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If you attempted pregnancy for 6-12 months and have not become pregnant, you may need an evaluation as a couple. The initial work-up for infertility includes physical exam and current PAP smear.

You will need some blood work timed during your cycle. Your partner will need a semen analysis. The final piece of the work-up will evaluate the uterus and fallopian tubes. You will need either an HSG (hysterosalpingogram) or laparoscopy to complete your work-up.

If at any time during the work-up something is abnormal we will need to address that before going on to the next step. We manage anovulation with oral infertility medicine. We do not do injectables or IVF. We can refer you on to an infertility specialist if this is necessary.​