Diagnostic Workup

Get real answers about your fertility.

A complete fertility workup for both partners: hormones, imaging, and semen analysis. Dr. Chauhan reviews every result with you personally and you leave with a clear plan, a timeline, and costs discussed up front.

HOUSTON & SUGAR LAND · MOST INSURANCE ACCEPTED 

Consultation room at New Hope Fertility Institute of Texas with ultrasound equipment
20+
Years in reproductive endocrinology
1 cycle
Typical time to complete testing
1-on-1
Results reviewed with you
100%
Results reviewed by Dr. Chauhan

Is this you?

When to get evaluated

Waiting is the most common, and most costly, mistake in fertility care. Consider testing now if any of the following apply.

Under 35 and trying for 12 months without pregnancy

35 or older and trying for 6 months

Irregular, absent, or very painful periods

Known PMOS, PCOS, endometriosis, or thyroid disease

Two or more pregnancy losses

Prior cancer treatment, or a male partner with a known sperm issue

If any of these sound familiar, a focused workup can give you answers within one cycle.

The process

What to expect

Six steps, usually finished inside one menstrual cycle. Nothing is ordered without explaining why it matters and what it costs.

  1. 01

    Consultation and history

    An in-depth review of medical history, lifestyle factors, and any previous fertility treatment, so testing is targeted rather than generic.

  2. 02

    Physical examination

    A physical exam assesses overall health and, for women, a pelvic exam evaluates the reproductive organs.

  3. 03

    Hormonal testing

    Blood work measures FSH, LH, estrogen, progesterone, and AMH to reveal ovarian reserve, ovulation status, and overall reproductive health.

  4. 04

    Ultrasound examination

    Transvaginal ultrasound visualizes the ovaries, uterus, and antral follicles to assess ovarian function and detect structural issues.

  5. 05

    Semen analysis

    For male partners, sperm count, motility, and morphology are evaluated to identify male factor infertility early.

  6. 06

    Review and treatment plan

    Dr. Chauhan walks through every number and builds a personalized plan designed around your goals, budget, and timeline.

What we test

The tests that matter

We order what your history calls for, not a fixed panel. Costs are discussed and agreed upon before anything is drawn or scheduled.

Hormone panel

FSH, LH, estradiol, progesterone, AMH, and thyroid. Shows ovarian reserve, whether ovulation is happening, and what is driving it.

Transvaginal ultrasound

Images the ovaries and uterus and counts antral follicles, detecting cysts, fibroids, and polyps in minutes.

Hysterosalpingography (HSG)

A short X-ray with contrast confirming the uterine cavity is normal and the fallopian tubes are open.

Semen analysis

Count, motility, and morphology. Inexpensive, fast, and often the single test that decides the treatment plan.

Hysteroscopy and laparoscopy

Used only when imaging suggests a problem. Both can diagnose and treat fibroids, polyps, adhesions, or endometriosis in the same visit.

Genetic screening

For either partner when history points to chromosomal causes of infertility or recurrent miscarriage.

Physician performing a fertility ultrasound examination

What testing uncovers

Why conception stalls

Infertility can come from one partner or both. Naming the cause is what makes treatment effective instead of repetitive.

Ovulation disorders

Conditions such as PMOS|PCOS stop the ovaries from releasing an egg. Common, and among the most treatable findings.

Male factor

Low count, poor motility, or abnormal morphology account for roughly a third of cases.

Tubal factor

Blocked or damaged tubes keep sperm and egg apart, often after infection, endometriosis, or prior surgery.

Uterine and cervical factors

Fibroids, polyps, or anatomic differences that interfere with implantation or raise miscarriage risk.

Endometriosis

Tissue like the uterine lining growing outside the uterus, causing inflammation and scarring.

Age and egg quality

Egg quantity and quality decline steadily after 35, and sperm quality declines as well. Testing early protects your options.

Lifestyle factors

Weight, smoking, alcohol, and chronic stress all affect outcomes, and most can be improved before treatment.

Unexplained infertility

Normal results still have a path forward. IUI and IVF succeed for many couples with no identified cause.

Take The First Step

Book a consultation in Houston or Sugar Land. Most workups finish inside one cycle, and you leave with a plan you understand.

  • Most workups complete within one menstrual cycle
  • Both partners evaluated, roughly a third of cases are male factor
  • Results reviewed one-on-one with Dr. Chauhan, not a coordinator
  • You leave with a clear plan, timeline, and costs discussed up front

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Administrative use only. Please do not include medical complaints or diagnoses.

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FAQs

Questions, answered

Something else on your mind? Our team is one message away and happy to talk through cost, timing, and expectations before you book.

Most testing is completed within a single menstrual cycle. Some blood work is timed to specific cycle days, which we schedule for you.