January 19, 2026
4 Fertility Tests to Diagnose Infertility in Couples
One in eight couples may benefit from four essential fertility tests—bloodwork, ultrasound, semen analysis, and HSG x-ray—to identify infertility causes. Dr. Erika Johnston highlights that 90% of initial consultations and 70% of diagnostic tests are often covered by insurance, offering affordable pathways to parenthood.
Key Takeaways
Egg Reserve Testing via Hormone Bloodwork
Two blood tests (AMH and FSH) assess ovarian reserve, revealing if a woman’s egg count aligns with her chronological age or indicates depletion. This helps determine the urgency of fertility treatments.
Pelvic Ultrasound for Structural Evaluation
A transvaginal ultrasound examines the uterus, ovaries, and fallopian tubes for cysts, fibroids, or structural abnormalities that could block conception. Early detection prevents complications.
Male Fertility: Semen Analysis Metrics
Sperm count, motility, and morphology are measured to identify male-factor infertility. Normal results eliminate the need to investigate female causes first.
HSG X-Ray to Detect Tubal Blockages
A hysterosalpingogram (HSG) uses contrast dye to visualize fallopian tubes, identifying blockages that prevent sperm-egg union. This test is typically covered by 70% of major insurers.
Low-Cost Alternatives to IVF
Up to 50% of couples conceive with non-IVF treatments like intrauterine insemination (IUI) or ovulation induction. Shady Grove Fertility offers tailored, cost-effective programs like Shared Risk Refund to reduce financial barriers.
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