Fertility Testing

Fertility Testing

Fertility Testing services offered in Bellevue, WA

Infertility affects up to 15% of reproductive-age people in the United States, causing severe distress and heartache. Jie Deng, MD, PhD, HCLD, FACOG, and her colleagues at Think Fertility in Bellevue, Washington, provide comprehensive fertility testing to identify what’s causing conception problems. They also offer fertility testing to anyone wishing to determine their fertility status. Call Think Fertility to arrange fertility testing or schedule a consultation using the online booking feature.

When do I need fertility testing?

If you’ve been trying to conceive for over a year (or six months if you’re a woman over 35), Think Fertility recommends fertility testing to determine what’s preventing pregnancy.

You can also benefit from fertility testing if you’re planning to conceive soon, you’re worried about age-related fertility issues, are considering having children sometime in the future, or simply want to ensure you have no fertility problems in case you decide to have children.

Infertility affects women and men equally, so both partners need to undergo fertility testing.

What problems does fertility testing identify?

Fertility testing looks at everything that might affect your fertility, including:

  • Irregular ovulation
  • Lack of follicles on the ovaries  
  • Low ovarian reserve (remaining egg supply)
  • Low or imbalanced sex hormone levels
  • Poor uterine lining condition
  • Fallopian tube blockages
  • Low sperm count
  • Poor sperm quality
  • Presence of uterine fibroids
  • Thyroid disease or other hormonal disorders

You might require tests for conditions like polycystic ovary syndrome (PCOS) or uterine anomalies if you exhibit symptoms.

Patients with chronic disorders like diabetes, hypertension (high blood pressure), and high cholesterol might need additional tests to evaluate their personal risk factors. You can also undergo testing for genetic conditions affecting your baby’s health.

What does fertility testing involve?

Common tests Think Fertility performs include:

Anti-Mullerian hormone (AMH) test

The follicles in your ovaries produce AMH, so a blood test is an excellent ovarian reserve indicator. Low AMH suggests accelerated ovarian reserve loss, while too high an AMH level could be due to PCOS.

Transvaginal ultrasound

Transvaginal ultrasound is an internal scan that counts how many follicles you have in your ovaries. If you only have a few visible follicles, your egg numbers are low.


A hysteroscope (telescope-like instrument fitted with a tiny camera) goes into your vagina and through the cervix, enabling your provider to examine the uterine cavity in detail. It’s especially important if you’ve experienced miscarriage or failed in vitro fertilization (IVF).

Think Fertility uses a thin, flexible hysteroscope that causes minimal discomfort and doesn’t require anesthesia.

Saline infusion salpingogram (SIS)

SIS is an ultrasound scan using salt water to fill the uterus and fallopian tubes.

Hysterosalpingogram (HSG)

HSG is similar to SIS but uses X-rays and a contrast fluid.

Semen analysis

Semen analysis determines sperm count (how many sperms a sample has), motility (how well the sperms move), and morphology (sperm shape).

Call Think Fertility to arrange fertility testing or schedule a consultation online today.