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Q&A: Common fertility tests?

We've been TTC for awhile now and I am thinking about going to a fertility doctor, but my insurance doesn't cover it. What kinds of tests do they perform to see if there are any problems?

Re: We've been TTC for awhile now and I am thinking about going to a fertility doctor, but my insurance doesn't cover it. What kinds of tests do they perform to see if there are any problems?

The Bump Expert

If you are younger than 30, the general recommendation is to try for a year before you seek professional help; for the 30+ set, six months is the cut-off.

Once you're ready to see a doctor, be prepared for a whole battery of tests and in-depth interviews about your sexual habits. If your physician can't trace your TTC trouble to any problems with your general health, then he will likely want to perform more specific evaluations. These can include an analysis of body temperature and ovulation, x-raying your fallopian tubes and uterus, hormone testing, etc. He may also perform a semen analysis on DH.
All these evaluations will help you decide what the best course of action is, like drug therapies, surgery, or IVF.

In terms of your insurance, do a little digging before you give up on that route. Fourteen states, including California, Illinois, and New Jersey, have laws that require insurers to cover some form of infertility diagnosis and treatment. You can learn more about your state's policy by calling the local Insurance Commissioner's office or by consulting the RESOLVE website.

Dr. Joseph Hill

re: Q: Fertility Tests?

I think when the response states: "All these evaluations will help you decide what the best course of action is, like drug therapies, surgery, or IF." Dr. Hill meant IUI or IVF.

tbonegrl |

Q&A: Common fertility tests?

Most insurance will cover the diagnostic stage, which is all the testing leading up to a diagnosis. (ultrasounds, blood work, office visits) After trying quite a few months, we went to a fertility specialist. Insurance covered that first month's worth of testing...but we were told everything after that was out of pocket. We sucked it up and paid 100% for EVERYTHING for the next 7 months of treatments (with no luck as you can guess). We are going to do IVF next month, and during this down time, I spoke with my insurance co one more time regarding it all, and would you believe they actually told me that my plan DOES cover it all????? I am in the middle of getting reimbursed for most of the services (not IUI), which will go towards the part of the IVF that isn't covered. Phew! My point is, be very persistant and MAKE SURE your insurance does not cover it. My insurance told me over and over again they didn't cover it, as did my employer. Not sure how things fell through, but really do your research! Also, make sure your ob/gyn isn't able to help you...usually they are able to do some of the same testing/services that the fertility clinic does, at least in the initial months.

Kzimmy |

Q&A: Common fertility tests?

Save your money. Try the Billings Ovulation Method. It is a natural way to track your fertility. A ten-year study of 45,280 subfertile couples found that 32.1% of women were able to achieve pregnancy and live birth through the use of Billings.*see: http://www.woomb.org/bom/trials/chinaLaunching.html

Suzanne+Dan |

Q&A: Common fertility tests?

here are some more links for the Billings Ovulation Method: www.boma-usa.org/ www.woomb.org/ en.wikipedia.org/wiki/Billings_ovulation_method

Suzanne+Dan |

Q&A: Common fertility tests?

please, please pick up "The Infertility Cure" by Randine Lewis, Ph.D. She has taught me so much about women's bodies and how we were meant to conceive. She also teaches us about western vs. eastern medicines, and the affects all the extra hormones of fertility drugs have on our already out of whack bodies (we've been trying to conceive for months now). I went to an acupuncturist for the first time almost a week ago. I have been tracking my BBT each month, and I already notice a difference. Plus, the book and the accupuncturist gave me a "diagnosis" that has taught me how to eat for my individual body's needs. I feel great, and I am seeing results!

mckallen |

Q&A: Common fertility tests?

BOM will not help if you don't ovulate or your DH has issues with his sperm. See a doctor if you've been trying for over a year with no luck!

niuchick21 |

Q&A: Common fertility tests?

Go to http://www.naprotechnology.com/ NaProTECHNOLOGY (Natural Procreative Technology) is a new women's health science that monitors and maintains a woman's reproductive and gynecological health. It is like BOM, however doctors who are specifically trained to analzye women's charts can diagnosis medical problems causing infertility and treat them. It has greater success rates than IVF and works to restore women's fertility by diagnosing and treating the underlying problem.

snyderra |

Q&A: Common fertility tests?

FYI, My doctor told me that if I did not get pregnant after 3 months of really trying then I should come see her and not to wait a year. You may not be ovulaing every month and there are way, way, cheaper prescriptions you can take to help you ovulate regularly. Good luck!!

jharlow78 |

Q&A: Common fertility tests?

