Infertility Evaluation


Infertility is defined as the inability to become pregnant, or to father a pregnancy, within one year. Approximately 1 in 7 couples are affected by infertility. Infertility does not mean that a couple is sterile and will never have a child. Well more than half of all couples seeking help for infertility will eventually conceive.

An infertility evaluation is performed to determine the source of a couple’s problem.

Candidates for infertility evaluation include:

  1. Couples who have spent at least a year trying to conceive
  2. Couples in which the woman is older than age 35 who have spent at least 6 months trying to conceive
  3. Couples in which one or both partners are known to have problems affecting fertility.

Women should also be evaluated if they:

  • Menstruate irregularly or not at all
  • Are older than 40 years
  • Have had more than one miscarriage
  • Have a condition known to interfere with fertility
  • Have had chemotherapy or other cancer treatments
  • Are curious, or worried, about their fertility status.
  • Have a history of sexually transmitted infection.
  • Intend to undergo donor insemination

Men may also be tested for infertility if they:

  • Are known to have a low sperm count
  • Have a swelling in the scrotum
  • Have had a vasectomy
  • Have undergone scrotal or inguinal surgery
  • Have abnormally small testicles
  • Have diminished libido or erectile dysfunction
  • Have had chemotherapy or other cancer treatments
  • Are curious, or worried, about their fertility status.
  • Have a history of sexually transmitted infection.

The Infertility Evaluation

During the initial infertility evaluation, both the female and male partner give a thorough medical and fertility history, undergo a physical examination, and have urine and blood testing.

Tests for Female Infertility

Tests for female infertility may include:

  • Testing of reproductive hormone levels
  • Ovulation testing
  • Ultrasound evaluation of the reproductive organs.
  • Hysterosalpingography (Xray of the uterus and Fallopian tubes)

Tests For Male Infertility

Diagnostic tests for male infertility include:

  • Semen analysis


Both partners may also be tested for common genetic conditions, such as cystic fibrosis and sickle cell disease, that may be transferred to their child.

Once the cause of infertility is identified, an individualized treatment plan is designed to maximize the couple’s fertility potential and allow for successful conception.

Robert Howe, MD

281 Maple St.
East Longmeadow, MA 01028

Tel: (413) 525-5160
Fax: (413) 525-5170

Mon-Fri: 8:00am – 5:00pm
Saturday: 8:00am – 12:00pm

About Us

– Convenient Location
– Off-Street Parking
– Saturday Appointments
– Wheelchair Accesible
– On-Site Lab
– On-Site Ultrasound
– Medicare Accepted

Hyperion Selene-Touch
& Vaginal Phototherapy

We are pleased to announce that we now offer Hyperion Selene-Touch and Vaginal Phototherapy procedures. We are the only practice in Western Massachusetts to offer these services!

Since 1997 Dr Howe has affiliated with IVF New England, the premiere program for assisted reproduction and egg banking in our region. This assures you of extraordinary care and superior clinical results in your journey to parenthood. Read more…