the first steps of infertility treatment for women involves a female evaluation, which uses a set of specific exams and tests to pinpoint the cause of her infertility. This is a routine procedure that patients face when they begin their fertility journey.  When a cause is found, the proper treatment can be administered, which is one of the many reasons a female evaluation is so important.

What to Expect from Female Fertility Testing

Ovulation Check

Ovulation occurs roughly two weeks prior to a woman’s next expected period, so if you usually have a menstrual cycle of 28 days, the 14th day ovulation would begin. After collecting a woman’s medical and sexual history, a doctor will check to see if she is ovulating. To find out for certain whether or not she is ovulating, the doctor will monitor the ovaries through hormone-detecting blood tests, ovarian ultrasound exams or an at-home ovulation test kit. Even though a woman with an irregular menstrual cycle pattern would be more likely to have an ovulation problem, women who have normal periods can also acquire an ovulation disorder.


Once it is confirmed that a woman is ovulating, she will then undergo a standard procedure – a hysterosalpingography. During this test, a doctor takes an X-ray of both the fallopian tubes and uterus, utilizing a radiographic dye solution in the uterine cavity. Once multiple X-rays are taken of each area, the dye will flow through the tubes and become noticeable in the abdominal cavity, but only if the fallopian tubes are open. In the event that the fallopian tubes are closed off, the dye will remain in the uterus or fallopian tubes – it just depends where the blockage is located. This procedure relies heavily on image intensification, so that the doctor can truly get a good look and determine if tubes are open or blocked.

Other Female Evaluation Procedures

Other testing is used during a female evaluation to give doctors more information about her state of fertility. For example, a laparoscopy may be given to examine the ovaries, fallopian tubes and abdominal cavity. Once the fiber-optic telescope is inserted into the abdomen, doctors are free to examine the area closely; laparoscopies help them diagnose conditions such as endometriosis. An ultrasound can also be used to check out the structure of a female’s reproductive system, but a hysterosonography is a more in-depth and complicated version that uses salt water in the uterus during the exam. The latter has been known to identify infertility factors such as uterine fibroids, polyps, and adhesions.

Ovarian Reserve Testing

In addition, a woman can also get her ovarian reserve examined. This is done by measuring her hormone levels and getting an ultrasound on her ovaries. When a doctor examines a woman’s ovarian reserve, it allows them to gauge how many eggs are available, and the likelihood that a healthy, viable pregnancy will occur. Doctors have found that, after performing a blood test on the third day of a woman’s menstrual cycle and measuring the follicular cysts on her ovaries via ultrasound, if the numbers are normal, fertility is possible. When the numbers are not normal, it could mean there is a bigger problem.

Schedule a Female Evaluation in New York 

One of our many services offered at the NYU Langone Reproductive Specialists of New York office, a female evaluation is a critical part of achieving a fertile body and healthy pregnancy. If you’re interested in undergoing a female evaluation, please request an appointment online at one of our four New York-based offices, located in Brooklyn, Mineola, Stony Brook and West Islip. We look forward to helping you.