I agree with the Billings Ovulation Method, two of our friends did it after years of trying by their selves with no luck. After getting on the chart, they both conceived with in months. I am doing it right now. You dont need insurance for it and its cheaper then birth control (just to give you an idea on price) about $30 a month. We were using it to NOT get pregnant but now we are ready and are trying for our baby. If you need certain prescription to help boost your chances then the people who work with the system will help you get them. Its well worth it.

alvaradojerrica111 |

Q&A: Common fertility tests?

If it weren't for Billings, I wouldn't have know that I have PCOS and hardly ever ovulate - despite annovulatory bleeding. Unfortunately, I recently moved an my new doctor only deals with Creighton. My old dr (who still works with me through email) had research more advanced than NaPro (but not as well known), so I'm kind of in limbo on which way to go. I truly feel that charting is the most helpful thing in a marriage - whether you are trying to conceive or not - it helps build communication and value.

annie1800 |

Q&A: Common fertility tests?

I am in the same predicament, but I have no choice but to see a specialist. I was recently diagnosed with PCOS. So, to answer your question, if you have a regular period, your OBGYN may be able to help. You need to check to see if you are ovulating. If things are far more complicated, I would see a specialist. I would pay anything to have a child of my own. Good luck!!

baileybride08 |

Q&A: Common fertility tests?

Well for the first visit they do the normal test like a PAP and they talk about your cycle, they may even do blood work to see if it has anything to do with your hormone levels. Then they will decide a course of action. For myself they had to give me a medication to jump start my menstraul cycle because I don't get it regularly. Once jump started they gave me a perscription for a clomid. The clomid helps your cycle keep going during the four or five months of use. They try different levels too because your body may have a different reaction than another womans. Sometimes they will have you come back in around the 14th day of your cycle to check your cervical mucas(gross I know) it can become thicker with the use of some fertility drugs. Then on the 21st day of your cycle they generally have you get bloodwork done to see if you've ovulated. It's alot of stuff. A way around the insurance may be if you see a doctor who does both.

amb5353 |

Q&A: Common fertility tests?

annie1800 - I'm curious about your doctor who has research more advanced than NaPro..can you tell me more about this? Thanks.

snyderra |

Q&A: Common fertility tests?

AMB5353...How did they get your cycle started? I am 22 yrs old and I dont get a cylce. I spot once a month but thats about it. My doctor gave me 500 mg of metformin and i've been on it for a month now but still no cycle. I just wanted know what your doctor did for you that helped.!

MSfutureISTRE |

Q&A: Common fertility tests?

I have visited a great doctor. The first thing they did was bloodwork and shortly after, they did a vaginal ultrasound and and HSG test. The bloodwork checks all your levels, the US checks to see if the appearance of everything looks normal, and the HSG is to check to see if your tubes are clear. All of this was done before I started treatment.

baileybride08 |

Q&A: Common fertility tests?

MSfutureISTRE my Dr. gives me a medication called provera. I take it for ten days. within two wks of starting it my cycle normally starts. I've never heard of the medication you said. I only take like 10mg of provera.

amb5353 |

Q&A: Common fertility tests?

I work at an insurance company. If you have questions on your coverage you can get a procedure code and diagnosis code and your customer service department should be able to tell you if it is covered. As far as insurance goes your employer chooses what they want to cover. They can make exclusions or additions to your benefits. We have many employers that add a limited amount of Fertility coverage and many that don't. Good luck!

cdeshane |

Q&A: Common fertility tests?

I work at an insurance company.

nopretty |

Q&A: Common fertility tests?

My insurance (United Health Care) does not cover anything to do with the actual IVF or the medication BUT they recommended a website called myoptumhealthparentsteps.com. I found an amazing clinic through the website that accepts the parent steps payment plan and discounts. Basically the website acts as a third party and I pay them versus the clinic.

staceycdavis |

Q&A: Common fertility tests?

My dr. (fertility specialist) just put me on metformin too. 500 mg & i titrate weekly till i hit 1500. I am 32, and have been trying for 6 mos. she thinks i have pcos, but isn't sure. my t levels (testosterone) are really high, however. i am not overweight (ok, maybe 10 lbs), I do ot have diabetes, I don't have unwanted hair growing in weird places...but i have always had irregular & painful periods. So we will see if this works. femera or clomid is the next stage after the t-levels are under control. if there is any way to see a specialist i highly recommend!!! it was the most informative visit i have ever had! fortunately my insurance is good.

kyliekeller |

Q&A: Common fertility tests?

