Initial Fertility Testing (AFAB & AMAB)

Fertility testing helps your TRIO care team understand your baseline fertility profile so your physician can recommend the most appropriate next steps and create a tailored plan. Learn more:  https://triofertility.com/intro-fertility/

Common testing may include bloodwork (hormone testing), ultrasound (to assess ovaries and follicles), and—when applicable—sperm testing via semen analysis. Your physician will confirm which tests apply to you.

Some blood tests are typically completed early in the menstrual cycle (between days 2-5) to assess hormone levels that relate to egg supply and ovulation. Other testing can be done at any time. Follow the timing provided by your care team.

In some cases, fasting bloodwork may be required. If fasting is required your doctor will let you know. 

Some new patient testing requires a urine sample. You’ll be asked to arrive early to collect a specimen jar from the blood lab before proceeding to your ultrasound appointment.

Your ultrasound will include two steps:

1. a full bladder transabdominal ultrasound, followed by
2. a transvaginal ultrasound after you empty your bladder.

If you are doing your testing at a TRIO location we will have your bloodwork requisitions on file. If you are doing bloodwork at an outside lab you will need to bring all requisitions with you to ensure all tests are completed. You also may be asked for a copy of your ultrasound requisition, which your medical team will email to you.

A sonohysterogram is a diagnostic procedure used to evaluate the uterine cavity and may also help assess whether the fallopian tubes are open. If scheduled, you may be advised to take pain relief (e.g., Advil or Tylenol) about one hour before. You will also be given antibiotic with instructions to start it before the procedure and complete the prescribed course.

You must abstain from unprotected intercourse after your cycle begins until the sonohysterogram is completed.

A semen analysis is commonly used to evaluate sperm number, movement, and shape to help rule out sperm-related factors that may affect conception.A DNA fragmentation test is a specialized laboratory analysis that measures the percentage of sperm cells with damaged or broken DNA strands, evaluating genetic quality beyond a standard semen analysis. Both tests can be done to identify causes of unexplained infertility, recurrent pregnancy loss, and failed IVF/ICSI cycles, helping clinicians choose the best treatment path.

During the testing phase, please direct questions to your physician’s administrative team (contact details listed on this page). This helps ensure the right team can coordinate your testing, answer process questions, and support next steps efficiently.