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Preconception Services

What are Preconception Services?

Preconception care is individualized care and interventions that aim to identify and modify biomedical, behavioral and social risks to the woman’s health or pregnancy outcome through prevention and management. Sometimes there are difficulties in getting pregnant or carrying a pregnancy to full term, we understand the importance of feeling comfortable, feeling cared for, being heard and partnering with you to find solutions or treatment for preconception and infertility. At OGA, we work hard to ensure you’ll leave every appointment with this experience.

Our Preconception Services

Interested in starting a family or having difficulty getting pregnant? We offer a wide range of fertility services. If you are wondering what you can do ahead of time to optimize your chances of getting pregnant and prepare for a healthy pregnancy, schedule a pre-conception visit with one of our providers. In addition to advice on things to do or avoid, we offer preconception lab and genetic screening, as applicable.

If you have been trying for pregnancy without success we can review your history and perform an infertility evaluation including an examination, labs, and a hysterosalpingogram. We are experienced in the use of medications for ovulation induction. If further evaluation / treatment is needed we are happy to refer you to an infertility specialist. Our providers can also help you in the setting of a miscarriage or a history of recurrent miscarriages. Evaluation can be helpful in identifying whether there are strategies which could increase your chances of having a successful pregnancy the next time.

To empower you with personalized treatment options, our highly qualified medical professionals will care for you the “OGA Way.” You’re in the best and most caring hands with our obstetrical team at OGA!

Baseline Hormones

Testing may include Follicle stimulating hormones (FSH), Anti Mullerian Hormones (AMH), Testosterone (T), or estradiol (E2). These give us an idea of how responsive the ovaries are to fertility drugs. We can determine the dosage you may need in order to ensure sufficient ovulation. A thyroid panel (TSH) is also tested since an abnormal thyroid level may hinder normal ovulation.

Infectious Disease Panel and Prenatal Labs

You may be screened for HIV, Hepatitis B and C, RPR, and sexually transmitted diseases (STDs). May require a blood type and Rubella Titer test

Hysterosalpingogram (HSG)

This female fertility test is completed on an outpatient basis. It consists of injecting dye into your uterus that shows up on an X-ray. The dye outlines the inside of the uterus and tubes. If the dye passes into the surrounding pelvic cavity and is re-absorbed by your body, then the fallopian tubes are open. It may be associated with cramping. This test is done after you have stopped menstruation but before ovulation, usually between days 6 and 12 of your cycle.

Ovulation Predictor Kits

Usually on Cycle Day 10 (10 days from day one of your menses), you may be asked to check your urine each morning with a special test stick provided in an ovulation predictor kit. When you have a positive result, you will ovulate within 24-36 hours. This test predicts whether you are releasing the egg during the correct time of your cycle, and it helps us to schedule your post-ovulation diagnostic testing.

Progesterone Level

Progesterone is a hormone created by the corpus luteum (the follicle that released the egg). It is responsible for maintaining a healthy endometrial lining to support a pregnancy. To gauge your progesterone level, a blood test will be done seven (7) days after ovulation, or cycle day 21.

Sonohysterogram (water ultrasound)

This is a procedure to look at the inside of the uterus. It’s a safe, painless test that uses sound waves and a computer to create images.

Other Possible Tests

Other hormones called androgens (DHEA-S, testosterone) may be drawn for certain individuals.

Call Us Today to Experience the OGA Difference

Because your healthcare needs are often time-sensitive, we do our best to schedule you an appointment quickly and conveniently. For appointments, please call 208-888-0909. If you’re an established patient and have a question about your health or medical care, our triage nurse is here to help and can be reached at 208-888-0909 during normal business hours.

If you are having a medical emergency, please call 911 first.