I was 29 when my husband and I first started TTC. We tried for the recommended 1 year and then were tested by our regular doctor when we were unsuccessful. There were blood tests for hormone levels and a seman analysis. After the results came back saying that we were ok, we tried again for another year - unsuccessful. We then took a 6 month break from it all since it was so physically and emotionally draining. Then Sept of 2008 we finally went to see a fertility specialist. The clinic and Dr. creatively worked with us because my insurance only covered testing and diagnosis. So, more blood tests and a seman analysis were taken. Then I was given an ultrasound. It was found that I had many cysts in my ovaries. All non cancerous, but it I was diagnosed with PCOS, since all other tests came back normal. I went through one round of clomid (5 days), went back to check the size of the cysts (eggs) and to see if my body was reacting to the clomid well. Once the Dr saw the eggs were mature, she told me I would be ovulating soon. Sure enough 2 days later I did. Then we TTC 3 days in a row. Two weeks later, went back to the Dr's office and found out I was pregnant through blood test. Happiest day of our lives! I also took metformin but don't remember at what point I took it. I know I took 2 different doses.

zbautista |

Q&A: Common fertility tests?

Hey! I know what you're going through right now. I just recently started going to a reproductive endocrinologist to help me out with my fertility issues. My insurance doesnt cover ART(assisted reproductive technology) but it does cover testing, so you might wanna give your insurance a call and ask them if the cover the testing atleast. My doctor started me off on something called "Clomiphene challenge test". What they do is they started me off on some provera to induce my period(since i never get it), then they performed some U/S to see how my cysts were doing. On cycle day 5(i think) they started me on clomid(fertility drug) and then they did an u/s on me once again to see if my ovaries had developed mature eggs. Before they got to this point, they performed an hsg test. It's a small procedure to make sure your tubes are open and your uterus is capable of carrying a baby. From there my doctor determined what my "plan" would be. It turns out that I am going to need an IUI along with clomiphene. I should start my first cycle of IUI in 2 wks..wish me luck!!! I hope i was able to help! Good luck with everything!!!

laurammata@gmail.com |

Q&A: Common fertility tests?

I was diagnosed with PCOS when I was 16 and I never thought I'd have a baby, me and my partner have been together 5 years, i am now 23 and it was a massive shock to find out I was pregnant as we tried for 3 years at one time. It will come naturally I can assure you, just keep taking your Folic Acid and keep happy.

AmyRoseCook |

Q&A: Common fertility tests?

Before spending thousands of dollars on drugs and invasive procedures, try cleansing the body of toxins like heavy metals and hormone mimickers, and then building the body with nourishing foods and supplements. As I posted on another thread, our bodies were designed to do two things: heal and procreate. Our bodies inherently WANT to do these things, and if given the correct tools, they will! Yes, folic acid is beneficial, but if your diet is terrible and your hormones are out of balance, folic acid will not make you get pregnant. Our cells are built from the food we put in our bodies, and if it is not optimal, then our cells won't do their jobs effectively and that leads to greater imbalances (infertility, in this case). As a holistic health coach, I can help you achieve balance! www.getbalancedwellness.com

JaclynDowns |

Q&A: Common fertility tests?

We tried to conceive for 6 months before going to a reproductive endocrinologist. I am early thirties, have regular periods, and both my husband and I are healthy. This is our 8th month of trying. The doctor laid out a plan to do bloodwork, semen analysis, and the HSG test. It turned out that all of these tests were clear, so I likely fall in the unexplained infertility category. The next step is to try clomid (oral fertility drugs) if we choose. For me, I think seeing a specialist helped, as it made me feel like I was at least being proactive in determining if there were any fertility issues that could be diagnosed and treatable. However, I am lucky in that my insurance (aetna) has covered all costs so far. If paying out of pocket, the tests can get very expensive. Best of luck to you!

JillBill3 |

Q&A: Common fertility tests?

