Fertility Testing
Start Your Journey: Accurate Ffertility Testing and Diagnosis
Is it the right time for fertility testing? Should we just try a little longer to get pregnant? What's should I do?
The board-certified fertility specialists at the Los Angeles Reproductive Center (LARC), can empower you to move forward toward your goal of parenthood by providing the answers you seek.
Our double-board certified fertility specialists, Dr. Nurit Winkler and Dr. Marc Kalan, are highly trained experts in the diagnosis and treatment of fertility-related issues. Approachable, warm, honest, and caring, the doctors are happy to help determine if fertility testing is right for you. With testing results in hand, we can then work with you to plan the appropriate treatment.
Los Angeles Reproductive Center Building Families Throughout Encino, Los Angeles, and Bakersfield, CA
Fertility Testing | Egg Donation | Egg Freezing | IVF | Surrogacy
The Los Angeles Reproductive Center is a cutting-edge fertility clinic with world-class success rates. We understand the emotions that surround fertility and can help quell your concerns through open communication and empathy. We treat patients like family.
Every individual and couple is welcomed to the Los Angeles Reproductive Center, which recognizes that each family deserves a fresh approach that reflects their unique situation, condition, and desires. If you are starting with fertility testing, we begin by evaluating four main areas:
- Egg Testing
- Uterus/Fallopian Tube Testing
- Sperm Testing
- Advanced Fertility Tests
"Dr. Kalan is the best doctor we have ever met. He’s a professional, ability, knowledgeable, friendly, patience and responsible doctor...
We are so lucky to find him. We have a twins now. Our IVF was a tough journey. We went and worked with serval IVF clinics before we found Dr. Kalan... My husband and I very appreciate Dr. Kalan and his nurses give us help and support. We have very happy IVF journey with Dr. Kalan's clinic." Selina Pi, 2021
Are You Looking for Answers? Request a Consultation
We use the latest technology and have created a warm, friendly environment at each of our offices so that people can feel comfortable discussing their intimate concerns and feel confident that they are on the right path.
We look for natural solutions to fertility whenever possible but also have the expertise and technology to give patients more options if they choose.
Whether you want to start a family now or are seeking fertility testing to prepare for a future family, we can tailor our options to suit your wishes. You can begin your journey by requesting a consultation at any of our offices in Encino, Los Angeles, and Bakersfield. Leave a message or call to request a consultation:
(818) 946-8051
Encino, Los Angeles, and Bakersfield, CA
Egg Testing
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To understand a woman's potential to get pregnant we want to learn about her ovulation and ovarian reserve, which is the quantity and quality of eggs available for ovulation.
There are a number of tests used to evaluate the remaining egg supply but none of them, by themselves, are perfect. To gain a more complete picture, Drs. Kalan and Winkler often use a combination of blood tests and ultrasound to estimate egg reserves. Tests that help us understand ovarian reserve include:
Follicle-Stimulating Hormone (FSH)
This hormone stimulates the growth of eggs in the ovaries, rising and falling with each menstrual cycle. By assessing the levels of FSH on day three of a woman's menstrual cycle, we can better assess fertility and make some initial predictions regarding future fertility treatments.
Estradiol (E2)
Estradiol (E2) is another fertility indicator that, when compared to FSH, helps Drs. Kalan and Winkler better understand your ovarian reserve and help guide our next steps.
AMH (anti-müllerian hormone)
Measuring anti-mullerian hormone (AMH) gives our fertility specialists a good estimate of how many eggs are in the ovarian reserve. However it can't tell us about the quality or genetic health of the eggs.
Inhibin B
Inhibin B offers another indication of the number of follicles within the ovaries that can mature and become eggs. As you age, you have fewer viable follicles that can produce eggs. Assessing inhibin B can help us judge the remaining fertility.
Antral Follicle Count (AFC)
Another method to determine fertility is an antral follicle count (AFC). Unlike the blood tests mentioned above, this test uses a transvaginal ultrasound to count the number of follicles within each ovary. The more follicles present the greater the ovarian reserve.
