Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Infertility & Reproduction Health Center

Select An Article

The Fertility Evaluation

Font Size

Q. What goes into a fertility evaluation?

A standard fertility evaluation includes physical exams and medical and sexual histories of both partners. Men undergo a semen analysis that evaluates sperm count and sperm movement and structure. "We look at the percent that are moving and how they are moving -- are the sperm sluggish? Are they wandering?" says Robert G. Brzyski, M.D., Ph.D., associate professor of obstetrics and gynecology at the University of Texas Health Science Center at San Antonio. "Often, it's not possible to identify a specific reason for a sperm disorder," he says. "But there is new recognition that very low sperm or no sperm may be related to genetics -- an abnormality of the Y chromosome."

For women, doctors first check to see whether ovulation is occurring. This can be determined and monitored through blood tests that detect hormones, ultrasound exams of the ovaries, or an ovulationhome test kit. "An irregular menstrual pattern would make us suspicious of an ovulation problem, but it's also possible for a woman with regular periods to have an ovulation disorder," Brzyski says.

Recommended Related to Infertility & Reproduction

Addicted to Hope for a Child

Stopping fertility treatments -- whether fertility drugs or an assisted reproductive technology -- can be a major issue for couples. For couples that don't define the ''enough is enough'' point before embarking on the journey to pregnancy, these treatments may become addictive, with each new cycle bringing a flush of optimism. "Just one more cycle and then we'll stop" can go on for longer than the recommended cycle-length of the fertility drugs, and in some cases, for longer than two years -- an...

Read the Addicted to Hope for a Child article > >

If a woman is ovulating, doctors then move to a standard test called the hysterosalpingogram, a type of X-ray of the fallopian tubes and uterus. This test involves placing a radiographic dye solution into the uterine cavity. Multiple X-rays are taken. If the fallopian tubes are open, the dye will flow through the tubes and be visible in the abdominal cavity. If the fallopian tubes are blocked, the dye will be retained in the uterus or fallopian tubes, depending on the location of the blockage.

Other tests give doctors more information. For example, ultrasound can be used to examine the female reproductive structures. Hysterosonography is a more complicated type of ultrasound that involves putting salt water (saline) into the uterus during an ultrasound exam. "This is more likely to reveal structural abnormalities than regular vaginal sonography will show alone," Brzyski says. One such abnormality that hysterosonography may identify is fibroid tumors, which may distort the shape of the uterine cavity. There is also a procedure called a sonoHSG using saline and bubbles which will evaluate the cavity of the uterus as well as the fallopian tubes.

Next Article:

Today on WebMD

Four pregnant women standing in a row
How much do you know about conception?
Couple with surrogate mother
Which one is right for you?
couple lying in grass holding hands
Why Dad's health matters.
couple viewing positive pregnancy test
6 ways to improve your chances.
Which Treatment Is Right For You
Conception Myths
eddleman prepare your body pregnancy
Charting Your Fertility Cycle
Fertility Specialist
Understanding Fertility Symptoms
invitro fertilization