The bump expert pretty much answered your question about types of tests, but you don't have to wait to start charting your Basal Body Temps (BBT) to pinpoint when you ovulate, and to get an idea of what your hormones are doing, which is extremely important in conception. The best book on the market to get you started is called "Taking Charge of Your Fertility" by Toni Weschler. It explains why and how to chart your BBT, and shows you what to look for during your cycle. You need to chart for about 3 months to get an accurate picture of what's going on with your body. In the meantime, have hubby get his swimmers tested for motility, morphology, and count. He'd just need to see a urologist for that, and insurance should cover, no problem. I didn't know about all of this until after a year and a half of trying unsuccessfully, and wish I had. After having all the tests the bump expert describes, it turned out that hubby had multiple issues with his sperm, and I had what the IVF specialists called "unexplained infertility". I then sought the help of an acupuncturist, who turned me on to charting my BBT, and treated hubby for his issues, and helped me identify a progesterone issue through charting. She treated me for the progesterone issue. The combination of treatments, and lifestyle changes suggested by my accupuncturist, along with conventional IVF, helped us achieve a successful pregnancy in November. I am 27 weeks pregnant as of today, at age 42. Good luck with your fertility journey. I hope you realize all of your dreams!

belesprit269 |

Q&A: Common fertility tests?

PUSH PUSH PUSH! When I became concerned that my husband and I were having fertility issues, my gyn brushed it off because we are a young and healthy couple. I insisted that we look for a reason. After a round or two of bloodwork, my gyn gave up... My concerns grew and grew and I decided to find a reproductive endocrinologist that my insurance would cover. I made and appt, and while my gyn was hesitant to test for anything or to start treatment, the endo understands the frustrations of infertility and was quick to start looking for a diagnosis. While I do not yet have a diagnosis, we've begun a mild treatment option of clomid and progesterone. I'm only one month into to treatment, but it takes so much stress away knowing that something is actually being done about it!

lindseyhebert |

Q&A: Common fertility tests?

It is likely your doctor is going to run a few common inexpensive tests first, before beginning any expensive and invasive tests like an HSG. Typically these run $100-200 each, and you can space them across several months I imagine. Depending on where you are in your cycle, the first test is typically a 3-day FSH test (to determine if your follicles are creating a cyst and releasing an egg like they should be), and next a 21-day Progesterone level test (to be sure you ARE ovulating, and if you are, that your progesterone level is high enough), and at some point your DH will need to have a sperm analysis (as mentioned by others above - count, morphology, PH, motility, etc). So far, MY insurance has been "billed" $175 for the progesterone test (haven't seen anything on the other tests, but suspect similar costs for blood work - not sure on the semen portion). But even if your insurance doesn't cover testing it typically discounts it for you. Many hospitals/doctors will offer a cash discount as well, so be sure to ask! Bottom line, if you have to pay cash (no ins, or high deductible plan), you will be paying about $750-1000 to have ALL of these basic non-invasive tests done, plus the office visit (which usually runs $200-300 depending on where you go). I would also recommend first charting your BBT for a couple months first, as this will help your doctor determine which tests are recommended when on a budget.

kvaro412 |

Q&A: Common fertility tests?

My doctors have been wonderful with making sure we pay the least amount possible! For all of my tests they have been putting pain or irregualr menses as the diagnosis. So far so good as far as costs, but nothing has worked so it's on to a specialist....now it's going to get expensive

SammieMC00 |

Q&A: Common fertility tests?

Just as a follow-up to my post above, I ended up getting pregnant in my 10th month of trying (we were planning to start fertility drugs (clomid) at the 1yr mark, but ended up getting pregnant unassisted before taking that step). I am now 16 weeks along. I wanted to share this, as when I was reading these posts, I had wanted to hear how things turned out for others at the end of their fertility journey. I know how trying month after month without success can be pretty discouraging, and I found it frustrating as others around me seemed to get pregnant immediately. Everyone has different experiences-- some get pregnant in month #1, while for others it takes longer, or may take some assistance along the way. Regardless of your journey, I sincerely wish all of you ladies the best of luck!

JillBill3 |

Q&A: Common fertility tests?

They may test and Anti-Mullerian Hormone (AMH) Clomid Challenge test or OAR to check for Ovarian Reserve as a start. Also, the most inexpensive test is a basic semen analysis.

courtney1182 |

Q&A: Common fertility tests?

I agree with another poster below - Dr. Hill forgot to mention IUI. My husband suffers from ED and as a result has trouble ejaculating during intercourse. My ob-gyn told us not to wait any longer to see a fertility specialist even though we had only been trying 2 months on our own. We met with a fantastic fertility specialist and agreed we made the right decision to come. I am 29 and we are on the path to try our first IUI. As far as insurance goes, we have high deductible insurance and are paying out of our pocket right now. I had to take out a new credit card to pay for everything as we were not expecting to have to see a specialist so soon so we didn't get a chance to save up money. The consult was $645 and each office visit is that much as well. If they want you to do the HSG test that is $690. A blood test is $300. Semen analysis is $175 and the IUI together with the semen analysis will be about $360. Expensive at first but once we meet our $3000 deductible the insurance will take over (except for the costs of the IUI procedure itself). Good luck!

blliguori |

Q&A: Common fertility tests?

