Infertility Services
Hysteroscopy
Laparoscopy
Ovulation Induction
Timed Inseminations
Hormonal Evaluation
Semen Analysis
Post Coital Testing
Hysterosalpingograms
Endometrial Biopsy
Endometriosis Treatment
Female Factors
Male Factors
Links to Infertility Sites





We offer a variety of services to help you and your partner achieve your goal of having a baby. The services we offer are

  • Hysteroscopy
  • Laparoscopy
  • Ovulation induction
  • Timed inseminations
  • Hormonal evaluation
  • Semen analysis
  • Post coital testing
  • Hysterosalpingograms
  • Endometrial biopsy
  • Endometriosis treatment

One of the most important aspects of fertility is the production of progesterone (the second female hormone other than estrogen). This hormone is produced only after ovulation. Progesterone prepares the uterus to accept the fertilized egg. Furthermore, progesterone sustains the pregnancy inside the uterus until the fetus can maintain itself after 10-12 weeks of pregnancy. If you do not get pregnant during a cycle, the ovary stops making progesterone 14 days after ovulation and you have a period.

Progesterone is the hormone which causes the body's temperature to rise ½ to 1 degree at ovulation. Therefore if your Basal Body Temperature shows a sustained rise, then we have indirect evidence of ovulation and subsequent progesterone production.

A more direct method of evaluating progesterone production is with a blood test. We draw the blood test between days 21-23 of your cycle (determined by which of these three days is convenient for you to come to the office). Remember, on a perfect 28-day cycle, day 1 is the first day of your period, day 14 is when ovulation occurs and day 28 is the day prior to your next period. We will try to time the blood test on day 22 of the cycle. We actually do not send the blood until your next period occurs. In this way, we can be sure it was drawn on the correct day. Therefore, CALL THE OFFICE as soon as your period starts after having a progesterone level drawn.

1
First day of your period
2 3 4 5 6 7
8 9 10 11 12 13 14
Ovulation

15


16 17 18 19 20 21
22
Blood Test
23 24 25 26 27 28
Period could start
29
Period could start
31
Period could start
31
Period could start
 

Mark the days on your actual calendar month with these instructions so you will be certain to follow them carefully. Call the office when your period starts.

Progesterone levels

  1. VERY IMPORTANT: you must keep a record of your menstrual cycles.
  2. Progesterone levels are drawn two ways:Progesterone levels will be drawn six days before your menstrual cycle begins. If you are not regular, this method cannot be used. Progesterone levels will be drawn day #22 after the first day of your menstrual cycle.

    If menses do not begin 6-8 days after the progesterone level is drawn the level is inaccurate and must be repeated during the next cycle.