This test measures the levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin and thyroid stimulating hormone (TSH). Follicle stimulating hormone is produced by the anterior pituitary gland and stimulates the ovary to develop a follicle for ovulation. Luteinizing hormone and follicle stimulating hormone are checked for hypothalamic Pituitary dysfunction. Prolactin (a hormone that stimulates breast milk production) levels are done to see if an excessive amount has caused hyperprolactinemia, a condition that interferes with ovulation. Thyroid stimulating hormone (TSH) is checked as a measure for normal thyroid function.

Hysterosalpingogram (HSG)

An x-ray of the uterine cavity and fallopian tubes using a radiographic dye to detect structural abnormalities of the uterine cavity, fallopian tubes, as well as tubal patency.

Diagnostic Laparoscopy

A minimally invasive surgical procedure typically performed in an outpatient day surgery setting. It permits direct visual assessment of the uterus, fallopian tubes, ovaries, and lower pelvis. It is particularly useful in diagnosing endometriosis, tubal disorders or pelvic adhesions and generally is performed at the end of a work-up, but may be performed earlier if deemed appropriate by the patient's history and referral diagnosis.

Hysteroscopy

This test is often done in conjunction with a laparoscopy to examine visually the interior of the uterine cavity for scar tissue, adhesions, polyps, tumors and other abnormalities.

Endometrial Biopsy

This test determines if the endometrium (the lining of the uterus) has responded appropriately for implantation of the embryo. It is also tested to rule out tuberculosis of the endometrium. It is obtained as a tiny tissue sample from the endometrium.