I did the HGC test, where they inject a dye into your uterus to see if there are any blockages in the tubes. We also have PPO blue shield of CA and it was not covered at all. BUT we didnt find this out until after the test! Our Doctors office said they called our insurance and we would have 50% coverage on infertility, but the person they talked to was wrong. So now we are looking at a $4000 bill for the one procedure, and about $250 per Dr. visit to see the infterility specailist. BUT we want kids! Good news is now they are looking into Clomid.

jenifersplanner |

Q&A: Common fertility tests?

I am quite keen on the answer as well. Thanks for sharing in advance. pregnancy symptoms

pregnar |

Q&A: Common fertility tests?

While I have not suffered from infertility, I did miscarry my first pregnancy at 10 weeks. I recommend acupuncture and so does the American Pregnancy Association and other medical associations. I waited one cycle after my miscarriage to start TTC and within 3 months I was pregnant again and we weren't going crazy with the trying (none of that every other day stuff, I would say 2 maybe 3 times a week we were having sex which is normal for us anyway). I also found that regular aerobic exercise helped keep my cycles normal ( I have be irregular in the past). I also go to acupuncture for my morning sickness and other first trimester challenges and it really reduces the severity and length of my nausea. The America College of Ob/GYN found that in extreme cases of nausea and vomiting, acupuncture was more effective than pharmaceuticals. Good luck!

psumissy |

Q&A: Common fertility tests?

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Q&A: Common fertility tests?

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linsa518 |

Q&A: Common fertility tests?

I know some fertility clinics offer grants for couples who do not have insurance. Depending on where you live Shady Grove Fertility has the Pay it Forward grant. They are amazing and I have nothing buy wonderful things to say about them. Good luck, I know the stress you are feeling.

Linzala12 |

Q&A: Common fertility tests?

Your kidneys cannot convert vitamin D to its active form. As people age their kidneys are less able to convert vitamin D to its active form, thus increasing their risk of vitamin D deficiency. Have your Dr. Check you for vitamin deficiency it may help some. Good luck

Leia88 |

Q&A: Common fertility tests?

I'm not covered on insurance either so I made sure to chart how irregular my periods were since we've been TTC & giving her as much info so she wouldn't have to perform tests. I also think it will depend on how aggressive your doctor wants to be. My issue is I don't ovulate so I'm taking Femara to help. You can watch my TTC journey on Youtube if you want. Hope this helps! http://www.youtube.com/user/undermyclothes

alexispiscoya23 |

Q&A: Common fertility tests?

I work in reproductive endocrinology and I am pleased to inform you that 90% of insurance companies will cover diagnostic tests to find out why you are having fertility issues. This includes labwork, ultrasounds, a semen analysis for your husband, tubal evaluations, along with surgery, if warranted. They just won't pay to CREATE a pregnancy. Over 75% of the patients at our facility have simple ovulation disorders that can be corrected by giving either Clomid or Letrozole (which is superior). The medication plus a mid-cycle scan and testing can be performed for about $200...which most working people can afford. Remember, no reputable physician should be treating you for infertility (given medication) until the reason you are not getting pregnant in the first place is evaluated.

KarenRN2014 |

Q&A: Common fertility tests?

By the way....our clinic has the highest IVF rates in a 5-state area and we never, ever use basal temperature charting. It's highly inaccurate. If you have been trying to conceive for a year without success, time to be seen by a specialist.

KarenRN2014 |

Q&A: Common fertility tests?

hi i've run through with that also but i didn't do any test except for PT. :) i just found out a book that help me to conquer it on . and i`ll attach it www.bit.ly/1lxtMqe.hope this would help to you also.

mae722 |

Q&A: Common fertility tests?

My name is Camille bruno Valdez my partner and I have been trying for a baby for over two years now, We were going to a fertility clinic for about 5 months before somebody told us to contact this spell caster who is so powerful, We contacted him at this email; arewaspecialistttemple@gmail.com , for him to help us, then we told him our problem, he told us that we will either conceive in February 2014 or March 2014,but after two years of trying we were at a point where we were willing to try anything. And I'm glad we came to Dr Dahiru, Because his pregnancy spell cast put us at ease, and I honestly believe him, and his gods really helped us as well, I am thankful for all he has done. contact him via email: arewaspecialistttemple@gmail.com if you are trying to get a baby or want your lover back. he has powers to do it, he has done mine,

camillebrunovaldez |