Basal Body Temperature Chart (BBT): Daily recording of a woman's basal body temperature is a unique simple method which is recommended to determine whether you have been ovulating. Further, ovulation is considered if the temperature record is biphasic, i.e., a low phase and high phase, with about a 0.6 F difference.

Follicular Study: Ultrasound is a diagnostic procedure that takes high frequency sound waves to capture image structures inside the body. Use of the vaginal probe ultrasound permits physicians to monitor the ovulation process in the ovary during the patient's menstrual cycle. Ultrasound is also capable of detecting ovarian endometriosis and fibroids.

Progesterone Level: Sometimes the BBT does not provide an accurate image of ovulation that is currently occuring. Upon requirement, a blood test is done to evaluate the serum progesterone level.

Endocrine Studies: These studies become more useful if a woman is not ovulating or has ovulatory dysfunction. It helps in determining why this is occuring. Such endocrine studies mostly include Prolactin, TSH, and DHEA-.S. FSH/LH, Estradiol and thyroxine tests may be done depending upon the requirement.

Post-Coital Test (PCT): The cervical mucus is reassessed post-intercourse prior to ovulation to see if mucus has adequate physical characteristics, and to determine if it supports suitable, active sperm for a long time. The test is done three days before expected ovulation (11th to 14th day of a regular 28 day cycle). The couple are required to have intercourse in the evening prior to the appointment. The Post-Coital Test (PCT) is usually done as part of the follicular study cycle.

Antisperm Antibody Testing: If a woman has abnormal post-coital tests, the couple are evaluated for antisperm antibodies. Further specifications of details for this procedure are discussed with them, if this test is further required to be considered.

Endometrial Biopsy, (EBx): For the purpose of this test, the lining of the uterus is sampled to ensure whether it is being properly prepared for implantation of the embryo. It also indicates the function of the corpus luteum. The biopsy is done 11-12 days after ovulation.

Hysterosalpingogram (HSG): A radiopaque dye is injected into the uterus and this is followed by x-rays to get a view of the shape and the size of the uterine cavity and fallopian tubes. The HSG test also identifies if the tubes are open.

Diagnostic Hysteroscopy (Dx Hyst): This diagnostic procedure uses a flexible scope that gives access to get a view of the interiors of the uterine cavity and ensure to see whether there is any deformity or tumors in the cavity. It is also possible to get images of corners of the uterus to check whether the openings into the tubes are normal. This procedure is usually done in the office. Medication is required to be taken two hours prior to the procedure for cramping that may occur with the procedure.

Diagnostic Laparoscopy (Dx Lap): This out-patient surgical procedure, done under general anesthesia, permits the physician to look inside the abdomen to inspect the various abdominal and pelvic organs, including the female organs. This diagnostic procedure is primarily done to see whether there is evidence of endometriosis or pelvic adhesions that could interfere with the transport of the egg from the ovary to the tube and on into the uterus. If endometrial implants and pelvic adhesions are identified, additional procedures such as cautery or laser treatment may be done to destroy the implants and release the adhesions.