There is more than one approach to any fertility work up. For any given patient, the work-up may differ quite substantially, depending upon the history, past treatments and facts of the case. Different practitioners have different styles of practice and may approach the same problem in a different way. We refer to this as the ART rather as distinct from the science of medicine.
What follows is a brief summary of the approach that is used in most patients at DREAMS FERTILITY.
For women who have evidence or symptoms pointing to underlying organic pelvic disease (e.g. endometriosis, chronic inflammation, pelvic adhesions, fibroids etc): A laparoscopy/hysteroscopy is another approach. This should be performed within a week of the cessation of menstruation. Laparoscopy is a procedure where a telescope-like instrument is introduced through the belly button into the abdominal/pelvic cavity, allowing diagnosis and treatment of ovarian cysts/endometriomas/benign tumors, uterine fibroids, tubal blockage, ectopic pregnancy, appendicitis, pelvic adhesions.
After the initial diagnostic testing has been completed, you will meet with your provider to review all results and discuss the treatment plan.