Gen 5 Fertility Center

Infertility Evaluation

Find The Reason Why.

At Gen 5 Fertility, we will pinpoint the reasons behind your infertility. With only 5% of infertility being unexplained, we have the tools to give you clear answers as to why you may be infertile.

Predisposed History

A detailed look at your personal and family history. We will search for possibly hereditary reasons behind your infertility.

Physical Exam

Your physical exam will generally be a focused exam and will include a detailed ultrasound as well as important blood tests that provide with more information about how to help you achieve the fertility you desire.

Male Infertility

A semen sample is provided to our office for a complete semen analysis. Sperm are analyzed in several ways. If sperm DNA fragmentation is suspected, more detailed testing will be performed by our research colleagues off site.

Gen 5 Fertility - IVF Evaluation

Overview of Infertility Evaluation.

Understanding the reason for infertility is not essential for successfully treating it, but it is very helpful. Our advice? Make sure you ask and make sure that you receive an answer for why that fertility specialist thinks you’re infertile.

Below are some of the many procedures in our infertility evaluation that we do to determine the cause(s) for infertility. There are several other more advanced tests that we do to assess more difficult cases. If you need one or more of them, we will discuss them with you in detail.

Infertility Evaluation Services

Hormone Evaluation

A series of blood tests are performed at our office on specific days of your menstrual cycle. Hormone assessments can identify abnormalities in pituitary, thyroid or adrenal function, as well as give indications of the health or any disturbance in ovarian function..

Ovarian Reserve Test

A blood test performed at our office to measure anti-Müllerian hormone (AMH) and FSH levels. Because AMH levels remain relatively constant throughout your cycle, AMH can be checked on any day of the month. AMH is a substance produced by the granulosa cells within the ovaries. AMH blood levels reflect the size of your remaining egg supply. This test can help estimate “ovarian age,” which is the most important factor affecting the chance to achieve pregnancy.


This is usually a special kind of x-ray “dye test” that is performed by a radiologist to gain information about the uterus and Fallopian tubes. They can also be performed in our office without any x-rays. The HSG provides information about physical problems in the uterus of fallopian tubes that may contribute to infertility


A laparoscopy is a procedure that is performed under general anesthesia in a surgical setting. Very small incisions are made where instruments can be inserted to help diagnose or repair any problems. Laparoscopy can assist both in making a diagnosis (like endometriosis) and in actually fixing conditions that cause pain and/or infertility (ovarian cysts, fibroids).


Using transvaginal ultrasound, we can carefully evaluate the ovaries, fallopian tubes and uterus. During treatment cycles, ultrasound is used to evaluate the effect of treatment.

The purpose of ultrasound monitoring is to see if your ovaries and uterus are functioning optimally. On day 2 or 3, a baseline scan reveals the likely number of eggs that can be created during a cycle (“antral follicle count”). During the cycle, ultrasound scans of the ovaries are repeated to verify that stimulation is progressing as it should. At each ultrasound examination, we also measure the endometrium (uterine lining) to make sure that your uterus is thickening appropriately—in preparation of implantation (pregnancy).

Post-coital Test

Although only done today on rare occasions, this is a classic test of fertility. Within hours after intercourse, we can perform this test, in which we collect a small sample of your cervical mucous to examine under a microscope. Rarely performed in the modern era, the post coital test can tell us how the sperm and cervical mucous interact.


A diagnostic hysteroscopy is a minor surgical procedure that is usually performed in an exam room without anesthesia. A thin, lighted tube with a camera, called a hysteroscope, is passed through the vagina and cervix enabling the doctor to directly examine the interior of the uterus. A hysteroscopy can tell us if uterine problems are involved in your infertility, or whether uterine abnormalities may be causing recurrent miscarriages. With operative hysteroscopy, fibroids and polyps can be removed, and sometimes fallopian tubes can be opened, sometimes increasing the chance that you can soon become pregnant naturally.

Endometrial Biopsy

An endometrial biopsy is a procedure (which is done in an exam room) in which a small sample of uterine tissue is removed and analyzed under a microscope. An endometrial biopsy gives important information about the uterus lining, which is the surface that the embryo must “land on” to implant properly.

We know it can be hard.

If you are really frustrated trying to become pregnant and feel it may be impossible  because you have been told:

  • you are “too old”
  • your AMH is “too low”
  • your FSH is “too high” or your eggs are “low or poor quality”
  • you “don’t make enough” of them
  • that all of “your embryos are abnormal,”

we may have the perfect solution for you, one you won’t be able to find elsewhere in the world.


Ovarian Rejuvenation Generation 3!