Uterus & Fallopian Tube Testing
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There is no one best test for reproductive health so Drs. Kalan and Winkler take a sophisticated approach by selecting from among several tests, choosing ones that are appropriate for your situation.
There are a number of tests that help us assess the uterus and fallopian tubes. For example, we will likely test ovulation to determine if you release an egg each month and if there is clear passage through the fallopian tubes. Depending on your history and symptoms, some of the fertility tests we may schedule include:
Hysterosalpingograms (HSG)
Hysterosalpingograms (HSG) is a radiological procedure in which a special dye is injected into the uterus and fallopian tubes while X-ray images are taken. The path of the dye illustrates if the inside contour of the uterus is smooth and if the fallopian tubes are open so that during ovulation the egg can travel into the fallopian tubes and then to the uterus.
Hydrosonograms
Hydrosonograms, which is also called a saline infusion sonogram (SIS), is an ultrasound procedure in which sterile water is injected into the uterus during an ultrasound. This allows our doctors to determine if there are abnormalities in the uterus. If needed, the fallopian tubes can also be evaluated.
Hysteroscopy
A hysteroscopy is a minor surgical procedure in which a small camera is inserted into the uterus to directly evaluate the endometrial lining. If any abnormalities are seen, Drs. Kalan and Winkler can also use small instruments to repair the lining at the same time. We may also combine a hysteroscopy with a laparoscopy. This allows us to insert a small camera into the abdominal cavity and evaluate the fallopian tubes.
Sperm Testing
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Our comprehensive fertility tests also include the male partner to ensure enough healthy sperm can travel to the egg and fertilize it. Sperm testing at Los Angeles Reproductive Center generally begins with a semen analysis (SA), which evaluates several components of an ejaculate.
While sperm tests are common, there can be significant variation in the results of a semen analysis from one lab to another. Drs. Winkler and Kalan are experts at interpreting results. In a sperm analysis, we can assess:
Volume
The total amount of fluid that comes out during ejaculation.
Concentration
The sperm count, or concentration.
Motility
The percentage of sperm that are moving and how well they are moving.
Morphology
An assessment of the size, shape, and appearance of sperm.
Sperm DNA Fragmentation
Assessing DNA within the sperm for damage.
Advanced Fertility Tests
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The specialists at our fertility center are also adept in advanced testing when patients face unique situations or more information is needed.
Drs. Kalan and Winkler keep current with breakthroughs in fertility so that they can offer patients the latest advances in this fast-moving field.
Dr. Kalan has published extensively on topics such as polycystic ovarian syndrome (PCOS) and IVF laboratory conditions, for which he won the University of Southern California’s prestigious Fellow Research Award.
Dr. Winkler has conducted cutting-edge research in the field of reproduction, focusing on the aging process of the ovary and the effect of fertility treatments on ovarian function.
If you need advanced fertility testing, they are skilled in evaluating immunologic fertility issues, PCOS, endometriosis, endometrial receptivity issues, recurrent pregnancy loss, and more.
Joe Doe
2021
After 18 years of fertility treatments we decided to give Dr. Kalan a try. Started our journey 12/2018 and by May 2019 we were FINALLY pregnant. I can’t thank the wonderful staff and Dr. Kalan for our beautiful miracle.
View on GoogleLeslie Estrella
2021
I came here and let me tell you dr. winkler is the best. I had infertility issues for years. I thought I wasn’t going to be able to have kids and thanks to her I conceived within months with injectable medication and IUI. I am very happy now I’m 17 weeks pregnant. The staff was also nice very understanding. I recommend this place if you’re trying to conceive, give them a try
View on GoogleYour Fertility Journey
Los Angeles Reproductive Center is a fertility clinic that offers the latest technology and techniques in reproductive medicine. If you are looking for a path forward in creating your family, we can help by offering advanced reproductive medicine along with a healthy dose of heartfelt compassion.
We have offices in Encino, Los Angeles, and Bakersfield. In addition to fertility tests, our fertility center also offers advanced fertility treatments and reproductive health options, including:
